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Old 05-23-2009, 12:56 PM   #1 (permalink)
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Default Questions if you had a lap.. please read

I have been putting off a lap for years because I am terrified of going under and be totally out. They refuse to do it while I am just sedated or in twilight and wont do it unless they put me out. I have had twilight sedation for a hysteroscopy and D&C where they removed tons of polyps in my uterus and cleaned me out a few years ago. That went well. I was scheduled to have a Lap with my old RE but chickened out and didnt go through with it.

I have had severe pelvic pain for years now and often times its unbearable. If I take medicine to have a period that is unbearable as well and I do have symptoms of endo. All of the Drs I have been to suspect endo and suspect it could also be the reason I didnt get pregnant with #2 even with everything being great on fertility meds.

I have a few questions about it and hope to ease my mind. I made an appt with a new RE last month and he was very nice and said he thought we should go with a lap to see whats going on in there before anything else that way I could have a diagnosis and he could remove it if it is in fact endo. My old RE said the Lap had to be cycle based, but this RE didnt mention that. Was yours cycle based? I havent had AF in a long time and dont know if I should induce or not before the lap.

What can I expect to remember? How much pain were you in after? I went and had most of my pre surgery things done (I requested an EKG bc I am paranoid and they did it and it was fine). I have to do blood work a week or so before the surgery and have my pre op around the same time with the Dr. He said right after I could try if I wanted and that if it is the endo than that would be the best time to try. He also said he would do orarian drilling if I wanted, but some research shows women go into menapause earlier due to that so I am unsure if I want to do it or not.

I am worried about my weight being a factor in surgery and he said he didnt see any issues and he has done a lap on much bigger people. Its outpatient and that makes me more at ease but I am still so nervous about it. I have surgery scheduled in mid/late June so its coming up fast. Any stories and advice would be much appreciated.
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Old 05-24-2009, 07:24 AM   #2 (permalink)
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Hi,

Don't fret, you will be fine. My lap wasn't cycle based at all, it didn't matter. My gynae just said I needed to have at least one period before I see him 3 months later! You can be on your period during a lap, if it so happens.

I was in pain - it was my first one - but nothing I couldn't handle. To be honest, I'd had more painful periods, but because you know you have to be careful, plus you feel groggy from the morphine etc, you're hyper-sensitive. I needed a week off to recover and then I just took it easier with carrying and lifting things. To be honest it was the nausea that shocked me a little, but I found that having a gentle walk made me vomit loads and I felt fine after - sorry if TMI lol! Plus they give you drugs to help.

Please don't worry. I found all the nurses and sugeons involved to be really great and understanding. I did burst into tears just before I was taken to the anaesthetist but then I chose to put myself out with gas! Brilliant - better than alcohol haha!

Please don't worry. I don't regret it at all.

Oh and regarding weight, I believe they do gastric surgery with laps so I doubt it woulf be a problem.

Eat lots of pineapple after to help with the constipation. There was athread a month or so ago with loads of tips about laparoscopies!

Good luck xx
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Old 05-24-2009, 07:53 AM   #3 (permalink)
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i need to have a lap too...my doctor siad that he wants the sedation to be local...but id rather be knocked out.LOL
they asked me about my cycle...and i told the nurse i dont have 1 and she was like are u sure...because he cant do it if ur menstrating.
im a lil worried about it too...but im going to do it!im trusting that the doctor knows wats best for me.
goodluck girl
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Old 05-24-2009, 08:46 AM   #4 (permalink)
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I think perhaps the issue is pregnancy. I am on the bc pill so it wasn't an issue, but I know if you're on your period it is fine to have it done. I don't know if anybody else might be able to tell you better....? xx
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Old 05-24-2009, 12:51 PM   #5 (permalink)
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I also just read my pre surgery paperwork and it says nothing with asprin for 7 days before surgery which is not good as I am having dental/jaw/muscle issues and am on pain killers and also Ibprofen. I guess I am going to have to tell my oral surgeon that next week so he can figure something out. I really dont want to reschedule the lap since I have waited so long and need to get it over with. I am guessing they say this because asprin products thin the blood?

How long before you can go in the pool or water after surgery? I am trying to figure out what I am going to do with my son after the surgery since he will be out of school. Dont know if I can go to the pool or how long it will be before I can after surgery. I will have my DH home that day which my surgery is on a Friday and then he has to go back to work Monday.

I wish I wasnt so nervous. I am just terrified of being put totally out. For some reason in the back of my head the thought of them putting a tube down my throat makes me worry I wont wake back up. I know its silly, but I rather have twilight and have begged so many of the anesteologists and none will do it that way. They said its too risky with the postion I am in and with all the gas they have to fill me up with to see in there. Has anyone heard of having it with just twilight when they think there will be endo to remove? Have any of you had ovarian drilling with the lap from endo diagnosis and removal if so?
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Old 05-24-2009, 02:39 PM   #6 (permalink)
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i only got my lap done in April this year. I didnt have to have a special time of the month, either.

i was worried about the pain as well, but as another cyster said to me - you get so used to constant pain, it isnt anything more than we are already used to. Seriously!
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Old 05-24-2009, 04:15 PM   #7 (permalink)
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Well I took a shower the day after surgery and it was fine, but due to the stitches needing to by clean so no ifection occurs, I would avoid the pool until they have some out and you have scarred over rather than still having the wound. Took about 2 and a hlaf weeks before mine completely came out/dissolved. Plus, I doubt swimming would be very comfortable at that point but that's just me.

