If you can avoid a Laparotomy it would be better. Some times they can do hand assisted Laproscopies if there is something that needs to be taken out and they can't get it through a scope. It sounds like you really like your Doc, but It wouldn't hurt to get another opinion. I had endometriosis years ago, and from what I understand people who have it are more proned to Adhesions,(My case). Both of my Endo Surgeries where Laproscopic in the 90s. Good Luck! Marlene
> Date: Mon, 5 May 2008 12:46:01 -0500
> From: tracy.joslin@adhesions.org
> To: adhesions@mail.obgyn.net
> Subject: FW: Thinkin' on a Laparotomy - Advice Appreciated
>
> Sender: WriterSisters@yahoo.com (Jael)
> Subject: Thinkin' on a Laparotomy - Advice Appreciated
>
> Hiya,
>
> My name is Jael, I'm 23, married 2 yrs., and was recently diagnosed with
> stage IV endometriosis. I already had a laparoscopy to offically
> diagnosis endometriosis, and now my doctor wants to do a laparotomy in
> order to excise the implants.
>
> I don't know if this is being "unrealistic," but... I don't want a
> laparotomy. I think my doctor is very smart guy: he's an RE in my area,
> specializing in endometriosis. BUT I feel a laparotomy is too risky.
> I'm very scared about adhesions. I read that 93% of laparotomys end up
> with serious surgical adhesions.
>
> I don't have plans for kids now, but I do want some youngsters in the
> future. Endometriosis runs in my family, stage II to IV endometriosis.
> However, none of my family members have had fertility problems from
> endometriosis, my great aunt even had twins without the help of an RE.
> The only reason I'm seeing an RE right now it that I want the
> endometriosis removed without damaging my reproductive organs (which
> were all working fine and dandy according to my laparoscopy, so yah!!).
>
> Has anyone has a laparotomy for endometriosis? I just don't know... my
> husband is no help. He just says, "Do what the doctor says, sweetie.
> He's the expert." Endometriosis isn't good for me, but neither is a
> pelvic full of surgical adhesions.
>
> Any advice or words of wisdom are welcome. Please.
>
> Jael
>