Planned for a Gall Bladder Surgery - What to Expect?

 


If you are reading this, probably you are either planned for a gall bladder surgery soon or just finished with one. Here is an information guide to cool your nerves before you go in for a gall bladder surgery.


Before Surgery


  • Basic blood work up to check your fitness for surgery - Complete blood count, electrolytes, sugars, kidney test, liver tests, chest X ray and ECG. Other test may be advised as patient health status - Cardiac check, coagulation factors.
  • Provide accurate medical history, even though you may feel its not much important.
  • If your bilirubin is elevated - USG scan before surgery, ALP and you may need to undergo a MRCP scan.
  • Over night fast before surgery or at least 6 hours fast. 
  • Nowadays most gall bladder surgery are done by laparoscopic surgery or key hole surgery or minimally invasive surgery.
  • Consent for surgery - You will be explained the surgery, complications and other outcomes by your surgeon or team members.
  • Please clarify any doubts or concerns you have.
  • Patient is put under general anesthesia and operated.
  • You will be housed in the operating room/Theatre for about 3 - 4 hours.
  • Average surgery time is about 45 min to 90 min.
  • Surgery involves either 3 or 4 small holes made on your tummy (5mm to 10 mm).


Gall Bladder Surgery

  • Involves removal of gall bladder from the abdomen.
  • Laparoscopic surgery involves, inflating your abdomen with a safe gas and then performing the surgery.
  • Gall bladder is connected to the liver and biliary apparatus via cystic duct - your surgeon will disconnect the gall bladder in this region(cystic duct is cut) and then remove it in a safe manner.




After Surgery
  • Most patients will be allowed to take oral liquids 6 hours after surgery.
  • After surgery you will given some IV fluids, antibiotics and pain medication.
  • You can start getting out of bed after 8 Hours - after clearance from your doctor.
  • You can discharged 24 to 36hours after surgery provided all parameters are normal.
  • You will be discharged with tablets - antibiotics, pain medication and antacids.
  • After surgery you are advised to take adequate rest with spaced out small meals for a few days.
  • Avoid Spicy and oily food. 
  • Dinner should be taken 2-3 hours before you go bed.
  • After surgery you may require to meet your surgeon atleast 2 or 3 times.
  • Suture or stitch removal is around the 10th day (based on type of suture).
  • Four wheeler travel is permitted according to comfort.
  • Avoid two wheeler travel for 3 weeks.

Danger Signs
  • Persistent fever after surgery.
  • Sudden increase in tummy ache.
  • Excessive vomiting.
  • breathing difficulty 
Connect to your doctor or the hospital opt for immediate assessment.

If you stay in and around Bangalore and are looking for a consult for gall stones, Please connect.

Dr Rajeev Pullagura
General & Laparoscopic Surgery
HSR Layout, Bangalore, Karnataka

Contact: +91-9632390506
Available for consultation @ Derma Elite skin care clinic & Healios Clinic

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