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Doctor insights on: Open Cholecystectomy Instruments

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What are the steps and instruments for open cholecystectomy?

What are the steps and instruments for open cholecystectomy?

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. ...Read more

Dr. Andrew Berry
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 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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When do doctors do open cholecystectomies over laparoscopic procedures?

When do doctors do open cholecystectomies over laparoscopic procedures?

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. ...Read more

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

Anatomy: If you can't get there (safely) from here (the belly button), due to excessive scar tissue, odd anatomy, or other factors, then open cholecystectomy is chosen. Sometimes there are factors that can not be determined until the procedure has started, and the surgeon looks inside. Roughly about 10% or less of laparoscopic procedures get converted to open ones. ...Read more

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

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

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. ...Read more

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

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

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. ...Read more

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

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

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. ...Read more

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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?

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?

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. ...Read more

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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

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

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. ...Read more

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

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

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. ...Read more

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Is it negligence if a surgeon cuts the iliac artery during laparoscopic cholecystectomy? Surgeon ended up doing an open cholecystectomy. Patient is now having issues.

Accidental: Known complication of laparoscopic surgery.
There are several kinds of issues, and she should follow with a vascular surgeon if the findings are vascular.
The general, surgeon has knowledge and interest in her full recovery. ...Read more

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Hx: Lap cholecystectomy post op day 4, previous constipation cleared with enema X 2, anal fissures now present.? Nausea when need to open bowels

Hx: Lap cholecystectomy post op day 4, previous constipation cleared with enema X 2, anal fissures now present.? Nausea when need to open bowels

Fissures: For anal fissures warm water applications and applications of ointments like anusol or nupercain are soothing. Insertion of glycerin rectal suppositories allow easier passage of stools. If you have no urge to have a bowel movement, take senokot daily which has a stool softener and gentle bowel stimulant. If you have an urge for a bm and can't pass it, insert a fleet enema (sodium bisphosphate). A proctologist can help ...Read more

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What is a cholecystectomy?

What is a cholecystectomy?

Cholecystectomy. ..: Is the name of the operation to remove the gallbladder. It can be done as an open operation with a large upper abdominal incision. More commonly these days, it is performed as a minimally-invasive laparoscopic procedure. ...Read more

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Please explain cholecystectomy post op diet?

Please explain cholecystectomy post op diet?

Gradual: Start with small amounts of bland, low fat foods and gradually progress to a normal diet over 3-5 days.. Please see your primary provider to investigate if not improved. ...Read more

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Hi doctors, can you tell me what is meant by "cholecystectomy changed is noted"?

Hi doctors, can you tell me what is meant by "cholecystectomy changed is noted"?

Cholecystectomy =: Surgical removal of the gallbladder. If you are referring to a quote in a radiology report, the interpreting radiologist sees that the gallbladder is absent, and surgical clips are present in the area where one would expect the cystic duct and cystic artery to be ligated. ...Read more

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I've got a tingling sensation / blunt pain after cholecystectomy. What do you suggest?

Depends: Depends on location (ie near incision or at previous gallbladder site) and how far away are you from surgery. Best thing is to call your surgeon. ...Read more

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What are the precautions that must be taken by the pt of cholecystectomy esp regarding DIET?

What are the precautions that must be taken by the pt of cholecystectomy esp regarding DIET?

No restrictions: There should be no restrictions regarding diet after gallbladder removal. As always however, if something bothers you, alter your diet accordingly. Hope this helps! ...Read more

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How long do I need to wait after cholecystectomy to start doing different types of yoga asana again?

Depends: Your surgeon is the best person to ask as he or she know what was done and how soon he will permit you to do anything that might jeopardize his closure. ...Read more

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What is cholecystectomy?

What is cholecystectomy?

Gallbladder removal: Cholecystectomy = surgical removal of the gallbladder. If you have additional questions or concern about this, please post your questions here on healthtap. I am sure your questions will be addressed accordingly. Good luck. ...Read more

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Where is a cholecystectomy done?

Operating Room: Laparoscopic cholecystectomy requires general anesthesia in an operating room setting. This is often performed as an out-patient procedure; therefore, it may be done at a hospital or an ambulatory surgical center. ...Read more

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