How Serious Is Gallbladder Surgery

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When To Seek Medical Attention:

Gallbladder Surgery Explained – Complications and Recovery

When recovering from gallbladder surgery, be sure to contact your healthcare provider if you experience any of the following symptoms:

  • Persistent or severe abdominal pain, cramping, or swelling
  • Fever or chills
  • Redness, swelling, bleeding, or abnormal drainage at the incision site
  • Signs of jaundice
  • No bowel movement or gas for three days
  • Nausea or vomiting

How Is Laparoscopic Gallbladder Removal Done

You will have general anesthesia for your laparoscopic gallbladder removal. This means you are asleep during surgery. When surgery is finished, the surgeon closes your incisions with tiny stitches, staples, surgical tape or glue. These disappear as you heal, so the doctor does not need to remove them later.

Once you are asleep, the surgeon makes an incision near your belly button and inserts a small device called a port. The port creates an opening that your surgeon can use to fill the abdomen with gas. This creates space to do the operation. Next, they insert a small camera through the port. The camera shows the surgery on a screen in the operating room. Once the surgeon can see clearly, they put in more ports to insert long, narrow instruments. Finally, they gently disconnect your gallbladder and take it out through one of the incisions. Most operations need 3 or 4 incisions, but some have more.

How Is The Gallbladder Removed

There are two ways of removing the gallbladder. Both are performed under general anesthesia, which means youll be asleep and pain-free during the operation. Talk with your health care provider about which one is right for you:

  • Laparoscopic cholecystectomy : This is the most common way to remove the gallbladder.
  • The surgeon makes several small incisions, or cuts, in your abdomen. She then inserts a laparoscope a thin, lighted tube that lets her see inside your belly through one of the cuts.
  • Other medical instruments, including a tiny camera, are inserted through the other cuts. Gas is pumped into your belly to expand the space, so your surgeon has more room to see and work.
  • The gallbladder is removed using the laparoscope and other instruments. The surgeon closes the incisions with small stiches, staples, surgical tape, or glue. These will disappear as you heal, so your doctor wont have to remove them later. With this method, you can leave the hospital sooner and recover faster.
  • Open cholecystectomy: In some cases, laparoscopic gallbladder removal may not be possible. Reasons include severe gallbladder problems or scar tissue in the abdomen from earlier surgery. With open surgery, your surgeon will make a single, larger incision in your belly to access and remove your gallbladder. She will then close the incision with stitches and cover it with a dressing.
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    Signs And Symptoms Of Gallstones:

    Gallstones range in size from as small as a grain of sand to the size of a golf ball. The size of stones may increase with time. There might be only a single stone or up to several hundreds of stones at the same time. The risk to develop gallbladder cancer is strongly associated with a larger size of gallstones.

    Gallstones may cause no signs or symptoms. However, if a gallstone lodges in a duct and causes a blockage, the consequent signs and symptoms may include:

    • Bloating or having chronic digestive problems after consuming high-fat diets
    • Severe and sudden pain in the upper right abdomen.
    • Pain that radiates to right shoulder or back
    • Nausea and vomitting
    • High fever and chills
    • Jaundice, dark urine or pale stool
    • Hematologic disorders such as anemia and thalassemia
    • Being pregnant or having had several children
    • Taking medications that contain estrogen such as oral contraceptives or hormone replacement therapy
    • Losing weight very quickly or having fasting period
    • Taking some lipid lowering drugs
    • Having a family history of gallstones

    What To Expect On The Day Of Surgery

    Post Laparoscopic Gallbladder Surgery Diet

    What happens during your surgery depends on the approach the surgeon uses. Regardless of the approach used, the procedure should take about one to two hours.

    To give you a sense of what’s involved, here is a brief walk-through of how laparoscopic gallbladder surgery is done:

    • Vital signs are taken, an IV catheter and a urinary catheter are placed, and anesthesia medication is delivered to put you to sleep. The skin of your abdomen is prepared with an antibacterial solution.
    • The surgeon will begin by making four small incisions, approximately half an inch long, in the upper-right side of the abdomentwo for access for surgical instruments, one to allow the laparoscope to be inserted, and one for a port that releases carbon dioxide gas to inflating the abdomen.
    • The surgeon will then separate the gallbladder from the healthy tissue and place it in a sterile bag to allow it to pass through one of the small incisions. A drain may be placed in the abdomen to prevent fluid from collecting.
    • The surgeon will then inspect the area where the gallbladder was removed and close the ducts that were connected to it.
    • If there are no signs of leaking, the port will be removed. The remaining gas will leak out of the incisions as the instruments are taken out.
    • The incisions will then be closed with stitches or surgical staples. A sterile bandage or adhesive strips will be placed over them.
    • Anesthesia will be stopped and you will be taken to a recovery area.

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    What If I Cannot Have Laparoscopic Gallbladder Removal

    A few people cannot have laparoscopic gallbladder removal. You might have open surgery if you are one of these people. Some reasons for having or switching to open surgery are:

    • Your gallbladder has a lot of damage Such as scars or inflammation.
    • You have scar tissue in your abdomen from earlier surgery.
    • You have obesity This means being very overweight.
    • The surgeon cannot see very well inside your body through the laparoscope.
    • You have bleeding problems during surgery.

