Top
30
Doctor insights on: Any Alternative Treatment For Gallstones Except Laparoscopic Cholecystectomy

Share
1

1
Any alternative treatment for gallstones except laparoscopic cholecystectomy?

Any alternative treatment for gallstones except laparoscopic cholecystectomy?

Surgery not a must: Gallstones are very common and more common with age. Most of the time these cause no problems but they can become symptomatic and cause pain. At their worst they can cause gallbladder infection and pancreatitis. At times they block the biliary system. Surgery is done on an elective basis for most people with symptomatic stones and on an urgent basis for gallbladder infection/ inflammation. ...Read more

Dr. Barry Rosen
978 Doctors shared insights

Gallstones (Definition)

Stone-like deposits of bile in the gallbladder that are made from accumulation of cholesterol or bilirubin. Most gallstones are asymptomatic, however complications of gallstones include inflammation of the gallbladder, and blockage of ...Read more


2

2
I had laparoscopic cholecystectomy 2 mths ago (gallstones), histology confirmed gallbladder has acute&chronic inflamation. Do I need endoscopy?

I had laparoscopic cholecystectomy 2 mths ago (gallstones), histology confirmed gallbladder has acute&chronic inflamation. Do I need endoscopy?

See your physician: The answer depends on what symptoms you have been having. You list abdominal discomfort and lower abdominal pain. For the evaluation of those symptoms, you need to see your physician. With his evaluation, he can answer your quesstion ...Read more

3

3
Where do I go to get a laparoscopic cholecystectomy done?

Where do I go to get a laparoscopic cholecystectomy done?

General Surgeon: Most general surgeons are trained in laparoscopic techniques. Not all cholecystectomy patients are candidates, but the vast majority are. I am assuming you have already had workup determining the need for the procedure. ...Read more

4

4
When can I resume sex after laparoscopic cholecystectomy?

When can I resume sex after laparoscopic cholecystectomy?

2 weeks: Generally it is recommended to postpone sex for at least 2 weeks after a laparoscopic procedure. The incisional pain is generally the limiting factor, but other factors such as recovery from general anesthesia, pain medications and other GI complaints may make sex less appealing. ...Read more

5

5
How long does a laparoscopic cholecystectomy typically take?

How long does a laparoscopic cholecystectomy typically take?

It varies: Some patients with mild disease and favorable anatomy may take only 20-30 minutes of operative time, defined as the time from first incision to closure of the last incision. Others with severe disease or prior operations or morbid obesity may require up to a couple of hours. Of course, it takes extra time to get ready for the operation and wake up afterwards. ...Read more

6

6
Please help! What is the purpose of performing a cholecystostomy during a laparoscopic cholecystectomy?

To drain the GB: Sometimes the gallbladder is very swollen and tense. This makes it hard to grasp, hold, and retract. Sometimes we have to drain the bile out of the gallbladder so we can grasp hold of it with the instruments. A long needle is inserted through on of the trocars and the bile is aspirated into a syringe. ...Read more

7

7
Do they insert a catherer when you get a laparoscopic cholecystectomy?

Do they insert a catherer when you get a laparoscopic cholecystectomy?

Not usually: This is dependent on the surgeon, some may use a catheter more than others. You would need to ask your surgeon what is their preference. ...Read more

8

8
Pain in belly button post laparoscopic cholecystectomy is this normal?

Pain in belly button post laparoscopic cholecystectomy is this normal?

Yes, for a while: The belly button is the site where many surgeons put the laparoscopic camera, is often the largest port for cholecystectomy. It is often where the gallbladder is removed from. During closure, the incision must be closed, or there is a risk for a hernia to develop. Some pain is common, up to several months afterwards, however if there is redness, tenderness and marked swelling, see your surgeon. ...Read more

9

9
Is it normal to have gas trouble and tiredness after laparoscopic cholecystectomy? Surgery was 4 days back.

Is it normal to have gas trouble and tiredness after laparoscopic cholecystectomy? Surgery was 4 days back.

