diving and laparoscopy

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amajamar

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Location
Middleborough, Massachusetts, USA
# of dives
100 - 199
What would be the timeframe for diving after a laparoscopic procedure, if any?

Other than healing of whatever the repair might be, would there be any issues with the excess gas that is injected into the body?

And how does that gas get out, anyway?
 
Here's a post from the past that you might find helpful:

-:
DAN has a couple of paragraphs on diving after abdominal surgery at:

DAN Divers Alert Network : Abdominal Surgery

Scubadoc has some more info at:

Surgical Considerations Related to Diving

In general, divers can return to diving when the skin wounds have healed adequately, the muscle incisions are strong enough to take the strain of diving, the patient has recovered sufficiently otherwise to allow vigorous activity, the original condition they had the surgery for has improved enough/resolved so it doesn't interfere with diving, there are no significant complications that would interfere with diving, and the patient's doctor says it's OK.

For laparoscopic surgery I give my patients 3 general restrictions:

1. No lifting over 10lbs. for 1 week or over 50lbs. for 6 weeks after the surgery- or straining the equivalent amount. Some doctors don't restrict lifting/straining at all after laparoscopic surgery. It's hard to get a hernia in a small laparoscopic incision, but it is possible- hence my restrictions.

2. No doing anything that's inherently dangerous. For example you wouldn't drive (or dive) while you were taking narcotic medication or were otherwise impaired (by pain, etc.)

3. If you say, "Doc, it hurts when I go like this" I'm gonna say, "Don't go like that". For example if someone tells me it's sore when they wear tight pants a week after their surgery, I tell them to wear loose pants. If it hurts to sleep on your stomach the night after surgery, I say sleep on your back. Incisions hurt, and patients just have to make some minor accommodations until they heal.

If someone has healed well from their surgery, they can arrange not to lift or strain, and they're not impaired by medication or soreness I let them dive when they want to but advise waiting 6 weeks just in case. Never can tell when you might have to strain real hard when diving, can you?

In most places in the world, the abdominal cavity is insufflated with carbon dioxide gas to create enough space to work laparoscopically. For the most part, the gas is released out the surgical ports at the end of the procedure. The small amount of remaining gas is rapidly absorbed into the bloodstream and exhaled (hours). If air (or nitrogen) is used to insufflate the abdomen, it still might be present a week-or-so later.

HTH,

Bill

The above information is intended for discussion purposes only and is not meant as specific medical advice for any individual.
 

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