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Doctor insights on: Hernia After Laparoscopic Cholecystectomy

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Dr. Stephen Scholand
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


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What drugs are given for a laparoscopic cholecystectomy?

What drugs are given for a laparoscopic cholecystectomy?

General anesthesia: Usually intravenous anesthesia and anesthetic gasses to breathe. It is a full general anesthetic procedure. ...Read more

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How common is it for someone to need a laparoscopic cholecystectomy?

VERY common: App. 750, 000 people/year have this operation in the US, alone! While it certainly is an invasive procedure, it is a relatively painless way to cure people of a very bothersome illness. Perhaps in years-to-come we may discover a non-surgical alternative, but, at this time, this remains the gold-standard for treating gallbladder disease. ...Read more

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What is the relevant anatomy in a laparoscopic cholecystectomy?

What is the relevant anatomy in a laparoscopic cholecystectomy?

Triangle of Calot: The critical steps involved with gallbladder surgery include identification of the duct that connects the gallbladder (gb) to the bile duct (the cystic duct), clipping it closed; id and clipping the blood supply to the gb, and; separation of the gallbladder from the liver. Of all these maneuvers, the most critical is the first--we call this area the triangle of calot. ...Read more

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What is the anatomy involved in a laparoscopic cholecystectomy?

What is the anatomy involved in a laparoscopic cholecystectomy?

Check this out: If you are interested in seeing true anatomy and are not squeamish - check this site for a very detailed answer to your question - http://www. Anatomyguy. Com/laparoscopic-cholecystectomy/
enjoy. ...Read more

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What are the common instruments used during a laparoscopic cholecystectomy?

What are the common instruments used during a laparoscopic cholecystectomy?

Unrelated topic: This is not the site for your type of technical questions as each institution differs with others. Some assemble the entire open surgery, numerous instruments on the table in case open surgery needed, other just handful of lap choley. Instruments if needed will get open surgery instruments. ...Read more

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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

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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

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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

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

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

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What is a laparoscopic cholecystectomy?

Gallbladder removal: Cholecystectomy means removal of the gallbladder. It can be done either open (the way we've done it for over a hundred years with a long incision under the rib cage), or laparoscopically (through small incisions using different instruments to get the job done). We generally do it laparoscopically if possible, and reserve the open approach for when we it's not safe to do via the scope. ...Read more

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How much is laparoscopic cholecystectomy?

Medical pricing: Price is variable, depends on your insurance coverage. Check with your company, or policy. Deductables, co-pays, 80/20 coverage will impact the price you are responsible for. If you don't have insurance, ask for the price your facility receives from their most frequent insurance payor. This is a contracted price and your cash payment/price should be similar or lower. ...Read more

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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

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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

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

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

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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

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What kind of doctor performs a laparoscopic cholecystectomy?

General surgeon: General surgeons do this work, or open cholecystectomy when needed. ...Read more

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How long after laparoscopic cholecystectomy should I wait to have oral surgery with anesthesia?

See below: This is a discussion best saved for your cholecystectomy surgeon. The anesthetic risk will be minimal even if you have the two procedure close together. The concern will be with your surgical site from the abdominal surgery. ...Read more

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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

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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

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Laparoscopic cholecystectomy done two days ago. Slowly make it around the house but mostly rest/sleep still. How long and when do I wear ted hose?

Laparoscopic cholecystectomy done two days ago. Slowly make it around the house but mostly rest/sleep still. How long and when do I wear ted hose?

Don't wear...: Unless you are moving ted hose increase your risks of clots. Remove them when you are at rest. Feeling tired is common for 7-10 days. You gradually regain stamina after that. ...Read more

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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

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What happens in laparoscopic cholecystectomy?

See below: It is a surgical procedure done under general anesthesia, while one is asleep. One to four small incisions are used for the surgical instruments. Carbon dioxide gas is used and a camera inserted to see. The gallbladder is removed, then you wake up and go to the recovery room. ...Read more

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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

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What the heck is clipless laparoscopic cholecystectomy?

A gimmick: There are many ways to do a laparoscopic cholecystectomy. Instead of using metal clips to divide the duct going into the gallbladder, you can divide the cystic duct and then tie it with a suture or with an energy source. No real advantage over using clips (and the energy source may be more expensive and less reliable! ...Read more

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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

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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

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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

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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

Dr. David Earle
1,450 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more