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Wednesday, May 16, 2018

Basic Principles Regarding Gallbladder Surgery Queens NY Patients May Find Beneficial

By Matthew Powell


The gall bladder is small organ in your body, just adjacent to the liver, whose function is to store a special juice referred to as bile produced by the liver. Bile is released whenever there is fat to be digested in the gut. The juices reach the intestines through channels that connect the liver, gall bladder, pancreas and bowel. In some instances, these ducts can get blocked resulting in a diseased sac that may require surgery. These are some of the basic principles of gallbladder surgery Queens NY patients may be interested in.

An individual is predisposed to gallstones if they are of the female gender, older than forty, overweight, or have had a similar experience in their lifetime. Gallstones can be pigmented or cholesterol in form with the majority being made up of cholesterol. They tend to get impacted in the gallbladder (being small sized organ) when the aforementioned risk factors are present.

The outstanding presenting complaint for suspected gallstones is abdominal pain, especially around the region of the upper quadrant on the right, where the inflamed bladder is situated. The colicky nature of the pain is attributed to peristaltic movement of gall stones between the organ itself and its related ducts. The patient tends to feel more discomfort if the stones are larger in size and if there are regular bouts of stone dislodgement into the duct system.

A patient with gallstones may also have a swollen abdomen, yellow discouration of the skin and regular bouts of vomiting. Clearly, such patients are very sick and should be closely observed. Dehydration can result in a reduction in body fluid volume and eventual compromise in blood supply to vital organs. It is therefore critical to replace any losses with the right amount of intravenous fluids. Their pain should be taken care of using the necessary pain medication.

While gallstones are manageable, they may result in recurrence and fatal complications if misdiagnosed or if detected late. Ongoing inflammation can cause organ perforation, resulting in spillage of bile into the surrounding abdominal cavity. This is usually an emergency as can result in permanent damage of key organs in the abdomen.

Since gallstones have a high tendency to recur, they are best treated by simply getting rid of your gallbladder through a surgical procedure called cholecystectomy, usually performed under general anaesthesia. In preparing the patient for surgery, the doctor will do specific laboratory tests to check whether your system can withstand the stress of an operation. The operating team will also need an abdominal ultrasound to have an idea of how severe the damage is before they go in.

Surgery can be done either laparoscopically or via open technique. Laparoscopic surgery results in fewer incisions and therefore has a better cosmetic outcome in the long run. On the other hand, the open technique takes much longer, is associated with more complications during the operation and leaves the patient with large hideous scars in the long run.

In conclusion, gall bladder surgery is indicated for eighty percent of patients with gallstones. This is because most patients present when they can no longer bear the pain or when medications have failed. Surgery is the preferred form of treatment since it eliminates chances of recurrence if done properly.




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