I just got my gallbladder removed after almost 5 years of pain! Woo!
Today I got my surgery notes back and was looking at the state of my gallbladder. I was wondering if someone could explain to me what this one line means?
"The serosa is green, glistening and cauterized along the hepatic attachment. There is a full-thickness defect measuring 0.8 cm in greatest dimension in the serosa along with two separately received, green-black, angulated stones measuring 1.2 and 1.3 cm in greatest dimension."
Can anyone tell me what a full thickness defect means? Thanks in advance
Laparoscopic Extended Cholecystectomy for Early Gall Bladder Cancer
Maharjan DK, Thapa PB. Laparoscopic Extended Cholecystectomy for Early Gall Bladder Cancer. J Nepal Health Res Counc. 2021 Jan 21;18(4):724-728. doi: 10.33314/jnhrc.v18i4.2642. PMID: 33510518.
So I’m possibly having my gallbladder removed, will it be possible to return to work in a week. I’m sitting down in front of a computer the whole shift.
Hi folks , I need to get my mother's gall bladder removal surgery ( laparoscopic cholecystectomy) done very soon since she has had it pretty bad. I am not well informed on Bangalore's medical scene. Can you guys help me with your suggestions. I have an insurance cover so money shouldn't be a concern. Also are these big names such as Manipal , Apollo , Fortis worth it ? The Google reviews of all these hospitals seem rigged. I just want the good care and treatment so don't want to get into something and regret later. I stay in HSR but don't want to be limited by distance for a good hospital.
Amy suggestions would help since I am almost noob.
I experienced a miserable pain in my shoulders, but was able to drink plenty of fluids, as well as eat quite a bit. I kept the foods fat free and even found some ice cream that was lactose free. I was able to be on my feet quite a bit and exercise, but I eventually started hurting again. I also begin to notice that when I breathe in the pain from the incision site increases and I can also feel a popping or crackling near my sternum and underneath my right rib where my gallbladder used to be located. I am not sure what causes it though, or if it’s normal.
If you are feeling like Laparoscopic Cholecystectomy may not be the best option or you or you feel like the testing does not point to or indicate that your gallbladder is the issue, here is some reassurance.
For over a year I suffered from severe adverse reactions to Chinese or Mexican cuisine. These were my two most favorite foods, not to mention Buffalo Wild Wings. I would set down for a nice meal and eat to only anxiously ponder on the aftermath. After finishing my meal I would need to be near a bathroom within 10-15min. I would put pure water through me, as well as develop nausea, right-upper quadrant pain, pain in the the center of my chest, and pain between my shoulder blades on my back. It would soon become any and everything that I ate. I eventually could only handle one meal a day if anything at all. Eventually one of these episodes got the best of me and I found myself at the emergency room. The ER doctor conducted a Ultrasonic Cholescintigraphy to which the ultrasound revealed sludge in the lumen of my gallbladder. They decided that I would now be cared for best in the hands of specialty gastroenterology.
Fast forward a few months and I met with a gastroenterologist. They decided to experiment with medications as well as conducting upper and lower endoscopies. The endoscopies presented remarkable results, with a small presence of bile reflux. I then was given medications to try such as protonix, loperamide, hyoscyamine, bentyl, and even a medication to target the gallbladder itself know as cholestyramine. None were effective. I was then sent for another Ultrasonic Cholescintigraphy. The results of that ultrasound were completely normal and the gallbladder appeared remarkable. I was then sent for a Hepato-Billiary Immuno-Diacetic Acid (HIDA) Scan. During the scan I fell asleep from lying still so long and awoke upon the administration of Choletec (Kinevac) CCK gallbladder stimulant. I had a stabbing pain in my right-upper quadrant as well as the feeling as if a basketball was inflating in my right side, the I experienced extreme nausea. Despite the symptoms my results were once again remarkable. The gallbladder was well visualized and was filling and emptying normal. The results showed a normal ejection fraction (EF) of 98%. My gastroenterologist was well pleased with the results but gave me the option to be referred to general surgery.
About two months later I saw a surgeon at my states most reputable hospital. He suggested that 98% EF could
... keep reading on reddit ➡
Hey everyone! I'm getting my Gallbladder taken out this friday (thank heavens) but I'm really concerned about them potentially inserting a catheter. I wasn't sure if it was standard for them to use one since it's such a quick procedure.
