LAPAROSCOPY vs OPEN SURGERY – UNDERSTANDING THE DIFFERENCE
Why the approach matters. How decisions are made. What patients should know. When surgery is advised for a gynaecological condition, one of the most common questions patients ask is:“Will this be done by laparoscopy or open surgery?” Understanding the difference between these two approaches helps reduce anxiety, clears misconceptions, and allows patients to participate meaningfully in decision-making. It is important to remember that the best surgical approach is the one that is safest and most appropriate for the individual patient, not necessarily the newest or most advertised WHAT IS OPEN (CONVENTIONAL) SURGERY? Open surgery is the traditional surgical method in which the operation is performed through a larger abdominal incision. This approach has been used safely for decades and is still required in certain situations. Characteristics of open surgery: Open surgery is a reliable and time-tested approach, especially in complex or emergency situations. WHAT IS LAPAROSCOPIC (KEYHOLE) SURGERY? Laparoscopic surgery is a form of minimally invasive surgery performed through small incisions (usually 0.5–1 cm) using a camera and specialised instruments. A high-definition camera provides a magnified view of internal organs, allowing precise surgical work with minimal tissue disruption. Common laparoscopic procedures include: KEY DIFFERENCES BETWEEN LAPAROSCOPY AND OPEN SURGERY Incisions and Scarring Post-Operative Pain Hospital Stay Recovery Time Blood Loss IS LAPAROSCOPY ALWAYS BETTER? No. While laparoscopy offers many advantages, it is not suitable for every patient or every condition. The idea that all surgeries should be done laparoscopically is a misconception. Laparoscopy works best when: Safety always takes precedence over approach. WHEN IS OPEN SURGERY PREFERRED? Open surgery may be recommended in situations such as: Recommending open surgery does not mean outdated care — it means appropriate care. HOW DOES THE SURGEON DECIDE WHICH APPROACH IS BEST? The choice between laparoscopy and open surgery depends on multiple factors, including: Each decision is individualised and discussed with the patient. ROLE OF SURGEON EXPERIENCE The success of any surgery depends more on surgeon training and judgment than on the surgical approach alone. A well-performed open surgery is always better than a poorly selected laparoscopic procedure. Conversely, when laparoscopy is performed by an experienced surgeon in appropriate cases, outcomes are excellent. Patients should feel comfortable asking: Clear communication is a key part of ethical care. RECOVERY & AFTERCARE: WHAT PATIENTS SHOULD EXPECT After Laparoscopic Surgery: After Open Surgery: Both approaches require proper follow-up and adherence to medical advice. COMMON MYTHS ABOUT SURGICAL APPROACHES Myth: Laparoscopy is always saferFact: Safety depends on correct case selection Myth: Open surgery means poor quality careFact: Open surgery remains essential in many cases Myth: Bigger surgery means better treatmentFact: The goal is effective treatment with the least harm Understanding these differences helps set realistic expectations. FREQUENTLY ASKED QUESTIONS Will I always be offered laparoscopy if surgery is needed? Only if it is safe and appropriate for your condition. Is recovery always quick after laparoscopy? Most patients recover faster, but individual response varies. Can open surgery be converted from laparoscopy? Yes. Conversion is sometimes done to ensure safety. Should patients insist on laparoscopy? Patients should seek explanation, not insist on a method. A BALANCED FINAL NOTE The decision between laparoscopy and open surgery is not about choosing “modern” versus “traditional” — it is about choosing what is safest and most effective. A thoughtful surgical recommendation considers: If surgery has been advised, discussing the approach openly allows confidence and clarity.