If you had open ds surgery please help me ?

You can get an incisional hernia from ANY abdominal surgery, including laparoscopic surgery. Yes, the chances are higher with open surgery, but doing surgery lap is no guarantee of no hernia.
    However, for a doctor to tell you that you should anticipate a hernia with open surgery is misleading. The odds are very much in your favor that you would not get a hernia. Makes my suspicious mind think that he doesn't want to lose a paying customer.

What's more important to you - the results of your wls, or maybe getting a hernia? The Ds has the best result of any wls for percentage excess weight loss, maintaining that weight loss, and resolution of almost all comorbidities. The results of the sleeve seem comparable to RNY at least in the early years, the longterm results are unknown. It's a purely restrictive surgery - once the restriction lessens - and it will - you will need to rely on behavioral changes to maintain a low calorie, low fat, low carb diet for the rest of your life or you will regain. There will be some successes and some failures, the only thing we don't know yet is how many of each. We DO know that the failure rate with the DS is very low.

No one wants a hernia. But what kind of results do you want from your wls? Would you rather have (maybe, NOT definitely) a hernia repair down the road, or would you rather find yourself looking into revisional wls? Your choice.

Larra

 The difference between the DS and the sleeve is a lot more than just a hernia.  Or the possibility of a hernia.  You can get one of those with any surgery or NO surgery at all.  I have a hernia and at one point I was sort of glad because it meant insurance would pay at least  part of a TT.  Then my financial picture changed and I can no longer afford to pay.  I just live with the hernia and so far, so good.

Next the scar.  I thought about this too and it was a non-issue in the end.  Unless you are about 20 and never weighed more than 250 or so...the leftovers after massive weightloss are not pretty.  I look quasi-normal in clothes but I am a train wreck naked.  The scar is no worse than the rest of the 'leftovers'.

The salesperson at the Toyota dealership is not going to tell you there is a Nissan that better meets your needs.  They are going to sell you the car they have.  WLS is the same.  The doc is going to sell you a procedure he/she does because they want the money.  Always follow the money.

And don't buy the sleeve thinking you can always have a second surgery later.  2 stage DS tends to not work as well as getting the whole thing done at once.

It's your job to look at the procedures and the results and pick out what will work the best for you.  For the rest of your life.  You know you.  You know why you are heavy.  Will a restrictive only procedure work for you?  Be honest with yourself.  The idea is always think twice, cut once!

So true. I am leaning towards the DS and it does seem like the Dr. was one sided because he does not perform the Ds.  I did not feel comfortable with him so i would not use him even for he sleeve.

Thanks for your advice I really appreciate all of you!

 Don't get a VSG for fear of a hernia.  Instead, get the DS with better long-term results and baby your abdominals.  I got a hernia about 1.5 years out, but you wanna really know why?  It's because I'm stubborn.  I had 2 bags of soaking wet 2cu.ft top soil and I was in a hurry to plant my tomatoes.  I have a husband and very strong son, but I didn't want to wait for them.  I lifted each of these bags and dumped them into my containers and then shimmied said containers to where I wanted them.  

The repair was much easier than my DS.  I spent the night in the hospital to make sure my pain was under control and I stayed home for 2 weeks.  Ever since my hernia repair, I won't overlift anything.  I'll even make hubby push the grocery cart if it starts getting heavy.

Thanks for your reply.

Hoping I can baby my abs with a three year old and a seven month.  Is the hernia risk there for lifetime or just for a year or two? 

Does anyone know?

I am 6 months post op and no hernia. My procedure was open and we did not discuss the hernia issue at all. I don't think it is a given. Thanks, Terri

Thanks for your info.

I had my DS on 2/25/09.

No hernias.  The only issue I had was difficulty eating and drinking going into my third month out.  Upper GI fixed that.  No other structural issues.  I have had an ongoing nutritinal issuew with my Calcium, but that is being watched closely, and I'm being more vigilant about taking ALL of my calcium every day.  8 pills= 2400mg (I need to take eight just to absorb what I need).

Make sure you get with a vetted DS surgeon.  I had the DS as a single surgery, not staged. I figured it was better to have all the abdomianl work done all at once, rather than to have two surgeries, one for the stomach then one for the intestines.

Not a DS'er myself but in my bariatric group 3/4 of the folks have had an open DS. Half of those have gotten incisional hernia's. IMHO get the DS best WLS there is period. Wish I could have got it but I was self-pay for sleeve 12,500 didn't have the 32,000 sittin around. Still lost 300 pounds with sleeve so not all bad.

Get the hernia fixed when you do a TT not a big deal like someone mentioned earlier.

Best of luck

No hernia with my open DS.  245 pounds lost and *maintained*.

A hernia would not make me regret having the DS for one second!

15-20 pounds of loose skin to be removed.

Check my ticker.  By the charts I'm overweight, but you can see my rib cage through my chest, so I'm done.  Just jumping the hoops to have the loose skin removed.  It's a medical problem now, so insurance will pay.