Yes.: It may take weeks for your digestive system to adjust to "losing" your gallbladder; your gas trouble is likely a manifestation of this adjustment. As far as the lethargy...You just had general anesthesia, which takes days to get out of your system. Lethargy is normal and expected, as well as afternoon naps. Be sure and follow-up with your surgeon, as recommended. ...Read more

10

10
Laparoscopic cholecystectomy 10 weeks ago and still have nausea and lethargy and diarrhoea x 1 a day. Is this normal?

Laparoscopic cholecystectomy 10 weeks ago and still have nausea and lethargy and diarrhoea x 1 a day. Is this normal?

Quite possibly: After lap cholecystectomy, diarrhea once a day is fairly normal. Occasional to frequent nausea is not uncommon, sepia lily with fatty foods. Lethargy is a bit less expected. If you have not had a follow-up about the symptoms with your surgeon, I would. While usually not a problem, prudent care would include checking for signs of infection and blood work to make sure the liver enzymes are ok. ...Read more

11

11
I have severe right shoulder when breathing deep. Constant shoulder pain otherwise. Had laparoscopic cholecystectomy and tubal ligation 3 weeks ago.

Family Practice: Shoulder pain is common with gallbladder disease. Even after surgical removal of your gallbladder the pain can persists. Treat it symptomatically but call your surgeon to let him know how you are feeling. ...Read more

12

12
My mom just had a laparoscopic cholecystectomy and I noticed her skin is more yellowish. Should I be worried? I'll only see the doctor again tomorrow

Jaundice: You have to see the surgeon to exclude jaundice. Some times iatrogenic injury to bile duct and missed stone in common bile duct could cause post cholecystectomy jaundice. ...Read more

13

13
How long does laparoscopic cholecystectomy take?

How long does laparoscopic cholecystectomy take?

Depends: Usually an hour or less unless the operation is being performed under difficult circumstances such as for severe infections or multiple prior abdominal surgical procedures. ...Read more

14

14
How long does it take to recover from a laparoscopic cholecystectomy?

How long does it take to recover from a laparoscopic cholecystectomy?

Usually not long: Although we do the same operation on everyone for gallbladder disease, everyone reacts to it differently.

Some of my patients are back to normal within a day or two, but others are incapacitated for 6 wks or more.

Therefore, unfortunately, there is no way to answer your question with any certainty. ...Read more

15

15
Is an upper endoscopy necessary before laparoscopic cholecystectomy?

Is an upper endoscopy necessary before laparoscopic cholecystectomy?

Generally no: However, depending on your surgeon's practice and your specific condition, an upper endoscopy may be performed. Some surgeons may request an ERCP to open and or clear the bile ducts. ...Read more

16

16
What is the reason for performing a cholecystostomy during a laparoscopic cholecystectomy?

What is the reason for performing a cholecystostomy during a laparoscopic cholecystectomy?

Imaging: A cholecystostomy is not a routine part of the laparoscopic cholecystectomy procedure. In some cases, this may be done to place a catheter for cholangiogram (visualize bile ducts with contrast). It may also be done to extract a particularly large stone or otherwise assist the surgeon in removal of the gallbladder itself. ...Read more

17

17
What are the chances of, if at all, resuming peritoneal dialysis after having a laparoscopic cholecystectomy?

What are the chances of, if at all, resuming peritoneal dialysis after having a laparoscopic cholecystectomy?

Safe to resume!: It is common practice to hold PD post op for a day or so (if no urgency with normal potassium, no fluid overload, etc exist), then start low volume exchanges (0.5-1L), 3-4 times daily and then go back to high volume regular exchange regimen in 72 hrs or so. ...Read more

18

18
I'm having laparoscopic cholecystectomy to remove gallbladder. Will the wounds be stitched with staples or glued?

I'm having laparoscopic cholecystectomy to remove gallbladder. Will the wounds be stitched with staples or glued?

Dissolveable sutures: Most laparoscopic surgeons will close the small incisions with buried absorbable sutures which do not require removal and will dissolve away on their own. ...Read more

19

19
I undergone laparoscopic cholecystectomy on friday (07 march 2014) from sunday evening I started to have hiccups which are continuing for last 6days.?

Hard to say: This is an unusual potential complication of the laparoscopic cholecystectomy, especially after six days. If you're having no other symptoms I would suggest that this has nothing to do with the cholecystectomy. You should see your doctor or your surgeon and get evaluated find out what is going on. ...Read more

20

20
What causes a raised, red rash after laparoscopic cholecystectomy?

What causes a raised, red rash after laparoscopic cholecystectomy?

