Question 1

under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

Accepted Answer

Complications: Most gallbladder removals can be performed through several small incisions through which surgical instruments can be inserted. If the gallbladder has ruptured or if the internal anatomy is difficult, the surgeon may make a large incision to make sure the surgery is successful.

Question 2

what are the steps and instruments for open cholecystectomy?

Accepted Answer

Several: Preop evaluation of indications, risks, associated issues- jaundice or common duct issues.
Anesthesia eval, for general, epidural etc.
Surgical items- like prior abdominal, surgery or conditions.
Instruments are to make incision, hold tissue out of the way and to dissect and remove gallbladder and close off feeding artery and cystic duct, and or to explore common duct.
Achieve hemo stasis and close.

Question 3

when do doctors do open cholecystectomies over laparoscopic procedures?

Accepted Answer

Safety reasons: When there is unfavorable anatomy, too much scarring or other anatomic factors. One of the risks of the surgery is injury to the common bile duct, and some surgeons will open to better visualize the anatomy. Arguably some surgeons claim the laparoscopic view is better.

Question 4

i had an open cholecystectomy, how long will it take for my liver to return to normal size?

Accepted Answer

No effect.: Cholecystectomy should have no effect on the size of your liver. Though the gallbladder sits under the liver, it really should not affect the siza of the liver.

Question 5

i had open cholecystectomy thursday 17th, last night i suffered from what felt very much like a gallbladder attack. how is this possible?

Accepted Answer

Retained stone: It is possible that a stone may have slipped into the common bile duct and is causing obstruction that was missed at the time of surgery. It could also be due to spasm at the end of the common bile duct and will go away spontaneously. Either way contact you surgeon today.

Question 6

what are the chance of, if at all, resuming peritoneal dialysis following open cholecystectomy?

Accepted Answer

Not good: It is possible to resume pd after large open surgery is some cases. You should review this with your surgeon and nephrologist to see if you can try again.

Question 7

i had surgery 6 days ago (open cholecystectomy) and am healing pretty well, but i am exhausted all of the time now. is this normal after 6 days?

Accepted Answer

Post surgery fatigue: It is really too early to feel 100%.You had major surgery. Everyone recovers at their own pace. As long as you are getting stronger each day, even a bit, would not worry. If not speak to your surgeon.

Question 8

would u perform a lap/open cholecystectomy on high-risk patient?(iddm, mi, ht, esrf+pd)what are alternatives? p.s. had complications - panc/cholecystitis

Accepted Answer

Probably: Every patient has to be individually evaluated, but  a 60 yo with pancreatits/cholecystitis should in most situations have the gallbladder removed. Laparoscopy would probably be the best approach. If it's considered too risky to remove the gallbladder the tube drainage of the gallbladder should be considered, plus antibiotics, no alcohol and low fat diet. Speak to an experienced surgeon.Good luck.

Question 9

how long after a open cholecystectomy will it take to have a normal bowel movement?

Accepted Answer

Probably: About 3 days or so, depending on operative findings.  If you had an acute infection or any complication, then it would take longer.  Ask your surgeon for specifics in your case.

Question 10

cholecystectomy 2/8. 2/16, the dermabond fell off 3 of 4 incisions. 1 is healed, 1 is still slightly open, and the umbilicus is not healed at all, there is what seems to be a deep hole. can i use bandaids and neosporin or do i call my surgeon in am?

Accepted Answer

BAndaids/call surgeo: Call in AM.

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Doctor answers about:

Open cholecystectomy ppt

A member asked:

Under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

A member asked:

What are the steps and instruments for open cholecystectomy?

A member asked:

When do doctors do open cholecystectomies over laparoscopic procedures?

A member asked:

I had an open cholecystectomy, how long will it take for my liver to return to normal size?

A member asked:

I had open cholecystectomy thursday 17th, last night i suffered from what felt very much like a gallbladder attack. how is this possible?

A member asked:

What are the chance of, if at all, resuming peritoneal dialysis following open cholecystectomy?

A member asked:

I had surgery 6 days ago (open cholecystectomy) and am healing pretty well, but i am exhausted all of the time now. is this normal after 6 days?

A member asked:

Would u perform a lap/open cholecystectomy on high-risk patient?(iddm, mi, ht, esrf+pd)what are alternatives? p.s. had complications - panc/cholecystitis

A member asked:

How long after a open cholecystectomy will it take to have a normal bowel movement?

A member asked:

Cholecystectomy 2/8. 2/16, the dermabond fell off 3 of 4 incisions. 1 is healed, 1 is still slightly open, and the umbilicus is not healed at all, there is what seems to be a deep hole. can i use bandaids and neosporin or do i call my surgeon in am?

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