I just feel that a woman or man, as it affects them too, should be fully aprised of their particular case and the benefits vs risks of a particular type of surgery along with a realistic discussion of the potential complications.
A for instance. The risk of perforated bowel, infection, or bleeding from a scope surgery is fairly low. They happen but the risk is fairly low...generally speaking. If you have severe, dense, adhesions that obliterate (make it so the surgeon cannot identify planes)then you do not fall in that generally speaking category. Of course this can be dependant upon where the adhesions are located, which ones the surgeons attempt to lyse, what type of instruments, cautery devices, or lasers they choose to use, and laparoscopic skill...Calling oneself an expert is oftentimes subjective. The surgeon may have only two years experience, he does 10 tubal ligations with a scope on virgin abdomens per week, and a few other scope surgeries...this does not an expert make...there are actual levels of competancy...Level one, level two, etc. Your idea of an expert may be 8 years or more experience and his may be one or two courses and a couple scope surgeries per week. I am NOT out to bash doctors...I have doctors too...I am out to hopefully educate women...I have huge amounts of info...and "inside" info that women and men must be aware of before undergoing lap surgery. I've heard all the pros and cons and then some...
Anyway, if you have a complicated belly then the risk goes up for you and is directly related to how complicated your belly is. The complications are life and death situations that generally are not caught at the time of surgery. If you are two weeks post-op you and the surgeon may not be looking at the possibility of surgical complications thus placing you in jepardy. Also remember that you may or may not have temporary relief...For me personally, unless I had a bowel obstruction, stricture, etc. then I cannot subject myself to any more. There are advantages to open procedures too. It's just hard to judge.
I feel it is ever so important that post-scope patients be given at discharge a list of potential symptoms of post-op complications...not just the standard or typical post-op instructions but ones that are specifically written for that specialized type of surgery. It would also be helpful if your doctor discussed with you precisely what he did in there...did he have a tough time with anything in particular, was the surgery difficult or easy? Did he at any time think he should back out?
I've heard the positive outcomes but I also know of the potential complications...
Just be careful...really check it out...I don't want any of you sustaing serious damages.