Know about Gall-bladder
Gall-bladder is a small organ lies just below liver on right upper abdomen. Gall-bladder stores bile (juice formed by liver) and help in digestion of fatty meals. Development of stones in gall-bladder indicates malfunction of gall-bladder and surgical removal of gall-bladder is easily tolerated by the body.Dr Avinash Tank For Laparoscopic Surgery in India, Laparoscopic Surgery in Gujarat, Laparoscopic Surgery in Ahmedabad.
Type of Gall-stones: There are 3 types of gall-stones.
Factors that may increase your risk of gallstones include:
Ultrasound is the most useful test to identify gallstones. Sometime MRCP / ERCP may be required to look for presence of stones in common-bile duct (CBD).
Acute Cholecystitis (Inflammation of the gallbladder). A gallstone that becomes lodged in the neck of the gallbladder can cause inflammation of the gallbladder (cholecystitis). In some case this may lead to pus formation in gall-bladder, leading to severe pain and fever that require hospitalisation and treatment.
Jaundice & Cholangitis (Blockage of the common bile duct & Fever). Gallstones can block the tubes (ducts) through which bile flows from your gallbladder or liver to your small intestine. Jaundice and bile duct infection (Cholangitis) can result.
Acute Pancreatitis (Blockage of the pancreatic duct). The pancreatic duct is a tube that runs from the pancreas to the common bile duct. Pancreatic juices, which aid in digestion, flow through the pancreatic duct. A gallstone can cause a blockage in the pancreatic duct, which can lead to inflammation of the pancreas (Pancreatitis). Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization.
Gallbladder cancer. People with a history of gallstones have an increased risk of gallbladder cancer. But gallbladder cancer is very rare, so even though the risk of cancer is elevated, the likelihood of gallbladder cancer is still very small.
Laparoscopic GB Surgery
Laparoscopic surgery is a minimally invasive approach to surgery. Several small incisions are made in the abdominal wall, through which are inserted tubes that allow the passage of the surgical instruments needed for the operation. A small camera is inserted into the abdomen, and the surgeon operates by watching his activities on a video monitor. To enhance his vision, your abdomen in inflated with gas, and as much as possible of this is expelled again at the end of the operation. However you may feel a bit bloated, or have “wind” pains under your diaphragm or in your shoulder tip for a few days whilst any final gas bubbles are slowly reabsorbed.
Compared to open surgery, benefits of laparoscopic surgery include
Our expert team members shall help you to prepare you for surgery. You are strongly advised to stop smoking, stop drinking alcohol, try to improve your diet, lose weight, or actively exercise before surgery.
In most cases, you will need some tests before your surgery. The tests routinely used include:
Anaesthetic Assessment before Surgery:
Our expert team of Anaesthetist will ask you questions pertaining to your health and to assess your fitness for surgery. You are requested to tell them in detail about your current and past medical ailments, allergic reactions you’ve had in the past and current medicines that you are taking like blood thinning medicine. This medicine should be stopped 1 week prior to surgery.
Informed consent is one of the most important parts of “getting ready for surgery”. It is a process during which you are told about all aspects of the treatment before you give your doctor written permission to do the surgery.
Getting ready for Surgery
Depending on the type of operation you have, there may be things you need to do to be ready for surgery:
Emptying your stomach and bowels (digestive tract) is important. Vomiting while under anaesthesia can be very dangerous because the vomit could get into your lungs and cause an infection. Because of this, you will be asked to not eat or drink anything starting the night before the surgery.
Laxative: You may also be asked to use a laxative or an enema to make sure your bowels are empty.
Shaving of Operative part: You need to have an area of your body shaved to keep hair from getting into the surgical cut (incision). The area will be cleaned before the operation to reduce the risk of infection.Anaesthesia
Anaesthesia is the use of drugs to make the body unable to feel pain for a period of time. General anaesthesia puts you into a deep sleep for the surgery. It is often started by having you breathe into a face mask or by putting a drug into a vein in your arm. Once you are asleep, an endotracheal or ET tube is put in your throat to make it easy for you to breathe. Your heart rate, breathing rate, and blood pressure (vital signs) will be closely watched during the surgery. A doctor watches you throughout the procedure and until you wake up. They also take out the ET tube when the operation is over. You will be taken to the recovery room to be watched closely while the effects of the drugs wear off. This may take hours. People waking up from general anaesthesia often feel “out of it” for some time. Things may seem hazy or dream-like for a while. Your throat may be sore for a while from the endotracheal (ET) tube.
You may feel pain at the site of surgery. We aim to keep you pain free after surgery with the help of latest and most effective technique or analgesic (pain relieving medicine).
Eating and Drinking
You will be allowed orally liquids once you recover from effect of anaesthesia medicine and you don’t have nausea or vomiting. Gradually you can add soft to normal diet.
Our health care team will try to have you move around as soon as possible after surgery. You are encouraged to get out of bed and walk the same day. While this may be hard at first, it helps speed your recovery. It also helps your circulation and helps prevent blood clots from forming in your legs.
Once you are eating and walking, and then you are ready to go home, in most case in next day following surgery. Before leaving for home our health care team shall give you detailed guidance regarding diet, activities, medications & further plan of treatment
There are risks that go with any type of medical procedure and surgery is no longer an exception. Success of surgery depends upon 3 factors: type of disease/surgery, experience of surgeon and overall health of patients. What’s important is whether the expected benefits outweigh the possible risks.
Complications in major surgical procedures include:
Complications related to Anaesthesia:Reactions to drugs used (anesthesia) or other medicines. Although rare, these can be serious because they can cause dangerously low blood pressures.
Complications related to underlying medical illness like heart disease, diabetes, kidney disease, obesity, malnutrition.
Complications related to Specific Operations: You are encouraged with discuss in detail with our health care team before you give your consent for surgery.