Some individuals form stones in the gall bladder. The stones are of two types
The cause of development of stones in gallbladder is controversial. Most trusted theory for development is super saturation of bile leading to development of stones. The risk factors for development of gall stones are rapid weight loss, hemolysis, obesity, elevated cholesterol, female gender, etc.
Gall Bladder stones can present with wide variety of symptoms. The most common symptoms are:
Some individuals develop infection and can also present with fever and abnormal liver function tests and this condition is known as Acute Cholecystitis. The patients who have above symptoms related to gall stones are referred to be having symptomatic gall stone disease.
Some individuals get diagnosed with gall stones during health check up or otherwise unrelated reasons. This condition is called asymptomatic gall stones.
All individuals who have symptoms described as above are candidates for surgical treatment of gall stones.
Individuals with asymptomatic gall stones can be followed up safely with regular ultrasound scan.
A cholecystectomy is a surgery during which the surgeon removes your gallbladder. This procedure was done using a big cut in past but now it is performed by laparoscopic technique. This procedure is called laparoscopic cholecystectomy and it is currently the “gold standard” for treatment of symptomatic gall stone disease.
The surgery is performed under general anesthesia where the patient is put to sleep and breathing is controlled by a ventilator for the duration of surgery.
The abdomen is inflated with carbon dioxide, a harmless gas. A laparoscope, a narrow tube with a camera, is inserted through navel “key hole” size incision. This allows your doctor to see your gallbladder on a screen. This technique involves making 2-3 other small cuts(5 mm-10 mm) and then removing the entire gall bladder from one of these incisions.
Dr. Dhir performs this procedure not only by traditional method but also by single incision, reduced port/cuts and robotically. The advantage of reduced ports or single incision surgery is better cosmesis.
The patient is started on liquid diet 4-6 hours after surgery. The diet is advanced to soft and regular as tolerated.
The patient is started on liquid diet 4-6 hours after surgery. The diet is advanced to soft and regular as tolerated.
The procedure is now days performed as day care/ same day surgery where the patients gets admitted to hospital on the morning of surgery and undergoes laparoscopic cholecystectomy. The patient is then discharged the same evening.
If not performed as day care surgery, most patients can be discharged the very next day unless there are other associated reasons which need monitoring.
The patient is up and about the same day of surgery. Our team ensures that every patient is mobilized out of bed and is comfortable going to bathroom. Most people can resume office work in 1-2 weeks time.
The risk of complications is very low, however, potential risks might include:
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