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| Name | Standard Laparoscopic Cholecystectomy - with Voice Over - Dr. Harman Barnala Surgery |
| Video Uploader | Video From Dr. Harmandeep Singh Jabbal |
| Upload Date | This Video Uploaded At 02-09-2020 10:36:10 |
| Video Discription | A Video demonstration of a standard 4-Port Laparoscopic Cholecystectomy with Voice-over. *Cholelithiasis or Gallstone Disease* What are gallstones? Your gallbladder is a small organ below the liver in the upper right abdomen. It’s a pouch that stores bile, a green-yellow liquid that helps with digestion. Most gallstones form when there’s too much cholesterol in the bile. Causes According to Harvard Health Publications, 80 percent of gallstones are made of cholesterol. The other 20 percent of gallstones are made of calcium salts and bilirubin. Symptoms Gallstones can lead to pain in the upper right abdomen. You may start to have gallbladder pain from time to time when you eat foods that are high in fat, such as fried foods. The pain doesn’t usually last more than a few hours. You may also experience: nausea vomiting dark urine clay-colored stools stomach pain burping diarrhea indigestion These symptoms are also known as biliary colic. Asymptomatic gallstones Gallstones themselves don’t cause pain. Rather, pain occurs when the gallstones block the movement of bile from the gallbladder. According to the American College of Gastroenterology, 80 percent of people have “silent gallstones.” This means they don’t experience pain or have symptoms. In these cases, your doctor may discover the gallstones from USG or during abdomen surgery. Complications and long-term risk Acute cholecystitis When a gallstone blocks the duct where bile moves from the gallbladder, it can cause inflammation and infection in the gallbladder. This is known as acute cholecystitis. It is a medical emergency. The risk of developing acute cholecystitis from symptomatic gallstones is 1 to 3 percent. Symptoms associated with acute cholecystitis include: intense pain in the upper stomach or mid-right back fever chills appetite loss nausea and vomiting See a doctor immediately if these symptoms last more than 1 to 2 hours or if you have a fever. Other complications Untreated gallstones may cause complications such as: jaundice, a yellowish tint to your skin or eyes cholecystitis, a gallbladder infection cholangitis, a bile duct infection sepsis, a blood infection How they’re diagnosed Your doctor will perform a physical examination that includes checking your eyes and skin for visible changes in color. A yellowish tint may be a sign of jaundice, the result of too much bilirubin in your body. The exam may involve using diagnostic tests that help your doctor see inside your body. These tests include: Ultrasound: An ultrasound produces images of your abdomen. It’s the preferred imaging method to confirm that you have gallstone disease. It can also show abnormalities associated with acute cholecystitis. Abdominal CT scan: This imaging test takes pictures of your liver and abdominal region. Blood tests: Your doctor may order blood tests that measure the amount of bilirubin in your blood. The tests also help determine how well your liver is functioning. Endoscopic retrograde cholangiopancreatography (ERCP): ERCP is a procedure that uses a camera and X-rays to look at problems in the bile and pancreatic ducts. It helps your doctor look for gallstones stuck in your bile duct. *Treatment* Surgery - Laparoscopic Cholecystectomy Your doctor may need to perform a laparoscopic gallbladder removal. This is a common surgery that requires general anesthesia. The surgeon will usually make 3 or 4 incisions in your abdomen. They’ll then insert a small, lighted device into one of the incisions and carefully remove your gallbladder. You usually go home on the day of the procedure or the day after if you have no complications. Nonsurgical treatments Medication is not commonly used anymore because laparoscopic and robotic techniques make surgery much less risky than it used to be. Foods to avoid To help improve your condition and reduce your risk of gallstones, try these tips: Reduce your intake of fats and choose low-fat foods whenever possible. Avoid high-fat, greasy, and fried foods. Add fiber to your diet to make your bowel movements more solid. Try to add only a serving of fiber at a time to prevent gas that can occur from eating excess fiber. Avoid foods and drinks known to cause diarrhea, including caffeinated drinks, high-fat dairy products, and very sweet foods. Eat several small meals per day. Smaller meals are easier for the body to digest. Drink a sufficient amount of water. This is about 6 to 8 glasses per day. If you plan to lose weight, do it slowly. Aim to lose no more than two pounds per week. Rapid weight loss may increase your risk of gallstones and other health problems. Source - healthline.com https://www.healthline.com/health/gallstones#causes |
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