Significat adhesions

How significant do adhesions have to be before the surgeon will revise to an open surgery? I am hoping to have the DS done laparscopically but am having my gall bladder out on wednesday and was told that i have "significant adhesions" and that they may have to go to open for the gall bladder surgery.

Also does having "significant" adhesions mean I would have to switch to a different type of wls altogether?

Google is not yeilding an answer to these questions but it could be I am googling the wrong terms.

A lot of whether a surgery can be performed lap vs. open has to do with the experience and skill of the surgeon.

I would take your questions to him/her.

Good luck.

He is pretty darned skilled (was a surgical professor at University of Ohio before coming here) which I am thankful for but will definitely be asking on Monday when his office is open.

Yeah, some have been at it a LONG time and could probably do it with their eyes closed in a blizzard! Sure hope your guy is one of those!

No, you don't need to change your WLS. You might have to have your procedure done open rather than lap.

 After  they do the gall bladder surgery  the Doc will know!( If you ask him to check )  sometimes adhesions do not fully show on certain tests before a procedure, but with him doing a GB then  MD will be alert to look around and will be able to visualize when doing the Gb... then no guessing!

My understanding is that there is no way of knowing until the surgeon gets "in there." Even if the GB surgeon takes down prior adhesions while addressing your GB, the GB surgery itself could create more adhesions. I had a prior open abdominal surgery (open ovarian cyst removal when I was 16), and the dense adhesions from that is what led to my "half-assed" DS (VSG stomach but VERY long common channel because the surgeon couldn't get as low as he needed to due to the adhesions). Of course, there was other drama with my surgeon surrounding the DS as well (he is no longer a recommended DS surgeon and is no longer listed on dsfacts.com), but be prepared for the possibilities, and, most impotantly, DISCUSS your options with your surgeon beforehand. In retrospect, I would have preferred my surgeon do just the VSG and go back into do the switch portion later rather than giving me my half-assed DS; I would rather end up with 2 surgeries than with a hundred what-if questions that will never be answered.

thanks for the tips and advice. will definitely be checking on this tomorrow.