    It is not a complication if your surgeon decides to switch to open surgery. They will switch if open surgery is the safest option for you. Your surgeon might not know this until after the laparoscopy starts. They will use their best judgment about the safest surgery for you.

    Days Before Your Surgery

    Follow Your Healthcare Providers Instructions for Taking Aspirin

    If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your surgery. Aspirin can cause bleeding.

    Follow your healthcare providers instructions. Do not stop taking aspirin unless they tell you to.

    For more information, read Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs , or Vitamin E.

    Stop Taking Vitamin E, Multivitamins, Herbal Remedies, and Other Dietary Supplements

    Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your surgery. These things can cause bleeding.

    If your healthcare provider gives you other instructions, follow those instead.

    For more information, read Herbal Remedies and Cancer Treatment.

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    Returning To Activity After Gallbladder Removal

    How soon can you resume your normal everyday activities after surgery? The answer to this question depends on what your normal routine includes, your overall health, and your bodys reaction to the surgery. Dont expect to resume a strenuous gym routine or go back to a manual labor job immediately after your operation.

    Even though laparoscopic surgery provides patients with a shorter healing time, you will still need to take it easy for several days after the procedure. Avoid heavy lifting and physical activity for the first week or two following your surgical discharge.

    Its possible, in some cases, to return to work or school during the first few weeks of your recovery periodespecially if you sit at a desk or have a sedentary type of job. Your doctor will advise you on when you can return to other activities, such as exercising or engaging in physically demanding tasks.

    Again, this depends on your physical state and how your body reacts to the procedure. The doctor may want you to rest until your post-op follow-up visit. It may take up to six weeks for you to fully recover from the surgery, according to the U.S. National Library of Medicine.

    Life After Gallbladder Surgery

    Does Gallbladder Surgery reduce Lifespan? | Dr. Neeraj Goel

    Gallstones ClinicGallbladder Removal, Gallbladder Surgery, Gallstones Diet0

    Life after Gallbladder Surgery, or gallbladder removal, is also known as Cholecystectomy. This method is commonly used in treating serious problems related to the gallbladder. These problems are usually caused by gallstones. This procedure can include laparoscopic cholecystectomy , and open cholecystectomy .

    Life after Gallbladder Surgery, or gallbladder removal, is also known as Cholecystectomy. This method is commonly used in treating serious problems related to the gallbladder. These problems are usually caused by gallstones. This procedure can include laparoscopic cholecystectomy , and open cholecystectomy .

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    Who Needs To Have Their Gallbladder Removed

    People who have gallstones may need gallbladder removal. Gallstones are small, pebble-like deposits that build up in your gallbladder. Gallstones are typically made of bile byproducts called cholesterol or bilirubin. The stones usually form because of an imbalance in the substances that create bile.

    Some people dont feel gallstones or know they have them. Sometimes, gallstones block the flow of bile and affect your pancreas or gallbladder . You may have:

    Why Might I Need A Cholecystectomy

    A cholecystectomy may be done if your gallbladder:

    • Has lumps of solid material

    • Is red or swollen , or infected

    Gallbladder problems may cause pain which:

    • Is usually on the right side or middle of your upper belly

    • May be constant or may get worse after a heavy meal

    • May sometimes feel more like fullness than pain

    • May be felt in your back and in the tip of your right shoulder blade

    Other symptoms may include nausea, vomiting, fever, and chills.

    The symptoms of gallbladder problems may look like other health problems. Always see your healthcare provider to be sure.

    Your healthcare provider may have other reasons to recommend a cholecystectomy.

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    Surgery For Gallbladder Cancer

    There are 2 general types of surgery for gallbladder cancer: potentially curative surgery and palliative surgery.

    Potentially curative surgery is done when imaging tests or the results of earlier surgeries show there is a good chance that the surgeon can remove all of the cancer can be removed.

    • Resectable describes cancers doctors believe can be removed completely. This is potentially curative surgery.
    • Unresectable means doctors think the cancer is too far advanced, it has spread too far, or is in too difficult a place to be entirely removed by surgery.

    Only a small percentage of gallbladder cancers are resectable when they are first found.

    If potentially curative surgery is being considered, you may want to get a second opinion or even be referred to a large cancer center. Nearly all doctors agree that surgery offers the only realistic chance for curing people with gallbladder cancer. But there are differences of opinion about how advanced a gallbladder cancer can be and still be treatable with surgery. The surgery needed for gallbladder cancer is often complex and requires an experienced surgeon. These operations are most often done at major cancer centers.

    Purpose Of Gallbladder Surgery

    What if gallstones are left untreated

    The purpose of gallbladder surgery is to treat medical conditions that affect your gallbladder, such as:

    • Gallstones in the gallbladder that cause abdominal pain
    • Inflammation of the gallbladder
    • Gallbladder polyps bigger than 10 millimeter
    • Gallbladder cancer
    • Gallbladder calcification

    The gallbladder is what stores fluid produced by the liver and feeds it to your small intestine, helping your body break down the food you eatin particular, fats. While the removal of any organ is considered with great care, the pros of removing the gallbladder when indicated invariably outweigh the cons.

