Why keyhole surgery isn't always the better choice.
In laparoscopic surgery, surgeons make a few small incisions and use a camera to guide long, thin instruments. Open surgery requires a single, larger incision to give the surgeon direct access to the organs. We choose the method based on your specific anatomy, the complexity of the procedure, and your medical history. Both approaches aim for the same successful outcome.
Open surgery is often safer when we need a full view of the surgical site or better access for complex repairs. Scar tissue from previous operations can make a laparoscopic approach difficult or dangerous. If the surgeon cannot see clearly through the camera, we switch to an open incision to ensure your safety. We prioritize your health over the convenience of a smaller scar.
Laparoscopic procedures generally lead to faster recovery times and less post-operative pain because the abdominal wall remains largely intact. However, open surgery requires a longer healing process for the larger incision. You may need more time off work and stricter physical restrictions following an open procedure. We will manage your pain effectively regardless of the method chosen.
Every surgery carries risks like infection, bleeding, or reactions to anesthesia. Laparoscopic surgery carries specific risks related to inflating the abdomen with gas to create space. Open surgery carries a higher risk of larger wound infections or hernia development at the incision site. We monitor these specific markers closely in the days following your procedure.
Surgeons typically decide the approach during your pre-operative planning phase. Sometimes, a surgeon must decide to convert from a laparoscopic approach to an open one while you are under anesthesia. This is not a failure of the plan, but a necessary adjustment to keep you safe. We discuss the expected approach with you beforehand so you know what to expect upon waking.