Dr Sanjay Chaurey

DR. SANJAY CHAUREY

Surgery for Gallstones

Introduction

Gallstones, also known as cholelithiasis, are solid particles that form in the gallbladder, a small organ located beneath the liver. They can vary in size, ranging from as small as a grain of sand to as large as a golf ball. While some people may have gallstones and never experience any symptoms, others may suffer from intense pain and complications that require surgical intervention.


Understanding Gallstones

Gallstones are a common cause of abdominal pain, and patients often present with severe upper abdominal discomfort. Unfortunately, these symptoms are sometimes misdiagnosed as ‘gastric pain’ and treated accordingly. However, when recurrent ‘gastric pain’ persists, especially if it is severe, one must always consider the possibility of gallstones. With this suspicion, further investigations, such as an ultrasound of the gall bladder, are performed, and the actual cause of pain becomes evident. It is not uncommon to find patients who have endured a long history of being treated for ‘gastric pain,’ only to discover that they have gallstones. The primary treatment for symptomatic gallstones is through surgery.

Causes and Symptoms:

Gallstones are usually formed when there is an imbalance in the substances that make up bile, a digestive fluid stored in the gall bladder. Common risk factors for developing gallstones include obesity, a high-fat diet, rapid weight loss, and certain medical conditions. Symptoms of gallstones often include:

–> Severe abdominal pain, particularly in the upper right or center of the abdomen.
–> Back pain between the shoulder blades.
–> Nausea and vomiting.
–> Bloating and indigestion.

Diagnostic Procedures:

To diagnose gallstones, a doctor may recommend an ultrasound or other imaging tests to visualize the gallbladder and detect any stones present. In some cases, blood tests may be performed to check for signs of infection or inflammation.

Laparoscopic Cholecystectomy: A Minimally Invasive Solution

What is Laparoscopic Cholecystectomy?

Laparoscopic Cholecystectomy is the most common surgical procedure used to remove the gallbladder and gallstones. It is a minimally invasive surgery performed through small incisions, reducing post-operative pain and promoting faster recovery compared to traditional open surgery.

Advantages of Minimally Invasive Surgery:

Laparoscopic Cholecystectomy offers several advantages, including:

–> Less scarring and reduced risk of infection.

–> Shorter hospital stay, often requiring only one night.

–> Faster return to normal activities and work.

Preparing for Surgery:

Medical Evaluation:

Before the surgery, the patient will undergo a thorough medical evaluation to assess their overall health and identify any potential risks or complications.

Surgical Consultation:

The surgeon will explain the procedure in detail, address any concerns, and provide pre-operative instructions, such as fasting guidelines.

Post-Surgery Care and Lifestyle Changes:

Medical Evaluation:

Before the surgery, the patient will undergo a thorough medical evaluation to assess their overall health and identify any potential risks or complications.

Surgical Consultation:

The surgeon will explain the procedure in detail, address any concerns, and provide pre-operative instructions, such as fasting guidelines.

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