Doctor insights on:
Open Cholecystectomy Instruments
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor 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. ...Read more
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
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?
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
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
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
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