Comparision – Laparoscopic Surgery Vs Open Surgery

Laparoscopic surgery or keyhole surgery is minimally invasive surgery that is associated with several advantages over traditional open surgery

OPEN SURGERY
LAPAROSCOPIC SURGERY
In an open procedure, one large abdominal incision is made to expose the tissues and structures inside for examination and surgery.In a laparoscopic procedure on the other hand, only a small incision of up to 1.5 cm in length is made in the abdomen, usually around the belly button area.
A big size incision taken to examine the organ.The abdomen is inflated with carbon dioxide to expand the abdominal walls and give the surgeon a clear view of the structures inside, as well as providing them with room to work. A laparoscope is inserted through the incision and used to examine the organs and tissues inside the abdomen.
There can be a risk of high blood loss during surgery or post surgery.The risk of bleeding during surgery is reduced because the size of the incision made is so much smaller than the large incision that is made for open surgery. This reduces the likelihood of a blood transfusion being needed to compensate for blood loss.
When a large incision has been made, patients usually require long-term pain relief medication while the stitch-line heals. The smaller incision size also reduces the risk of pain and bleeding after surgery. With laparoscopic surgery, the post-surgical wound is much smaller and the healing process much less painful.
In cases where the surgical wound is larger, the scar tissue that forms is more likely to become infected as well as being more vulnerable to herniation, particularly in overweight and obese patients.The smaller incision also leads to the formation of a significantly smaller scar after surgery
Chances of infections in post operative surgeries are likely to be highExposure of the internal organs to external contaminants is significantly reduced in laparoscopic surgery, therefore reducing the risk of post-operative infection.
The length of stay required is longer as compared to laparoscopic surgeryThe length of hospital stay required is significantly shorter with laparoscopic surgery, since healing is so much faster. Most patients receive a same-day or next-day discharge and can return to their normal everyday lives
Open surgery is less expensive as compared to laparoscopic but time required is post surgery is more to healLaparoscopic surgery is cost effective

Dr. Rohit Kumar
Specialist General Surgeon
Laparoscopic Surgeon