Gallbladder Surgery Expert Doctor in Mulund

Your doctor would recommend surgery if the gallstones are causing symptoms like pain, nausea, vomiting, etc. In patients with gallstones but no symptoms (Asymptomatic gallstones) recommendation for surgery depends on various factors like size of stones, native place, family history, etc.
These stony gallbladder Concretions typically won’t disintegrate with any medical treatments. You could experience many more extremely painful and incapacitating symptoms known as “gallbladder attacks” or “biliary colic” and they could obstruct the bile ducts too causing jaundice.

These signs include the following:

• Your upper tummy may experience a short period of intense, acute, knife-like agony.
• Digestion-related issues like heartburn and flatulence
• High fever and chills.
• Yellow eyes and skin.

By using tests like Ultrasound, Computed tomography (CT) scans and or other tests, the doctor may be able to figure out the cause of symptoms. Following information is also sought :

• Whether your gallbladder contains Gallstones.
• Is there acute Inflammation of the Gallbladder.
• Is there Gallbladder Cancer.

Your doctor might recommend having your gallbladder removed in such a situation. It’s referred to as a “cholecystectomy.” You can have your gallbladder removed by open surgery or laparoscopic surgery.

To provide wider access and a better view into the abdomen during open surgery, the surgeon will make a 5- to 7-inch cut on your belly. Today this method is advocated only in rare instances where laparoscopy is technically not possible.

The classical four port laparoscopic procedure involves four tiny (5 to 10 mm diameter) keyhole-sized incisions on your abdomen. Through these incisions, they will insert long thin instruments equipped with a light and a small camera. The inside of abdomen is visualized in real time on the monitor placed inside operation theatre and the diseased organ is removed.
Both Open and Laparoscopic procedures are carried out while you are under anesthesia, which will keep you asleep the entire time. Because laparoscopic procedures are less invasive, almost bloodless, and result in a quicker recovery than open procedures, they are more frequently carried out.

• Persistent Inflammation and or rupture of the gallbladder.
• Inflammation of pancreas – pancreatitis.

I

• nflammation and infection of bile ducts (Cholangitis).

The removal of the gallbladder is typically a safe treatment.
Nevertheless, patient is at risk of following complications:

• Anaesthesia’s after effects.
• Infection.
• Bleeding.
• Swelling.
• Bile leak.
• Bile duct injury.
• Deep blood vessel blood clot formation.
• Heart issues.
• Pneumonia (lung infection and inflammation)

• High-grade temperature (>101°F).
• Extremely sore or bloated stomach.
• Yellow eyes and skin.
• Severe discomfort even after taking painkillers.
• Breathing difficulties.

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• he coughing doesn’t stop.
  Nausea.
• Vomiting.

The gallbladder, a pear-shaped sac located on under surface of liver, is where the bile, a fluid produced by the liver and used to aid in the digestion of fatty foods, is stored and concentrated. A gallbladder removal is occasionally necessary because it has grown inflamed and is causing trouble. The term “cholecystitis” refers to a condition when the gallbladder is inflammed.

Laparoscopic surgery is an advanced modern way of doing surgeries. The surgeon uses small incisions (cuts) on skin to introduce his instruments. Working space is created by inserting inert gas (Carbon dioxide). A camera captures the image and relays it in real time to the monitor placed in the operation theatre. The surgeon views this magnified image and operates. The magnification provides additional precision in execution of the planned surgery.

With Laparoscopy the patient experiences significantly less pain, has a faster recovery and a shorter hospital stay. Laparoscopic surgery has revolutionised the practice of surgery. The way surgeons operate has undergone a sea change. Reduction in the size of incision reduces the associated trauma, hence recovery is faster and more comfortable compared to traditional open surgery.

Gallbladder is a pear shaped organ located on the under surface of the liver in the right upper aspect of the abdomen. In normal health it is capable of distending and contracting significantly. Liver secretes a greenish coloured alkaline fluid called bile.
The function of Gallbladder is to store and concentrate the bile. When this function is disrupted, bile stagnates and leads to formation of stones (Gallstones).
Surgery for removal of Gallbladder (Cholecystectomy) is one of the most common laparoscopic surgeries performed. If gallstones cause pain or any other symptoms (Symptomatic gallstones) , then surgery is indicated and the gallbladder needs to be removed (laparoscopic cholecystectomy done). In case of silent gallstones (ones causing no significant symptoms) decision making is complicated and involves multiple factors like size of stone, incidence of gallbladder malignancy in local area, etc.

After gallbladder removal surgery bile continuously trickles down into the intestine(storage function of gallbladder is lost). When gallbladder is healthy, intact and functioning food and bile mix in the 1st part of the small intestine (Duodenum). After gallbladder removal surgery, the mixing happens farther downstream in the 2nd part of the small intestine.

Also few patients experience a transient increase in dyspeptic symptoms (acidity) due to re flux of bile back into the stomach. These are usually mild and can usually be comfortably managed with diet and lifestyle modifications.
Appendix and gallbladder are two organs which can be safely removed without any significant long term consequences on health.

With time, experience and standardization of protocols, duration of hospital stay has gradually decreased. In selected cases we can often discharge the patient on the day of surgery itself (Day care surgery). On an average for the routine patient 24 to 48 hrs of hospital stay isrequired

Majority of patients are able to get back to their desk job within a week and start light jogging/walking around 7 – 10 days