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Reply to "Open surgery with Dr Remzi or Laparoscopic with Dr Greenstein for a new pouch"

Scott and Pouchlogic, thank you very much for your advice. I am also inclined towards laparoscopic surgery. But since Dr Remzi operates on large number of failed pouches on a regular basis, I just can’t get over the idea that he might know what NOT to do better than others.

I do not worry much about recovery from open surgery, as I am more focused on long term results and quality of life. I read that laparoscopic causes less adhesions, but small bowel obstruction rate does not seem to differ between open and laparoscopic IPAA... Also, I wonder how common is to have pain due to adhesions and whether there is cure for that. 

GRACEB, Dr Adrian is the father of DR Alexander Greenstein, and is no longer alive. Are you happy with your j-pouch?

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