In the past ...
When her surgeon recommended a gallbladder operation, you remember a friend or relative who did the same surgery a few years ago. They had a huge scar and told they had intense pain after surgery. They stayed in hospital for a week, unable to return to normal activities in less than 6 weeks. So you were worried about going through the same things. How do I get off work almost two months?
Today ... There is a new surgical technique to great advantage
The gallbladder removal surgery is one of the most practiced and most is already done laparoscopically. The medical term for this procedure is laparoscopic cholecystectomy.
Instead of incisions 20 to 30 cm long, the operation is performed through four small holes of 0.5 cm in the abdomen.
The postoperative pain is much smaller than that of conventional surgery.
Usually the patient is admitted to the hospital one day and return to normal activities within 10 to 15 days.
WHAT IS THE GALLBLADDER?
It is a pear-shaped organ located under the right lobe of the liver.
Its main function is to collect the bile produced by the liver and concentrate it. When the person eats, the gallbladder contracts releasing the bile, which passes through a channel called bile until it reaches the gut and find food.
The removal of the gallbladder is not associated with any digestive dysfunction in most people.
WHAT CAUSES gallbladder problems?
The main problem of the gallbladder is associated with the presence of gallstones. They are stones of varying size and number, usually formed from cholesterol and / or bile salts contained in bile.
It is still uncertain why some people form stones.
There's no way to prevent stones from forming.
These stones can block the flow of the gallbladder, blocking the natural flow of bile, causing increased pressure within the bladder, leading to swelling (edema) and therefore the infection. This state is known as acute cholecystitis. The person has a cramping pain below the right rib, with vomiting and fever later.
If a small stone can pass into the bile duct the person may become yellow and have severe complications.
As these problems are detected and treated?
An ultrasound or abdominal ultrasound is the method of choice for diagnosis.
In some more complex cases, other radiological investigations are needed.
Calculi (stones) of gall bladder does not disappear with time. Any attempt another surgery that did not have any success. Temporary improvement may occur but may return with complications.
The removal of the gallbladder is the fastest and safest treatment for cholelithiasis. (Medical term to describe the presence of stones in the gallbladder)
WHAT KIND IS NECESSARY TO PREPARE?
The night the day before surgery from midnight I must remain absolute fasting.
Taking a bath in the evening or morning before surgery.
If you have constipation problems chronic tell your surgeon.
If you do use daily doses of medications, talk with your surgeon to find the best solution. If you make use of anti-coagulants or aspirin be sure to alert your doctor.
AS IS HELD ON WITHDRAWAL OF GALLBLADDER?
The patient is operated under general anesthesia.
Made a small incision in the navel where a needle is inserted to fill the abdominal cavity of a special gas. The intention is to create a space for the surgery can be performed.
It is then inserted a metal tube called a trocar is placed where the laparoscope (like a telescope). Through this shows all the abdominal cavity.
Held over three small cuts where the clamps are placed which will be used during surgery.
In some special situations, RX is performed bile duct during surgery to detect stones in the bile duct. If any are detected, or should be removed during surgery or after a procedimente performed with endoscopy. (Endoscopic sphincterotomy)
At surgery the cuts are closed with one or two points on the skin.
WHAT HAPPENS IF THE SURGERY CAN NOT BE HELD BY LAPAROSCOPIC?
In a small number of patients, the method can not be done. This is usually due to local anatomical difficulties inherent in the patient or the degree of inflammation that occurs at the site due to gallbladder disease. When the surgeon decides to convert a surgery for the safety of the patient, does not consider it as a trial but as a complication of surgery (wisdom). Factors that could cause the conversion of closed to open surgery include excessive obesity, history of previous abdominal surgery, bleeding and other containment difficult.
HOW LONG WILL I BE IN HOSPITAL?
The vast majority of patients undergoing laparoscopic cholecystectomy is not more than 24 hours in hospital. In some cases the patient is operated in the early morning, and may be released on the same night.
When will I get back to work?
On average you can return to full activities within 7 days. Of course it depends on what you do. If you have a job that requires great effort or medium, is to return to usual activities within 3 to 4 weeks.
IT IS SAFE TO PERFORM laparoscopic surgery?
The risks of laparoscopic surgery is identical to conventional surgery. Since the conventional method runs a greater risk of hernia formation at the site of the cut.
THERE IS RISK IN laparoscopic surgery?
Although surgery is considered safe, complications can occur as with any surgery.
Your surgeon should be clarified YOU RISK AND SURGICAL HELP YOU DECIDE WHAT ARE PLAYING FOR SURGERY RISKS REMAIN IN YOUR GALL STONES.
WHAT HAPPENS IMMEDIATELY AFTER GALLBLADDER SURGERY?
The gallbladder surgery is an abdominal surgery and therefore a little postoperative pain you should have. Nausea and vomiting may occur within 12 hours.
Once the liquid diet is well tolerated and no vomiting, the patient can be discharged the next day.
Getting out of bed already in the postoperative period is allowed and encouraged. The next morning the bandages can be removed and the patient bathing.
In general, recovery is gradual and progressive. You should always be better the next day.
Should return in a week to remove the stitches.
WHEN SHOULD I NOTIFY MY DOCTOR ...
Constant fever (above 38oC)Starting to get the yellow skin or eyesYou have nausea and vomitingThe wound bled continuouslyIncreased abdominal pain or swelling in the abdomen.You have chillsPersistent cough or shortness of breathDifficulty swallowing liquids or solids after the normal period of recoveryShow secretion through the wound.
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