Laparoscopic vs. Open Surgery: The Differences

If you need abdominal surgery — whether it’s for a hernia, gallbladder problem, or another condition — you might hear your surgeon talk about two different methods: laparoscopic vs. open surgery.

And while no one likes the thought of undergoing surgery, understanding the differences between these two approaches can help you feel more confident and prepared for what’s ahead.

Elvira Klause, MD, FACS, specializes in laparoscopic surgery in Laguna Hills, California, and she has the expertise to help you find the right surgical approach based on your health needs and the complexity of your condition.

The basics of laparoscopic surgery

Laparoscopic surgery is a type of minimally invasive surgery performed through a few very small incisions. We insert a thin camera, called a laparoscope, through one incision, and it gives us a live view of your internal organs.

Then, Dr. Klause performs your procedure using narrow instruments through the remaining incisions. This technique allows for precision and minimal disruption to surrounding tissue. 

Common procedures we perform laparoscopically include hernia repair, gallbladder removal, and surgery for abdominal pain or adhesions.

The basics of open surgery

Open surgery involves making a larger incision in your skin and tissue to access the area being treated. It provides a direct view and greater access to your organs, which may be necessary in complex or emergency situations.

While it’s sometimes the best or only option, open surgery typically results in a longer hospital stay, more discomfort after the procedure, and a longer overall recovery.

Laparoscopic vs. open surgery

The differences between laparoscopy and open surgery can significantly affect your experience and recovery. Laparoscopic surgery generally involves smaller incisions, which translates to less tissue disruption, less postoperative pain, and quicker healing.

Because the surgical area is less exposed, there's also a lower risk of infection with laparoscopic surgery. Patients who undergo laparoscopic procedures often return to their normal routines more quickly and experience less visible scarring.

In contrast, open surgery requires a longer incision, which can lead to increased pain, a higher chance of infection, and a longer stay in the hospital. Recovery takes more time, and visible scarring is more common. But it may be the best option when the surgical site is difficult to reach or the condition is especially severe.

Why minimally invasive surgery is often the first choice

For many patients, laparoscopic surgery offers a safer, more convenient solution with a smoother recovery process. Dr. Klause focuses on minimally invasive techniques like laparoscopy, and she has extensive experience performing hernia repair, gallbladder removal, and other abdominal surgeries using the latest technology and a patient-centered approach.

When open surgery might be necessary

Open surgery is sometimes unavoidable, particularly in emergency situations or when extensive scarring or inflammation is present. If you need surgery, Dr. Klause can carefully assess your condition and explain the safest and most effective path forward.

Open surgery may be a better choice if you have:

• Extensive scarring from previous surgeries
• Severe inflammation or infection
• Complex or large hernias
• Emergency conditions that require immediate access, like appendicitis

No matter which method is right for you, we’re here to make sure you receive expert care tailored to your needs. Our goal is to help you recover quickly, safely, and with confidence in the care you receive. 

To schedule a surgical consultation and learn more about your options, call our office at 949-245-6910 or contact us online now.