Laparoscopic Gallbladder Analysis

After having this surgery, you will need to empty and change your colostomy bag as needed. You will also need to take steps to care for the stoma.

Before the surgery is performed, you are required not to eat, drink or take any medication because this may cause the surgery to be canceled or postponed. It helps decrease the risk of blood clots and should pain if you stand up and walk within the first 5 hours after the surgery. Sleeve Gastrectomy surgery is usually done by using a tiny camera called Laparoscope, which can be also by Gastric bypass. The laparoscope is implanted in your stomach and this process is called laparoscopy. Through this process, the scope permits the medical doctor to observe inside your stomach and makes 2-5 minor incisions in your stomach. With that, a camera is connected to a video monitor in the surgery room that allows the medical doctor to observe and detect occurrences in your stomach. After, the medical doctor eliminates maximum amount of your stomach and the outstanding portions of your stomach are joined together consuming surgical/medical staples (Shown in Figure 3.). With that, this constructs a long vertical tube or a banana-shaped stomach (Shown in Figure 4.). The Gastric Sleeve does not involve cutting or changing the sphincter muscles that permits food to

Treatments include Surgery and medications to dissolve the gallstones. Nearly all cholecystectomies are performed with laparoscopy. If tests show the gallbladder has severe inflammation, infection, or scarring from other operations, the surgeon may perform open surgery to remove the gallbladder. In some cases, open surgery is planned; however, sometimes these problems are discovered during the laparoscopy and the surgeon must make a larger incision. If gallstones

Exploratory laparotomy may be a planned procedure or an emergency procedure. You may have surgical treatment as part of the laparotomy, or you may have additional treatment after your laparotomy. This will depend on what your surgeon finds during the procedure.

Antibiotics will be prescribed to the cat to clear infections or bacterial complications that are causing the gallstones to form. Antibiotics may also be prescribed before surgery in order to prevent infection from occurring after surgery. Ursodeoxycholic acid may be prescribed twice a day in order to dissolve small gallstones that aren't blocking the bile duct. S-Adenosylmethionine, or SAMe, may also be given in order to improve bile production and function of the liver.

This operation requires 3 to 5 small incisions be made in your lower stomach. A medical laparoscope is an instrument with a slender tube and an attached camera that the surgeon puts into one of the incisions in order to see where the damaged area is located. Your stomach is filled with gas so that the surgeon has a good view of the area where he will be working. One larger cut may be required if the surgeon needs to put a hand inside of the stomach to help remove the colon. It is not unusual to remove some lymph nodes while removing the damaged areas. The incisions will be closed with stitches or staples.

If you feel stones, gall bladder pain you do not leave these stones, so doctors recommend operation in the state. Normal gallbladder size up to 4 inches in the body, the gallbladder stores fat, cholesterol.

The patient that will be discussed was omitted to hospital with gallstones but treatment was also being arranged to help reduce her weight and gain control over her diet. The patient was suffering depression and appeared low in mood. The patient was female, 40 years of age and classed as obese. It has been established that obesity increases the risk of developing gallstones due to high cholesterol (Atilli, 2011). Obesity is defined as having excessive amounts of fat that could affect a person’s health (World Health Organisation, 2013).

For those that are symptomatic or become symptomatic treatment varies on severity and where the stone is located. The most common treatment is cholecystectomy, the surgical removal of the gallbladder. Patients that will benefit from this procedure the most are “those with large (>2 cm) gallstones, those who have a nonfunctional or calcified (porcelain) gallbladder on imaging studies and who are at high risk of gallbladder carcinoma, those with spinal cord injuries or sensory neuropathies affecting the abdomen, and those with sickle cell anemia in whom the distinction between painful crisis and cholecystitis may be difficult” (Heuman, 2015). This procedure may be done open or laparoscopic. Open cholecystectomy involves the surgeon creating a large opening in the abdomen and using direct exploration to remove the gallbladder. This technique is not common today and laparoscopic is more favorable. During a laparoscopic cholecystectomy procedure, surgeons will make multiple small abdominal incisions and insert a video endoscopy and other instruments to remove the gallbladder by sections. This technique is less invasive and results in less postoperative discomfort and improved cosmetic results. For those patients who decline surgery or are at high risk for surgery, gallbladder stones may be dissolved. This treatment may take up to two years or longer for complete dissolution and the stones may return. The best applicants for this treatment are those with small stones made of cholesterol. “Ursodeoxycholic acid 4 to 5 mg/kg po bid or 3 mg/kg po tid (8 to 10 mg/kg/day) dissolves 80% of tiny stones <0.5cm in diameter within 6 mo.” (Siddiqui, 2013). A more rapid treatment for those not able to have surgery is shock wave lithotripsy (ESWL) of the gallbladder. This is a therapeutic technique where sound waves are

• If you go home right after the procedure, plan to have someone with you for 24 hours.

Obesity is one of the major risk factors for gallstones, especially in women. A large clinical study showed that being even moderately overweight increases one’s risk for developing gallstones.

Following your surgery, generally you are prescribed pain medication that you can take for the next day in order to help you deal with the pain and help the recovery process. You should expect to take the day off and perhaps the day following your surgery off from work. You will also need to take an antibiotic to ward off the possibility of an infection.

Delayed emptying of the stomach, which may make it difficult to eat or to keep food down temporarily

Both surgeries require a lifestyle change , with Lap Band you can eat whatever you would like if you choose, but you need to chew your food thoroughly and eat slowly. If one is not careful and over eats they will experience immense pain as there is too much food trying to fit past their band at once. Although not pleasant this can often be relieved by inducing vomiting. A Gastric patient needs to adhere to all the same precautions but if over eating occurs a very different effect happens which occurs in the form of “Dumping syndrome”. The patient becomes violently ill for up to several hours and there is nothing that can be done except to let it pass. The Gastric patient will also need to take many liquid forms of vitamins for their lifetime due to the fact that the stomach is now too small to absorb some

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can