Open surgery requires a long cut through skin and muscles to expose the area to be operated. Laparoscopic or key hole surgery is less invasive.
Laparoscope is inserted into the patient’s body through a small cut in the skin at the belly button. Specially designed surgical instruments are placed through other small incisions.
Surgeon performs the operation watching the magnified images on the monitor via video camera.
New buzz in laparoscopic surgery is single Port Access surgery- an advanced Minimally Invasive Surgical procedure in which the surgeon operates laparoscopically almost exclusively through a single small cut at Navel rather than multiple cuts. No stitching is required to close the opening.
Shorter hospital stay
Early return to work
Internal organ injury
Blood vessel injury
Vein or lung blood clotting
First of all give a complete list of all medicines you are taking as well as any allergies you have to drugs and other substances. Let your doctor know if you have heart, lung or other medical conditions that may need specific attention before during or after surgery. One very important step in preparing for surgery is that you should not eat or drink within 6-8 hrs of surgery.
The procedure will done on an inpatient basis. You can be admitted on day of surgery in the morning or one day in advance before surgery. Get a family member to accompany you for the surgery. You will be seen by an anaesthetist.
During the surgery everything will be done to ensure your comfort. The procedure will be performed under general anesthesia. It will make you relax and sleepy thus preventing you from remembering much of the experience. Your blood pressure, pulse, oxygen level in the blood will be carefully monitored. Details of laparoscopic Cholecystectomy have already been explained to you. Operation is typically over in about 45 minutes to an hour, depending upon the operative findings. Post operation bandages will be put at the site of surgery which being very small.
Once the operation will over, you will be shifted in the recovery room. In the recovery you will remain drowsy and sedative. Your blood pressure, pulse and oxygen saturation will be monitored. In the recovery room sister will keep strict watch on you. Once you are totally alert, you will again be reviewed by anesthetist and then you will be shifted to your respective room. Post-operatively surgeon will visit you in the room and will give necessary instructions for your oral intake and other activities.
Post Cholecystectomy you will be kept fasting for a minimum period of 6 hours. The period of fasting may be increased depending upon how severely inflamed the gall bladder was. The operating surgeon would see you within 6 hours and advise regarding oral intake. During the period of fasting you will receive IV antibiotics, pain killers and IV fluids. Once oral intake is resumed, depending upon your bowel movements as judged by your surgeon, you will be on full normal diet and ready for discharge. You will be discharged within 36-48 hrs depending on the infection of the Gall bladder