    You can live a healthy life without a gallbladder bile that would normally be stored there will simply travel straight to the small intestine.

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    Gallbladder Removal: Laparoscopic Method

    Last Updated August 2022 | This article was created by familydoctor.org editorial staff and reviewed by Kyle Bradford Jones

    The gallbladder is a small, pear-shaped organ just under your liver. It stores bile, the digestive fluid the liver makes to digest fat. Sometimes the gallbladder gets inflamed. This happens when the flow of bile is blocked. This can be caused by gallstones , injury, or other conditions. When this happens, you may experience pain and other symptoms. Your doctor may want to remove your gallbladder. Fortunately, we dont need our gallbladders to live. And removal usually doesnt cause complications.

    It is important to note that not all people who have gallstones require surgery to remove their gallbladder. Your doctor will help decide which course of action is best for you and your symptoms.

    Do I Need To Change My Diet After Gallbladder Removal

    Although your gallbladder is not essential, it helps you digest fatty foods. Immediately after gallbladder removal, youll need to avoid fatty and fried foods.

    To avoid discomfort, fat calories after surgery should make up no more than 30% of your diet. In the weeks after surgery, reintroduce high-fiber foods slowly. Whole grains, nuts, seeds and vegetables may cause severe bloating or gas if you eat too much too quickly.

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    Commonly Asked Questions: After You Go Home

    What is the Recovery Tracker?

    We want to know how youre feeling after you leave the hospital. To help us continue caring for you, well send questions to your MyMSK account every day for 10 days after you leave the hospital. These questions are known as your Recovery Tracker.

    Fill out your Recovery Tracker every day before midnight . It only takes 2 to 3 minutes. Your answers to these questions will help us understand how youre feeling and what you need.

    Based on your answers, we may reach out to you for more information or ask you to call your surgeons office. You can always contact your surgeons office if you have any questions. For more information, read About Your Recovery Tracker.

    Will I have pain when I am home?

    The length of time each person has pain or discomfort varies. You may still have some pain when you go home and will probably be taking pain medication. Follow the guidelines below.

    Can I shower?

    Yes. Taking a warm shower is relaxing and can help decrease muscle aches. Use soap when you shower and gently wash your incision. Pat the areas dry with a towel after showering, and leave your incision uncovered . Call your doctor if you see any redness or drainage from your incision.

    Dont take tub baths until you discuss it with your doctor at the first appointment after your surgery.

    Is it normal not to feel hungry after surgery?

    How can I prevent constipation?

    Path To Improved Health

    Who needs gallbladder removal surgery?

    If you have gallbladder pain and other symptoms, you may need surgery to remove your gallbladder. The surgery is called a cholecystectomy. Youll be given anesthesia, so youll be asleep and not feel any pain during the surgery.

    During traditional surgery, the gallbladder is removed through a 5- to 8-inch-long incision in your abdomen. This is called an open cholecystectomy.

    The more common way to remove the gallbladder is called a laparoscopic cholecystectomy. During this surgery, 3 to 4 small incisions are made in your abdomen. Then instruments are inserted through the cuts. The surgeon uses the instruments to look at the gallbladder and remove it.

    One of the instruments used is called a laparoscope. This is a small, thin tube with a camera and light on the tip. The camera is used to see the inside your body. The camera shows your gallbladder on a TV screen. This allows the doctor to see the gallbladder while they remove it. Your doctor will insert tools in the other cuts to complete the surgery. Your gallbladder is then taken out through one of the incisions.

    After the gallbladder is removed, your doctor will clamp off all the bile ducts. They will close the incisions with stitches, staples, or glue. The procedure takes 1 to 2 hours. Most people go home the same day or the day after the surgery.

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    Medical Factors To Consider Before Cholecystectomy

    Before the operation, you need to discuss some things with your doctor or surgeon, including:

    • your medical history, since some pre-existing conditions may influence decisions on surgery and anaesthetic
    • any medications you take on a regular basis, including over-the-counter preparations
    • any bad reactions or side effects from any medications.

    How Do Doctors Treat Gallbladder Problems

    Taking the gallbladder out is usually the best way to treat gallbladder problems. You might get some relief from changing your diet. For example, eating less fat can help. But gallstones rarely go away on their own.

    You might have heard about treatments to break up gallstones or make them melt away . Unfortunately, these do not usually work well.

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    Recovery From Laparoscopic Surgery

    After a laparoscopic procedure, most people can leave the hospital on the same day as the surgery. However, a friend or family member will need to drive the individual home after surgery or accompany them in a taxi.

    It is also important to rest and avoid strenuous activities for up to 2 weeks, but a person should be able to return to normal activities after this time.

    What Are The Risks Of Gallbladder Surgery

    Gall bladder stone treatment in Jaipur

    Your gallbladder has a very big role in the body during digestion. It is the organ that collects a fluid known as bile, which helps you to digest food. If your gallbladder develops complications, you may need to have it removed. You may also have it removed if you develop gallstones. Gallstones are consequently made by chemicals found in the bile.

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