Doctor in Dr. R.N. Shetty Nursing Home & Jyoti Polyclinic
Surgery using a laparoscope is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside our belly. It is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or infected gallbladder.
The gall bladder is a small organ that sits right under the liver and is credited with bile storage, which can help the body in breaking down various kinds of fats that enter it. So, what all do you need to know about this operation? Read this list.
Reasons for Gall Bladder Operation: The gall bladder is not a very efficient organ. It can lead to blockages and choking as the bile it stores can become very thick and difficult to handle. Also, this bile can start to harbour deposits that are hard ball like substances, usually known as gall bladder stones. The size of these stones can vary from the size of a grain to the size of a golf ball.
Further, these gall bladder stones can cause infections which can lead to symptoms like nausea, vomiting, bloating and more. Another reason can also be the gall bladder disease known as chloelithiasis, which can cause abdominal pain. Inflammation in the pancreas, also known as pancreatitis, can lead to gall bladder open removal surgery.
Risk: While the gall bladder removal surgery is usually considered a safe one, with little or no complications, there are risks attached to this surgery too. These include sudden and excessive bleeding and the creation of blood clots, allergic reactions to the drugs used as well as anaesthesia, blood vessel damage, accelerated heart rate which leads to an increased risk of contracting a heart attack or heart disease, infections, inflammation or swelling in the pancreas, and injuries caused to the bile duct during surgery.
1. biliary dyskinesia, which occurs when the gallbladder doesn't fill or empty correctly due to a defect
2. choledocholithiasis, which occurs when gallstones move to the bile duct and potentially cause a blockage that prevents the gallbladder from draining
3. cholecystitis, which is an inflammation of the gallbladder
4. pancreatitis, which is an inflammation of the pancreas
Preparation: To prepare for your gall bladder removal surgery, the doctor may ask you to have a prescription fluid so that your bowels are flushed clean. You may also be asked to fast for at least six hours before the surgery so that there is no hindrance to the same. Also, the use of an antibacterial soap to bathe is usually prescribed so that the risk of contracting infections decreases.
While this surgery can be a simple one, you will have to take due care after the surgery to ensure that the recovery is fast and virtually pain free.
Abdominal Laparoscopy is a surgical diagnostic procedure, which is used to examine the organs inside the abdomen. It is an invasive procedure, but only small incisions are made.
The procedure is usually done in the hospital and the patient is given general anaesthesia to make the procedure pain free. The laparoscope is inserted through an incision in the abdominal wall. As it moves along, the image of the inside of your abdomen is then seen on the monitor. After the exam, laparoscope and instruments are removed and the cuts are closed. Laparoscopy is usually done as an outpatient procedure. This means that you will be able to go home the same day.
Why Is laparoscopy performed?
Laparoscopy is often used to identify the source of abdominal pain. It is usually performed when x-rays or ultrasound are unable to determine the root cause of the problem. Laparoscopy allows your doctor to see inside your body in real time and helps to diagnose or help discover what the abdominal problem is.
Tips to deal with laparoscopic surgery
- The first and the foremost thing is to prepare yourself for the surgery by watching some videos and going through some blogs on it as doing so will help you clear your doubts
- Do not eat or drink anything 8 hours before the procedure
- Make sure someone accompanies you on the day of the surgery
- Fix your Pre Op appointment to ask any questions or address any concerns regarding the surgery, anaesthesia, etc
- Shave the area where the surgery will be performed. This will substantially reduce itchiness
- Lastly, prepare your hospital bag and discuss it with the person who is going to accompany you so that he/she knows what all you packed
- Don’t lie down in bed all the time. Keep yourself active by moving every two hours as it promotes healing and helps eliminate gas pain
- Wear comfortable clothing
- Do not take bath for a week. However, you can take a shower 24 hours post surgery
- Drink at least 1.5 to 2 litres of water per day to prevent constipation. If constipated, take a stool softener.
- While sneezing or coughing, hold a pillow against your stomach to lessen the pain
- Roll onto your side and sit up using your arms for support and then stand up
- Don’t drive for two weeks
- Refrain yourself from intercourse, douching, and swimming
- Make sure to visit your doctor 2 to 3 weeks post surgery to make sure your wounds are healing
It might take some time for the wounds to heal, but in case of any prolonged pain do remember to consult your doctor immediately.