Laparoscopy of the gallbladder
In the human body each organ must carry out a specific function, which turns on the General condition. The gallbladder is part of the digestive system, it is located under the liver and stores bile produced by it. Often, the violations of his work, doctors suggest a complete removal of the organ. This operation is called laparoscopy.
Laparoscopic gallbladder surgery
In the usual understanding of operations on the organs means the incision through which the doctor sees and manipulates tools. Laparoscopy of the gallbladder has a slightly different technology to perform the procedure. For manipulation use a special set of tools that allow you to avoid serious cuts. As a rule, a procedure know removal of the gallbladder, at least – getting rid of stones in this organ.
The main feature of laparoscopy is the method of access that is used for manipulation. It is performed using a laparoscope – a special device, the name of which they named the procedure. The main advantage that this option makes the operation on the gall bladder popular – no scars after incisions of the abdominal region.
Removing stones from gallbladder
You can find description of several ways of how to remove stones from the gallbladder. Laparoscopy is listed among them, but in reality is extremely rare, this is due to the disease. In practice, there are two situations:
- In cases where the stones a lot, and now is a strong pathological change, which will not allow the body to function correctly, it is easier to remove. Otherwise it will constantly provoke other diseases, to become inflamed.
- If the stones are small, they are small, doctors suggest to avoid surgery and get rid of the disease medicated way, using litholytic therapy, for example, Ursofalk or Ursosan. Often helps ultrasonic crushing of stones so they can go through the intestine along with feces.
Surgery to remove the gallbladder is called laparoscopic cholecystectomy. Its implementation is used for trocars, manipulators, laparoscope. The latter is an instrument with a light and camera that is inserted through a puncture in the abdominal wall. The surgeon will carry out the whole procedure, focusing on obtained from this tool image. This helps to avoid having to do a large incision abdomen to monitor the progress of the operation. The puncture usually has a length of 2 cm, which leaves a barely visible scar.
To perform all the manipulation of the bodies used trocars. This is a special hollow tube through which instruments fall into the abdominal cavity. Next, the technician using the device in the trocar, surgical instruments, moves and performs actions:
- overlay clips;
- incision of adhesions;
- cauterization of blood vessels.
Before surgery the patient must know all the features of the procedure. Should be attributed to the advantages of laparoscopy of the gallbladder the following advantages:
- no scars, little tissue damage, there is only 4 of the scar at the puncture site;
- relatively little postoperative pain;
- a few hours after gallbladder removal people can walk;
- quick recovery, rehabilitation after laparoscopy, in a hospital a person spends 2-4 days;
- low risk of postoperative hernia.
The postoperative period after laparoscopy gall
After the laparoscopy of the gallbladder, the doctor removes the patient from anaesthesia, ceasing to supply gas. On the same day, observe bed rest for the first 6-7 hours. During this time people may begin to sit up in bed, roll over, walk and perform simple actions. At the same time allowed to start drinking non-carbonated mineral water.
Regarding diet, you should consider that you are allowed to eat after gallbladder removal in the early days:
- after 2 days accept light, soft food;
- it should be consumed in small portions 6-7 times a day;
- on the 2nd day, you must drink abundantly;
- on the 3rd day you can add in regular food menu, you need to avoid foods that cause flatulence or the bile;
- after 4 days you can go on a special diet, which will be described below.
Pain in places punctures in the first few days after a laparoscopy can occur because of tissue injury, unpleasant sensations pass within 4 days. If not and the pain increases, immediately contact your doctor: these symptoms indicate the development of complications after gallbladder removal. Watch has not developed a fever, nausea, vomiting, bitter belching are the signs of effects after laparoscopy. The patient should take into account contraindications, which must be followed the first 10 days after the procedure:
- to avoid any physical stress;
- need to wear soft underwear so as not to cause irritation on the places of punctures;
- not comb the stitches will be removed after 10 days.
Diet after cholecystectomy
Laparoscopy of the gallbladder affect digestive system, so after the conference, you must adhere to a special diet. It consists of a list of products that you can not use. On their basis a range of dishes in its sole discretion. Diet gallbladder removal and laparoscopy has the following rules:
|Fish: perch, Zander, pike. Must be boiled, steamed or baked.||A spicy condiment (ketchup chili, mustard, ginger, horseradish).|
|Lean meat (chicken, Turkey, rabbit).||Fatty foods (dairy products above 1%, fatty fish, meat).|
|Semi-liquid cereal porridge.||Smoked.|
|Vegetable soups can fill pasta, vegetables.||Raw vegetables.|
|Sour berries, fruits.||Butter cakes, rye bread.|
|Honey, jam, jam.||Black coffee, cocoa.|
|Yesterday’s white bread.||Alcohol.|
|Dairy products with low fat content.||Chocolate.|
|Stew, steam vegetables.||Mushrooms, canned (any).|
Treatment after gallbladder removal
Laparoscopy does not entail a long rehabilitation or serious consequences. Doctors say full recovery (mental and physical) after six months. This does not mean that the patient all this time will feel bad, will not be able to work to live a full life. Full rehabilitation involves the physical, psychological recovery and more accumulation of reserves, which will help to bring new stress, test without apparent harm to health.
Treatment after laparoscopy requires to perform the simple guidelines that will expedite recovery after surgery:
- The first month you should abstain from sexual relations.
- To observe proper diet, to avoid constipation.
- To start training or other physical activity not earlier than in a month.
- First 2 months not to lift weights more than 3 kg.
In other aspects after gallbladder removal no need for any specific events. For faster recovery of the tissues through 1 month of physical therapy, if your doctor will recommend. Immediately after laparoscopy, you can drink vitamins: Centrum, Vitrum, supradin, etc.
The cost of laparoscopic surgery
The price of a laparoscopic removal of the gallbladder can vary from 9 to 90 thousand rubles. This variation in cost is due to the different regions of the country (Russia). Most operation will cost in the Central tertiary institutions, for example, in hospitals and clinics. Often the physicians of the district hospitals have a high level of carrying out of a laparoscopy, while offering the cost of removing the gallbladder are much lower.
Video: life without gallbladder
Cyril, 26 years: Surgery to remove the gallbladder is performed very often, preparing for laparoscopy requires no additional manipulation, so went at it with a light heart. It’s been 2 years since I lost body feel great. First, stick to the diet, but after 3 months started to eat everything I wanted (except too much fatty foods).
Kseniya, 32 years: I Spent a laparoscopy 10 years ago, until recently everything was fine. Now there is discomfort, are constantly coming up with heartburn. The doctors say that is common after laparoscopy and to do it with anything. You can only take medicines that create an enveloping film in the stomach to protect itself from the bile.
Andrew, 38 years: the Doctors said at the hospital that it is necessary to carry out the operation (laparoscopy) and to remove the gallbladder. I did not want to lose authority, they were not just present, but pain because of the stones was very strong, so I agreed. The surgery went smoothly, I got a few scars after her. Diet after laparoscopy – an unpleasant thing, but it’s much better than constant pain because of the stones.