Basically, the final decision for lap or open up to the surgeon. You will be explained this when you meet with your surgeon, that even though the surgeon will plan for lap first, as in SueZ's case, if there is too much adhesion, or anything else that make lap--in other words, working through narrow holes and not being able to have a large field of view-- dangerous, then the surgeon will have to go open for the sake of safety, or, abort the surgery all together, if you do not agree on allowing the surgeon to go open if s/he judges open better. It's going to be a matter of safety and of not putting your life in excess and unwarranted danger.
All lap surgeries are so prepared that the staff will be able to switch to open surgery at a moment's notice.
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