Depends: It depends where it is located. If it is near the incisions, it could be related to the surgical dressings used. If it is across the abdomen, it could be the surgical prep. ...Read more

21

21
I had Laparoscopic cholecystectomy 2 mths ago, histology confirmed acute&chronic inflammation in the gallbladder. No symptoms now. Is there any risks?

I had Laparoscopic cholecystectomy 2 mths ago, histology confirmed acute&chronic inflammation in the gallbladder. No symptoms now. Is there any risks?

Safe: As long as there were no retained common bile duct stones, you are most likely safe from any complications related to the gall bladder. ...Read more

23

23
I am 8 days post op laparoscopic cholecystectomy and as of yesterday started having a sharp pain like a pulled muscle on my left side. Is this normal?

I am 8 days post op laparoscopic cholecystectomy and as of yesterday started having a sharp pain like a pulled muscle on my left side. Is this normal?

Could be normal but.: It could be a normal part of the healing process, but if the pain is severe you need to contact your surgeon. They may want to see you to make sure that everything is okay. If it worsens and you cannot reach your surgeon go to ED. ...Read more

25

25
What are the chances of developing DVT after laparoscopic cholecystectomy? Would DVT symptoms be apparent? Is screening a good idea?

What are the chances of developing DVT after laparoscopic cholecystectomy? Would DVT symptoms be apparent? Is screening a good idea?

Can happen: Dvt can happen after any surgery. If you have calf pain on either lower extremity, swelling, tenderness then getting an u/s of the legs is a good idea. ...Read more

26

26
What risks and complications are associated with a laparoscopic cholecystectomy?

What risks and complications are associated with a laparoscopic cholecystectomy?

Long list, rare occ: The list of risks I give my patients usually makes them concerned, but they feel better after I explain to them that the risk of any of these things happening is only about 5%, and that is usually infection. But all of these risks have happened to someone in the past.

1. Infection
2. Bleeding
3. Pancreatitis
4. Retained stone
5. Bile duct injury
6. Bowel injury
7. Need for another procedure. ...Read more

27

27
What drugs would be given to a patient for a laparoscopic cholecystectomy?

What drugs would be given to a patient for a laparoscopic cholecystectomy?

Before, During&After: A dose of IV antibiotics is given just before surgery. During the surgery, the anesthesiologist administers general anesthesia. After surgery, the only meds that are needed are for pain control, using narcotics, anti-inflammatories, and/or acetaminophen. ...Read more

28

28
I recently had a laparoscopic cholecystectomy and to this day, I keep feeling sharp pain in my ulq. It usually happens after I've eaten. Why?

See your surgeon: You may have a stone retained in your biliary tract or other problems with biliary drainage. See your surgeon so he or she can investigate further. ...Read more

29

29
Pain 2 inches to left of navel after laparoscopic cholecystectomy. 10 days out still painful. Why?

Ask your surgeon: THis seems a long time, and there are lots of possible causes. You certainly need to check in with your surgeon and possibly be seen. You can safely use heat on the painful area, and take a small amount of whatever pain reliever was suggested right after the surgery. Good luck! ...Read more

30

30
With laparoscopic cholecystectomy, do they divert and reattach the bile duct or do they simply cut it?

With laparoscopic cholecystectomy, do they divert and reattach the bile duct or do they simply cut it?

Misunderstanding: A laparoscopic cholecystectomy is a relatively simple surgical procedure during which the doctor removes your gallbladder. The bile duct is not touched typically. Rather, the gallbladder is severed from the cystic duct. ...Read more

Dr. Lois Freisleben-Cook
2 Doctors shared insights

Gallbladder Removal (Definition)

Gallbladder removal is just that. Surgical removal of the gallbladder. Technically known as a cholecystectomy, it is usually done laparoscopically with small incisions and is one of ...Read more


Dr. Heidi Fowler
265 Doctors shared insights

Alternative Therapy (Definition)

Certain exercises, called "breech" exercises have a mild degree of success. Acupuncture also has ...Read more