The gall bladder is small organ in your body, just adjacent to the liver, whose function is to store a special juice referred to as bile produced by the liver. Bile is released whenever there is fat to be digested in the gut. The juices reach the intestines through channels that connect the liver, gall bladder, pancreas and bowel. In some instances, these ducts can get blocked resulting in a diseased sac that may require surgery. These are some of the basic principles of gallbladder surgery Queens NY patients may be interested in.
One of the typical conditions which may necessitate an operation is the presence of gallstones. This simply refers to formation of crystals in the gallbladder, resulting in clogging and inflammation. The stones can be made of cholesterol or calcium and other elements. The latter are also known as pigment stones. Cholesterol stones are yellow in colour, while pigment stones are black or brown. Factors that predispose an individual to suffer from gallstones include a previous history of the same, obesity, dehydration and age over forty.
In the typical setting, the patient describes their pain as extremely intense with variable duration and having some association to eating. When the doctor examines them, more often than not, tenderness is noted in the upper right quadrant of their abdomen. Intermittency of the pain is a result of dislodgement of the stones from the bladder itself into the narrower duct system. It gets displaced back and forth due to periodic contraction and relaxation of the muscle layer within this system. Complete impaction of a stone within the limited duct space can cause severe discomfort to the patient.
A patient with gallstones may also have a swollen abdomen, yellow discouration of the skin and regular bouts of vomiting. Clearly, such patients are very sick and should be closely observed. Dehydration can result in a reduction in body fluid volume and eventual compromise in blood supply to vital organs. It is therefore critical to replace any losses with the right amount of intravenous fluids. Their pain should be taken care of using the necessary pain medication.
While gallstones are manageable, they may result in recurrence and fatal complications if misdiagnosed or if detected late. Ongoing inflammation can cause organ perforation, resulting in spillage of bile into the surrounding abdominal cavity. This is usually an emergency as can result in permanent damage of key organs in the abdomen.
Since gallstones have a high tendency to recur, they are best treated by simply getting rid of your gallbladder through a surgical procedure called cholecystectomy, usually performed under general anaesthesia. In preparing the patient for surgery, the doctor will do specific laboratory tests to check whether your system can withstand the stress of an operation. The operating team will also need an abdominal ultrasound to have an idea of how severe the damage is before they go in.
The operation can either be laparoscopic or open depending on the resources available. Laparoscopy is, however, more preferred because it carries less risk given the fact that only small incisions are made, limited to the target area. Consequently, cosmetic results are better than if one goes for open surgery.
The average duration for a cholecystectomy done laparoscopically is less than an hour. It may take longer if one opts for open surgery and if complications arise during the procedure. Some of the risks of this procedure include excessive blood loss, damage to surrounding organs and infection. Being under general anesthesia, the patient may also be at risk of aspiration, cardiac arrest and other anesthesia related complications. The good news is that after a successful cholecystectomy, there is no chance of getting gallstones in the future.
One of the typical conditions which may necessitate an operation is the presence of gallstones. This simply refers to formation of crystals in the gallbladder, resulting in clogging and inflammation. The stones can be made of cholesterol or calcium and other elements. The latter are also known as pigment stones. Cholesterol stones are yellow in colour, while pigment stones are black or brown. Factors that predispose an individual to suffer from gallstones include a previous history of the same, obesity, dehydration and age over forty.
In the typical setting, the patient describes their pain as extremely intense with variable duration and having some association to eating. When the doctor examines them, more often than not, tenderness is noted in the upper right quadrant of their abdomen. Intermittency of the pain is a result of dislodgement of the stones from the bladder itself into the narrower duct system. It gets displaced back and forth due to periodic contraction and relaxation of the muscle layer within this system. Complete impaction of a stone within the limited duct space can cause severe discomfort to the patient.
A patient with gallstones may also have a swollen abdomen, yellow discouration of the skin and regular bouts of vomiting. Clearly, such patients are very sick and should be closely observed. Dehydration can result in a reduction in body fluid volume and eventual compromise in blood supply to vital organs. It is therefore critical to replace any losses with the right amount of intravenous fluids. Their pain should be taken care of using the necessary pain medication.
While gallstones are manageable, they may result in recurrence and fatal complications if misdiagnosed or if detected late. Ongoing inflammation can cause organ perforation, resulting in spillage of bile into the surrounding abdominal cavity. This is usually an emergency as can result in permanent damage of key organs in the abdomen.
Since gallstones have a high tendency to recur, they are best treated by simply getting rid of your gallbladder through a surgical procedure called cholecystectomy, usually performed under general anaesthesia. In preparing the patient for surgery, the doctor will do specific laboratory tests to check whether your system can withstand the stress of an operation. The operating team will also need an abdominal ultrasound to have an idea of how severe the damage is before they go in.
The operation can either be laparoscopic or open depending on the resources available. Laparoscopy is, however, more preferred because it carries less risk given the fact that only small incisions are made, limited to the target area. Consequently, cosmetic results are better than if one goes for open surgery.
The average duration for a cholecystectomy done laparoscopically is less than an hour. It may take longer if one opts for open surgery and if complications arise during the procedure. Some of the risks of this procedure include excessive blood loss, damage to surrounding organs and infection. Being under general anesthesia, the patient may also be at risk of aspiration, cardiac arrest and other anesthesia related complications. The good news is that after a successful cholecystectomy, there is no chance of getting gallstones in the future.
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