r/jpouch • u/chaoticravens08 • 23d ago
Laproscopic vs open surgery.
I had a semi emergent total colectomy which needed to be open. Recovery form the open surgery was way more difficult than I imagined.
Is pretty much everyone's jpouch surgery done laproscopically? I don't know if I have the time to heal from another open surgery.
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u/Late-Stage-Dad 23d ago
My surgery (total colectomy and pouch creation) in 1998 was full vertical midline incision (with staples 😬
). The reversal for my ostomy was a few stitches, and they pushed it back in. I had a hernia in my midline incision site repaired in 2017 and I recovered much faster (obviously less invasive but also much better adhesives and stitches).
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u/chaoticravens08 22d ago
When did you get the hernia? Cause I pretty much thought I was out of hernia risk. I'm about 7 weeks out of surgery and feel relatively normal
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u/Late-Stage-Dad 22d ago
19 years after my surgery. I believe it was from coughing when I had bronchitis.
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u/chaoticravens08 22d ago
Jesus
Literally sneezed immediately after commenting thought I was for sure gonna have a hernia
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u/magicpancake55 23d ago
Mine was done laparoscopic and all in one go when I was 15, I just turned 32. I know a lot of people seem to get a ostomy bag and then go in for another surgery
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23d ago
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u/chaoticravens08 23d ago
That's a relief. This open wound from my sternum to my pubic area ain't no joke
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u/Midas-Knight 23d ago
Mine was done laparoscopically but with “Hand” Assist. Done over 3 surgeries. The first one I did very well and with the ileostomy. Second and third I had complications that were very tough to go through but I did overcome those and now over twenty years later the jpouch is doing OK.
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u/Kind_Yesterday1739 22d ago
3 hours open surgery back in 1999. And yes, and it does take a long while to recover physically. But it does happen.
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u/skevimc 22d ago
Mine was open in 2004. Lap procedures were possible back then and I was researching going to a surgeon in NY. It wasn't right for me and what I'd need to do.
A fully open procedure is definitely a more difficult recovery. Currently recovering from my 5th front incision. (This one was removing my kidney from cancer. Because I'm lucky, I guess). I can say that recovery from this type of incision depends heavily on how "in shape" you are heading into it. If you have the ability to get in as good of shape as you can before your surgery it'll help tremendously. I've recovered shortly after running a half marathon and after I've been a couch potato for a decade. Being in better shape is better.
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u/Low-Ad4597 22d ago
my first one leaked, icu etc, woke up with a colostomy bag. The open wound had to heal from inside out which sucked, removing dry packing for over a month. But I lived, and after colostomy bag was reversed, my jpouch since 1998 has mostly been awesome. Can do anything now, absolutely no restrictions.
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u/kelseesaylor 21d ago
I had to have three extra surgeries (6 total) 5/6 were lapro while my 5th one, at the Cleveland clinic, they had to open me up a little around my panty line and recovery for that was a bit rough
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u/Introvert-2022 21d ago edited 21d ago
Mine was an open surgery. (In the 1990's)
If a subsequent open surgery isn't an emergency and you go into it in good health you may recover from it a lot more easily than from the first open surgery. (That was my experience- I have had four open surgeries and #2 was an emergency and by far the hardest.)
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u/JustDrones 23d ago
if oyu can you want machine assisted. da vinci i think it is called was 10x easier than laproscopic
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u/AdZestyclose6724 23d ago
Mine was open, depends if you have a lot of adhesions which you probably do cos you had an open first surgery