Laparotomy Abdominal Surgery Recovery

  • codermike

    Posts: 4

    Mar 02, 2012 7:28 AM GMT
    Back in October of '11 I had an emergency laparotomy (8" vertical incision) which led to my appendix being removed. Now that it has been a few months and I am able to get back to the gym and start working out, I wanted to know if there is anyone that could recommend exercises or a routine that I could follow to focus on regaining the 20 lbs of muscle I lost from the surgery.

    Focusing on my core will come much later but I would like to exercise what muscles I can without causing more injury to myself if that makes sense.

    Right now I have been focusing on stationary bike and upper body (biceps, triceps, pecs and deltoids mainly) without trying to use my core abdominal muscles at all.

    Any insight is appreciated, thanks!
  • Posted by a hidden member.
    Log in to view his profile

    Mar 02, 2012 9:59 AM GMT
    I had the same surgery done last June due to a bowel obstruction...sheesh!

    Got my core back with a pilates class at my gym.. not on the machines but the floor exercises.

    The scar shrinks btw

    Glad to see you are making a good recovery
  • monstapex

    Posts: 477

    Mar 02, 2012 10:06 AM GMT
    do you have pictures of this muscle you supposed to have loss?
  • tyler_helm

    Posts: 299

    Mar 02, 2012 10:43 AM GMT
    I have had 3 abdominal surgeries over the last 20 years and I have a scar like yours. After the last I struggled to find a routine that I felt wouldn't cause damage to the abdominal scars I have. P90X surprisingly has a couple of great workouts, Ab Ripper-X, Core Synergistics, and the Stretch routine have been awesome. They are no or low impact to my scar and I have never felt the scar was ever stressed.
  • Posted by a hidden member.
    Log in to view his profile

    Mar 02, 2012 11:47 AM GMT
    partnering with your doctor and a physical therapist will give you much greater insight on which specific movements are not contraindicative to your recovery!
  • starboard5

    Posts: 969

    Mar 02, 2012 4:14 PM GMT
    Velociraptor saidpartnering with your doctor and a physical therapist will give you much greater insight on which specific movements are not contraindicative to your recovery!


    This, absolutely.
    What I'd like to know is why you got an 8" midline incision for an appendectomy?? The vast majority of appendectomies are now done laparoscopically. If there was a question about differential diagnosis, they might have started with a diagnostic laparoscopy and then proceeded to an open incision if it were deemed necessary; otherwise they'd have seen it was just your appendix and you'd have gotten out of there with three or possibly four band aid sized incisions. What gives?
  • codermike

    Posts: 4

    Mar 02, 2012 8:00 PM GMT
    Velociraptor said
    What I'd like to know is why you got an 8" midline incision for an appendectomy?? The vast majority of appendectomies are now done laparoscopically. If there was a question about differential diagnosis, they might have started with a diagnostic laparoscopy and then proceeded to an open incision if it were deemed necessary; otherwise they'd have seen it was just your appendix and you'd have gotten out of there with three or possibly four band aid sized incisions. What gives?


    I was in the hospital over night after a bike accident dealing with sever pains on my left side of my abdomen. After CT scans and a sonogram they found 3 pockets of fluid, one on the left (largest) and right side of abdominal cavity and one closer to my pelvis. Come morning I was in severe pain with very high blood-pressure and temperature and the decision was made for an emergency laparotomy. The communications with my surgeons prior to surgery was the possibility of a ruptured spleen or damage to my intestines. There were no indications that I was made aware of to indicate my appendix was the source of the fluid since it was leaking.

    After the pathology report came back it was confirmed that my appendix was inflamed, enlarged and had ruptured slightly. While my doctors can't confirm that my bike accident played a part in the rupture or not they believe it may have had some role since I landed on my right side and a 36 hours later I started having pain on my left side since that is where the fluid started to collect since I could not sleep on my right side after the accident.
  • starboard5

    Posts: 969

    Mar 03, 2012 5:20 AM GMT
    codermike said
    Velociraptor said
    What I'd like to know is why you got an 8" midline incision for an appendectomy?? The vast majority of appendectomies are now done laparoscopically. If there was a question about differential diagnosis, they might have started with a diagnostic laparoscopy and then proceeded to an open incision if it were deemed necessary; otherwise they'd have seen it was just your appendix and you'd have gotten out of there with three or possibly four band aid sized incisions. What gives?


    I was in the hospital over night after a bike accident dealing with sever pains on my left side of my abdomen. After CT scans and a sonogram they found 3 pockets of fluid, one on the left (largest) and right side of abdominal cavity and one closer to my pelvis. Come morning I was in severe pain with very high blood-pressure and temperature and the decision was made for an emergency laparotomy. The communications with my surgeons prior to surgery was the possibility of a ruptured spleen or damage to my intestines. There were no indications that I was made aware of to indicate my appendix was the source of the fluid since it was leaking.

    After the pathology report came back it was confirmed that my appendix was inflamed, enlarged and had ruptured slightly. While my doctors can't confirm that my bike accident played a part in the rupture or not they believe it may have had some role since I landed on my right side and a 36 hours later I started having pain on my left side since that is where the fluid started to collect since I could not sleep on my right side after the accident.


    I hadn't read your profile when I wrote my response. When I did I was thinking splenic injury (sometimes they can bleed into the capsule and hemorrhage at a later time) so the lap made sense.

    I'm sorry this happened to you. You have youth on your side and I'm sure you will come back stronger than ever.
  • TrentGrad

    Posts: 1541

    Mar 05, 2012 5:40 PM GMT
    monstapex saiddo you have pictures of this muscle you supposed to have loss?


    I don't even know where to begin with what's wrong with your "question."