Gall Bladder Removal Surgery
A hernia is a condition in which an organ shows an abnormal exit through the wall of the cavity in which it is situated. It happens mostly in the abdomen area. The condition is usually rectified using surgery. The surgery for treat Hernia may be of three types:
Inflammation of the gallbladder
Inflammation of the gallbladder may result from:
Gallstones: The most common cause of cholecystitis is the development of hard particles in your gallbladder (gallstones). The duct (cystic duct) through which bile exits the gallbladder can become blocked by gallstones. Inflammation results from the gallbladder’s bile accumulation.
Bile duct blockage: Cholecystitis can result from a blocked bile duct caused by stones, thickened bile, or small particles. A blockage may also result from kinking or scarring of the bile ducts.
Tumour: A tumour may prevent bile from draining normally from your gallbladder. This results in bile accumulation, which can cause cholecystitis.
Severe illness: Cholecystitis can result from serious sickness that damages blood vessels and reduces blood supply to the gallbladder.
Laparoscopic Cholecystectomy (Gallbladder Removal)
The name pertains to the process of gallbladder removal from the body. It involves making five small incisions instead of one large one in the abdomen. A laparoscope is inserted into the abdomen. The doctor can see the gallbladder on the screen of the camera. Another small incision is made to remove the gall bladder.
Indications for Laparoscopic Cholecystectomy
If the patient has stones in his or her gall bladder, then this process is used to remove them. The gall bladder performs the function of storing bile. Bile is a digestive fluid made by the liver which is essential for digesting the fats in our diet. If a person has stones in the gall bladder, it can affect the flow of bile in the digestive system. This can lead to pain in the abdomen, nausea, and vomiting. The stones can also block the ducts which channel the flow of bile from the liver to the intestine. The gall bladder stones can cause infection in the gallbladder. They may also lead to jaundice. They may irritate the pancreas.
Surgical Procedure
The surgery requires general anaesthesia. This will help you in relaxing the muscles and prevent you from sensing pain during the surgery. The surgeon inflates the abdomen using carbon dioxide. The surgeon inserts the laparoscope through a cut in the navel. He has a good look inside and may conduct a cholangiogram, which is a special x-ray that checks for the presence of stones. Additional small incisions are made through which the gall bladder is removed.
Open Cholecystectomy
Open surgery may be performed instead of laparoscopy if:
- There is scarring from a previous surgery
- Bleeding disorder
- There is difficulty in seeing through the laparoscope
Surgical Procedure
This procedure also requires the use of anaesthesia. The surgeon makes a cut near the right side of the rib cage or at the centre of the abdomen. Then the doctor can see the gall bladder after opening the area. The surgeon cuts the gall bladder from the surrounding tissue. After tying off the blood supply, a cholangiogram may be performed. It checks the presence of stones in the common bile duct. The stones in the bile duct are removed at this stage. The skin closes with the help of surgical clips and stitches.
