If you have debilitating disease such as continuous vomiting
, or an emergency type situation, like overwhelming infection, there are two options, depending on your specific situation and your surgeon's comfort level.
The first is percutaneous cholecystostomy, or a drainage catheter
placed, usually with radiologic guidance. This is a fairly simple procedure that requires only local anesthesia, but the patient is left with a drainage catheter.
The second is to go through with the gallbladder removal
, or cholecystectomy after a discussion of risks. In early pregnancy
, the most risks have to do with teratogenicity and miscarriage, in late pregnancy, the most omiinous risk is preterm labor
or damage to the fetus by surgical instruments.
The risk stratification changes with your personal situation and timing of your pregnancy and must be discussed with your surgeon and anesthesiologist at the time of proposed operation.