Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Surgery or Laparoscopic Gallbladder Stone Surgery is a surgical procedure performed to remove the gallbladder by Dr Aparna Govil Bhasker.
Factors contributing to formation of gall stones are metabolic, reflux of pancreatic enzymes in the gall bladder, stagnation of bile in the gall bladder and infection. Gall bladder stones in Mumbai and world over are majorly made of cholesterol, bile pigments and calcium. Most of the times gall bladder stones are mixed gall stones. Gall stones can be solitary or multiple.
Laparoscopic Gallbladder Surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Cholecystectomy surgery in India is most commonly performed for stones in the gall bladder. Gall stones are commonly found in the Indian population and especially in Mumbai. Gall stone disease is more frequent in people in their middle age and is more commonly found in women as compared to men in India. According to an old adage gall stone disease is commonly seen in a – “fat fertile female of forty”. Common risk factors affecting people in India are listed as under:
The signs and symptoms of gall bladder disease which may lead to Laparoscopic Cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai include:
Most of these signs and symptoms usually occur after a meal, especially fatty or large meals. Therefore, a patient is advised to seek medical attention in case these symptoms occur repetitively. In case a patient experiences severe abdominal pain which prevents them from sitting still or being comfortable, they should ask someone to drive them the emergency room.
Before Laparoscopic Gallbladder Surgery in Mumbai, the Best Gallbladder Surgeon first takes the patient’s medical history and then conducts a physical examination. Other conditions with signs and symptoms similar to gall bladder stones must be ruled out. The following are some of the diagnostic procedures used by Best Gallbladder Surgeon before Laparoscopic Gallbladder Surgery in Mumbai:
Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in India for acute inflammation can either be done immediately or in a staged manner after 6 to 8 weeks. There are conflicting opinions about immediate or staged Laparoscopic Gallbladder Removal Surgery or Laparoscopic Cholecystectomy surgery in Mumbai. Staged laparoscopic cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery is a good option when the gall bladder infection settles down with conservative medical management. Some Best Gallbladder Surgeon also feel that it is more difficult to perform Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Removal in Mumbai during acute inflammation of the gall bladder. However, there is another school of thought that feels that risks of Laparoscopic Gallbladder Removal Surgery or Laparoscopic Cholecystectomy surgery in Mumbai during the acute phase are exaggerated. A lot of patients actually end up experiencing another episode of cholecystitis before the scheduled Laparoscopic Gallbladder Surgery or Laparoscopic Gallbladder Stone Surgery in Mumbai. An early Laparoscopic Gallbladder Surgery or Laparoscopic Cholecystectomy is also advised if pain and tenderness spread across the abdomen, there is an obvious gall bladder lump, very ill and elderly patients, persistent fever despite medical management.
Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai can be performed either by conventional laparoscopy or by single incision (scar-less) technique as depicted in the diagram. In conventional laparoscopic technique, 4 small cuts are made on the abdomen and the entire surgery is performed through these cuts. In a single incision technique, a 2 cm vertical cut is made inside the navel and the entire surgery is performed through this incision. After it heals it gets buried deep inside the navel and is barely seen. The single incision technique leaves no tell tales signs of surgery behind and is practically “scar-less”. The Best Gallbladder Doctor will advise the best possible option depending on your clinical profile.
During Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in India, trocars are inserted through the incisions shown in the figure. Gallbladder Doctor then inserts a small tube with a camera on its end known as a laparoscope. The laparoscope assists the Best Gallbladder Doctor in viewing the gall bladder on a TV monitor. The Best Gallbladder Surgeon typically looks into a TV monitor and operates. Carbon dioxide gas is filled in the abdomen and the gall bladder is visualized. The cystic duct and artery are dissected, clipped and divided. After the gall bladder is removed from the liver bed and the Best Gallbladder Doctor checks for any bleeding. Post this the gall bladder is removed in an endo-bag and the incisions are closed after removal of gas.
Laparoscopic technique has become one of the most preferred treatment options for Laparoscopic Gallbladder Removal Surgery and offers safe & effective treatment for patients with gallstones.
Complications after Laparoscopic Cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai are very rare, and most of the patients who undergo Laparoscopic Gallbladder Removal Surgery recover and return to their normal activities very fast. Rarely, complications like infection at the incision sites, bleeding, bile leakage, injury to adjacent organs, pneumonia, blood clot formation etc may happen post-surgery.
Usually patients are given water and other liquids 6 hours after surgery. Once the patient tolerates liquids, they can be given a light meal, and also the IV line can be removed. Patients must go easy on their diet for the first 3 to 4 days and minimize oil and spice for 2 weeks post surgery.
At times, a patient can feel nauseated after the anesthesia wears off. This feeling should pass after a few hours, but if it doesn’t, the patient can be given medication to relieve it.
The patient can be given a prescription for pain medication to manage pain which might occur after the surgery. The incision sites are covered with small adhesive bandages, which can be removed after five days. The stitches may not be removed as they usually dissolve over time.
After Laparoscopic Gallbladder Stone Surgery or Laparoscopic Gallbladder Surgery in India most patients are usually discharged the next day after the surgery.
A patient can resume normal, light daily activities after 24 hours and can return to work after 7 days. The patient should avoid strenuous activities and heavy weight lifting until 3 months post-surgery.
Laparoscopic Gallbladder Surgery Cost in Mumbai depends on many factors. The Laparoscopic Gallbladder Surgery cost is determined by factors like demographic location of the hospital, type of room selected, duration of surgery etc. Laparoscopic Gallbladder Surgery cost in Mumbai is usually covered by insurance and can also be performed in cashless manner with prior approval of the insurance company. Laparoscopic Gallbladder Surgery cost in Mumbai also depends on the duration of stay in the hospital.
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