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    Tag: gallbladder surgery

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    14July 2020

    Laparoscopic cholecystectomy- the laparoscopic surgery for gallbladder removal

    What is laparoscopic cholecystectomy??

    Laparoscopic Cholecystectomy is a laparoscopic surgical procedure for removing Gallbladder. It is a minimally invasive surgery that is performed through minimally invasive surgery devices which involves small incisions to remove the gallbladder. The gallbladder is a digestive organ that is present just below the liver in the upper abdomen. The main function of the gallbladder is to store bile which helps in absorbing dietary fats. However, the gallbladder is not a compulsory organ of the digestive system and digestion of a high fiber diet can be easily done without the presence of Gallbladder as well. However, if your Gallbladder becomes inflamed, then it is very important to remove it.


    Laparoscopic Cholecystectomy is one of the most popular and common types of surgery available for the removal of diseased Gallbladder.

    Reasons for performing laparoscopic cholecystectomy

    The main reason behind performing laparoscopic cholecystectomy and removing of the Gallbladder is due to the complications caused by the gallstones in the Gallbladder. The situation of having gallstones in the Gallbladder is known as cholelithiasis. When the substances of the bile in Gallbladder become solid, then they form gallstones. The size of gallstones varies, they could be very small and they could be as large as the size of a golf ball. Some other reasons for performing Laparoscopic Cholecystectomy are the following-

    • In the medical condition when the Gallbladder is not able to empty bile and this condition is called biliary dyskinesia.
    • In the medical condition when the gallstones shift to the bile duct and cause the blockage and this medical condition is called choledocholithiasis.
    • They inflame and diseased Gallbladder which is called cholecystitis.
    • In this condition, the gallstones cause the inflammation of the pancreas and this medical condition is known as pancreatitis.

    Nowadays, Laparoscopic Cholecystectomy is a highly preferred surgical method over open surgical methods because it involves smaller incisions that help in reducing the risk factors of infection, excess bleeding and involves less time of recovery

    Medical equipment used during laparoscopic cholecystectomy

    During Laparoscopic Cholecystectomy, various minimally invasive surgery instruments and laparoscopic surgeon devices are used. Let’s look at the list of the medical devices used in the surgical procedure.

    The procedure of laparoscopic cholecystectomy

    1. After going to the operation theatre your surgeon will give you fluids through your vein. After this, he will put you on anesthesia of the general level, so that you don’t feel any pain and the whole surgical procedure will be painless for you. Before the surgical procedure starts, your surgeon will place a tube in your throat which is connected to a ventilator, so that you can easily breathe during the surgery.
    2. For performing Laparoscopic Cholecystectomy surgery, the surgeon will make four small incisions at the upper side of your abdomen. With the help of the small incisions, the tube is guided with an Endoscopy HD Camera into the abdomen.
    3. The other laparoscopic devices such as Endoscopy LED Cold Light is also used through the small incisions and the surgical monitors will help the surgeons to get a clear image inside of your abdomen. The surgical monitors will show whatever the Endoscopy HD camera captures.
    4. The Endoscopy CO2 Insufflator is used so that the patient’s abdomen is inflated with CO2 gas and the surgeons will get the space to perform the surgery properly. After that, your surgeon will remove the Gallbladder through the small incisions.
    5. After the Gallbladder is removed from your abdomen, your surgeon will perform a special X-ray to check the complications of your bile duct. The X-ray helps in showing any remaining problems in your bile duct such as any remaining bile stone in the duct. If any such problem exists, then your surgeon will remove that also. This procedure is called cholangiography.
    6. When the surgery is completed, your surgeon will stitch up the cuts and bandage the small incisions. After that, you will take your time to get your consciousness from anesthesia. Your vital signs will be measured after the surgical procedure is over.
    7. In Laparoscopic Cholecystectomy, most of the patients go home on the same day or day after their laparoscopic surgery.

    http://diasurge.com/gallbladder-stones-and-diagnosis-by-endoscopes/

    8January 2020

    Gallbladder Stones and diagnosis by Endoscopes

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    Background:-

    CHOLELITHIASIS means stones in gallbladder. These days it is a common problem in general population. Gallstones can sometimes come out of the gallbladder and get trapped in common bile duct and obstruct the flow of bile from liver and gallbladder to small intestine (duodenum). Thus leads to severe pain and feeling of fullness in abdomen.

    Symptoms:-

    Following symptoms may occur in CHOLELITHIASIS.

    – Nausea and vomiting

    – Abdominal pain

    – Indigestion

    – Jaundice (yellowish sclera)

    – Pale stool

    – Anorexia

    Diagnosis:-

    – Ultrasound of whole abdomen, CT abdomen

    – ERCP (Endoscopic Retrogradecholangio Pancreatography)

    – Blood reports

    Treatment:-

    It’s treatment includes surgery after reducing pain with NSAIDs (Non-steroidal anti-inflammatory drugs) and antibiotics. Surgery involves removal of gallbladder with stones. Earlier it was done through a large incision on Abdomen (open cholecystectomy). Nowadays, with a help of endoscopic techniques, surgery (Laparoscopic cholecystectomy) become easy and safer. It requires 3 to 4 small holes to perform the procedure.

    Preparation before surgery:-

    – You should have your all investigations done as advised by your surgeon.

    – You have to be empty stomach for 6-8 hours.

    – Take a shower nicely with antiseptic soap on your surgery day.

    How it is performed?

    The surgery is performed by surgeon having specialisation in laparoscopic surgeries.

    It involves following steps,

    • Surgery is done under general anesthesia.
    • Sterilization of part (abdomen)
    • Surgeon make a keyhole in your abdomen just below umbilicus. Then, insert a trocar (hallow, tubular metallic instrument) to make a port and inflate you abdomen with carbon dioxide to visualize the internal organs clearly. In the same port, a rigid laparoscope (tubular metallic with lenses and light attached to camera) is inserted, with help of this internal organs can be seen on monitor.
    • Other ports are made guided by camera for the insertion of other surgical instruments like scissors, hook, clamp, suction etc.
    • With the help of surgical instruments gall bladder is removed along with stones.
    • Abdomen is deflated after the procedure to avoid abdominal distension.
    • Repairing of incisions and dressing done.
    • General anesthesia usually lasts less than 2 hours, so you get conscious in 2 hours.

    When to resume to normal diet?

    Within 6-8 hours you can start with you liquid diet followed by semi-solid diet. By next day you can start with normal diet provided meal have low fat and less spices in it.

    After surgery your body can no longer store bile as gall bladder is removed, this has little or no effect on digestion. Some may experience indigestion and heart burn for few days.

    Why Laparoscopic surgery is preferred?

    • It require small incisions.
    • Decreases duration of hospital stay.
    • Recovery is faster.
    • Decreases the complication rate.
    • No exposure of internal organ to outside environment.
    • Less use of instruments.
    • Less haemorrhage.

    To get more information regarding leading manufacturer of cost effective rigid endoscopes equipped with high resolution optical glass rod lenses, HD camera, co2 insufflators, cold LED light source, irrigation pump, suction, HD medical monitors. Please visit http//:www.diasurge.com[/vc_column_text][/vc_column][/vc_row]