How many puncture sites for LAP RNY?

I had LAP RNY, I was told 5 or 6 puncture sites, when I awoke I have 9? Why? I hurt way more then I should. I asked the surgeon he just said it was a hard surgery took over 5 hours. No real answer...

so give me your best answer..I am still moving way slow, lots of pain.. I have a high pain tolerance, I cannot believe this has slowed me down.

Thanks in advance!

Jenny

Jenny Dr. H will give you a better answer than that ....sometimes he is in a hurry about things. i would suspect that your liver was enlarged and he had to find a way around it....but then im not a surgeon so dont know ....i had 5 stab wounds as i called them....only one of them was sore inside and that was the site where they put the camera in i think.....wow for him to take 5 hours is a long long time,...i would imagine he would have opened you up if you had had a different surgeon. Dr. H is one of the very best and will bend over backwards to keep from doing open surgery.....

I would of liked a more in depth answer, such as you suggested. I did my liquid diet and lost 16 pds before surgery...  I thought your liver shrinks on the preop diet...

Thanks for your information

Email Dr. Hornbostel's wife/nurse, Margie, and she'll get back to you. He's such an excellent surgeon but he may not have had time to explain to you fully. I had 6 or 7 punctures and I lost about the same amount as you did before surgery so I don't think you are way out of line in the numbers. If you have had previous surgeries you might have had adhesions or something else that made the lap difficult. I just know that whatever Dr. H did, he did it right and to your best outcome. He really is the "gold standard" of RNY surgeons in Missouri and as Jan said many other Doctors would have just opened you up from top to bottom rather than keeping the surgery laparoscopic so that you have less of a wound to heal. By the way, how do you know how much you should hurt? I hope no one led you to believe this was a painless, easy surgery. Your innards have been rearranged and you have a new baby tummy. Just relax and take it easy on yourself and don't pu**** You'll wake up one of these days and feel much, much better and wonder why you were so worried about the discomfort.
I'll keep you in my prayers.
Lana

Thanks so much for your information... I found out it is related to an old open field gallbladder that I had done in 1988. The adhesions were so thick he had to address that first, the adhesions were on my small bowels, he had to cut free, revise the underneath of the scar, and had to make 5 more incisions to get the job done right, then go back and fix the hiatal hernia, then proceed with the RNY.

Wow, no wonder I hurt. I am not in a fantasy world regarding the pain, as I have had 18 previous surgeries, I just didn't realize all the things he would have to fix...before he could do it. I don't think he knew either.

You know that was an extra coffee day!

Thanks so much for your input!

Jenny

 Wow it didn't take me that long and he fixed a hernia at the same time. I think I had five holes. I bet he just got busy because he is great about helping you. Email them and ask. Give yourself some time to recover ,just being asleep takes its toll.

It's just I knew something had to be up... as I was in surgery 5 yours, I should of been out by noon... and he didn't say... he always is pleasant just keeps walking and I do not always get the rest of the story...


Thanks So much... Jenny

Hi,
Dr H. did my RNY 10 days ago.  I had 8 puncture sites.  He found and incisional hernia that he had to fix before he could do the actual surgery.  Many times we may spend over half of the O.R. time fixing things like hernias and taking down adhesions.  I was suprised my surgery took longer than a couple of hours and then I found out he had to fight with this hernia.  It was blocking his view of where he wanted to operate.
Hope this helps.
JT
One of the Nurse Anesthetist working with DR. H

I hope you are feeling better!

Thank you very much.
I feel great.  Going stir crazy.  Ready to get back to work.
I have a very pleasant experience.
Thanx again,
JT