Good luck xx
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Old 05-24-2009, 05:03 PM   #8 (permalink)
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Ashley: I was hoping maybe the water would feel good just standing in it or laying on a noodle or something. I know I wont want to swim swim but was hoping maybe it would be relaxing.

How long after surgery do you usually go home? Did anyone remember the tube down their throat? That scares me and I dont want to see it going in or coming out.
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Old 05-24-2009, 05:40 PM   #9 (permalink)
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Ahh I see, well I would give yourself a few days and then see if you feel up to going for a relaxing splash! It sounds odd but after the op and doing so little, I was so knackered due to the drugs and the whole procedure.

I will be totally honest with you: I don't remember a thing about the op. When I woke up, I asked where I was, felt glad to be awake again and remembered the anaesthetists joking and holding my hand before I was "out"! It wasn't a bad experience at all. My throat was just a little dry and so drinking a bit of water and tea or coffee helped with that. But if you're out for the op, that should be it!

Please don't let little worries get in the way of you being helped xx
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Old 05-24-2009, 05:42 PM   #10 (permalink)
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My blood pressure was really low due to not eating anything beforehand so I stayed in overnight - I was also a late afternoon patient. However it is normal to go home on the day. I was glad to stay in though to have them keep an eye on me and give me painkillers. Mostly I just slept!
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Old 05-24-2009, 07:43 PM   #11 (permalink)
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I had a lap in December. I was nervous too, but my RE wouldn't provide any fertility help until he did a lap. So I went for it. I remember being a little scared as soon as I was in the op room bc 1. it was freezing 2. my DH couldn't be with me and 3. it felt like they rushed me through prep. I teared a little and the Drs were super nice and comforting. I was out before I knew it and when I woke up (what felt like 2 seconds later) I was in recovery. I was pretty groggy and I remember asking for water and telling them I had to pee. So they had me sit on a bedpan, that was terrible, lol! DH took me home after a few hours sleeping in recovery. The drive home was a bit rough (lots of construction and bumps). But once I was home I laid on the couch and slept. I don't recall much pain when I was still. But going from a laying to sitting or sitting to standing position hurt a bit, but not unbearable. I had the lap done on a Thursday and was back at work on Monday. I think it is definitely worth it to get more answers from your dr.

Good luck!
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Old 05-25-2009, 11:19 PM   #12 (permalink)
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I had a lap done to remove adhesions. My OB/Gyne actually was the one to do it. I was intubated, but don't remember the tube going in or out. (The only reason I know I was intubated is because I read the operative note.) I was one of the first cases in the morning, and was out by 2 pm. I probably would've been out sooner, but there were quite a few adhesions to release, and the doctor unblocked a blocked tube.

I was also back at work 3 days later, but my job required heavy lifting. If I'd had an office job, I'd have been comfortable returning sooner. As far as being able to get in a pool, it all depends on how they'll close your incisions. If they use sutures, the doctor will likely say not until they heal. If they use DermaBond, or skin glue, the doctor may allow it sooner. Check with whoever will be performing the procedure.

My lap was 4 years ago, and I don't regret doing it at all. My pelvic pain is AMAZINGLY decreased, and we're hoping that my tubes are still cleared to allow for successful TTC. We'll find out when I go for my HSG. If they're not, I won't hesitate to have another lap.
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Old 05-26-2009, 07:09 AM   #13 (permalink)
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i didnt have a tube, i went home the next day after the lap. Like Ashley said - you will be wayyy tired when you get home. Could you ask your consultant when you could go swimming?
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Old 05-26-2009, 03:54 PM   #14 (permalink)
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My lap was similar to most ladies I think. I wasn't in much pain after the surgery. I remember the doc or whoever he was turning on the sedation stuff and saying "here come the margaritas". I thought I'de be out right away but it only took a few seconds. The doc said that I will start to see the room start to shift and I did, then I was out. It felt like just a few seconds later when I woke up, but it had been a couple of hours. It took a little longer than anticipated because my tubes were messed up. when I woke up I felt like I had to pee, but it was really just my bladder spasming from the catheder. That feeling went away after a few minutes. I think I woke with a start cause the nurses or docs that were in the room said "it's over, you're done". I think I was tired for a little while that afternoon, but it wasn't too bad. The next day I was pretty much back to normal as far as being tired goes. I had a the surgery on a Friday and was out mowing the yard Wednesday. I got pregnant the very next month, but unfortunately that was a chemical, but got pregnant again the very next month after that and I'm due in July.

I think once it's done and over with you'll look back and be like "oh, that wasn't a big deal."
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Old 05-27-2009, 01:39 AM   #15 (permalink)
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Did most of you go home the same day?
Yes I can ask about swimming on my pre op but thats not for a little bit and I am getting more and more nervous lol.
I dont want to stay in the hospital overnight and he said as long as there arent complications and I can manage the pain with pain meds I will be able to go home.
I just wish it was sooner to get it over with!
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