Googling didn't help as there were almost no answers and the ones I could find were contradicting each other. (Ex. One article said that they almost never use one for this sort of procedure anymore bc of potential UTI complications and another said it is standard procedure to do it virtually everywhere.)
I have Painful Bladder syndrome and it makes me especially prone to UTI's. The last thing I want while recovering from surgery is to have an awful infection and have to drag myself to the clinic to get antibiotics.
(Yes, I plan to ask my nurse team when they call me, but they still haven't reached out yet and I'm stressed!)
For those of you that have had a Laparoscopic cholecystectomy, do you recall if you had to be cathed?
I am a 6.2 guy at the moment weight is around 75KG due to weigh loss (bladderstones) I was diagnosed this back in November but due to local complications and restrictions I am just getting the surgery this coming Saturday.
My main concern is that I smoke weed and have done it for the past 8 years maybe, the anesthesiologist already knows about this and I will highlight it once again before procedure.
I have not been under surgery lights for my last 25 years so honestly I am quite scared and anxious, also fighting the fact of smoking low to none becase doctors said it.
I know everyone is different and react to many things but have read things from nothing happening to waking up mid surgery and even coma, so I guess I am just trying to look for other experiences if possible that someone can share to ease mind a little bit... thanks at least for reading, writing this helped a bit ....
https://preview.redd.it/n2whu7xmbda71.png?width=966&format=png&auto=webp&s=3dd551d5a6337c35537b8ce44fc4db7de711b277
Today was a little rough. I still had some pain, but the rough part was having more frequent bowel movements. I didn’t have diarrhea, but rather a little constipation. The bowel movements were not painful, however the gas was. The bowel movements were just uncomfortable. I feel like I’m getting around pretty decent, and today managed to eat an entire foot-long sub from Subway with everything I could possibly get non-fattening. I tolerated the food very well. The rest of the day was pretty much a lazy day for me but I can definitely tell there is improvement. The sites of the incisions sting occasionally and itch but I avoid touching them. I experienced a little nausea but nothing to induce vomiting. I also realized that breathing does not hurt as bad now. The incision sites are beginning to turn yellow from bruising especially the one around the belly button. Other than a few minor upsets today was actually a fairly good day.
Today was a little rough. I was in more pain when I woke, and could still feel the pockets of air shifting, crackling, and popping. The conditions seem to worsen when I would take deep breath’s. I was able to get up and move around a lot today and then quite a bit of walking, but I also done quite a bit of sleeping. I noticed some numbness toward my back side, but I’m unsure of what’s causing it. For dinner I had salmon, broccoli, and cooked apples.I tolerated my food very well, despite the nausea patch on the back of my ear no longer being effective. I went and picked up some docusate sodium stool softener as well as some Gas-X, and finally produced a bowel movement. The Gas-X was a major help relieving some of the air still with in my abdominal cavity.
Hi, I would like to ask for your experiences with laparoscopic cholecystectomy as the title says. Surgeons in my hospital often say that the patient is not relaxed enough during removal of the gall bladder. I mean exactly when they try to pull the bladder through the umbilical cut. As far as I know there are no muscles that contract in a way that would make the gall bladder removal harder and I have a feeling that they simply made the cut too little. Also I don't feel comfortable with giving my patients rocuronium few minutes (around 10 usually) before end of operation. We have sugammadeks, but it's too expensive to use regularly. Would you give muscle relaxants in such situation? Thanks in advance for all answers and sorry for any mistakes English is my second language.
Instruments Needed:
Clamping: Lap. clip applier, penetrating towel clamp, curved hemostat, Kelly clamp
Cutting & Dissecting: Straight mayo scissors, L hook, #3 knife handle, laparoscopic scissors,
Grasping & Holding: Adsons w/ teeth, toothed forceps (rat tooth), laparoscopic wave grasper, laparoscopic DeBakey forceps, laparoscopic Maryland dissector,
Retractors: Army-navy, S retractor (hassan s retractor)
Suction: Suction/irrigator
Suturing: Mayo-Hegar needle driver
Misc: Laparoscopic aspirating needle
Surgery Steps: The scalpel will be used to make approximately 3-4 incisions to insert trocars. A Verres needle may be introduced into the umbilical incision to introduce CO2 into the abdomen. With this method, a Kelley and two towel clips should be available to insert the Verres needle. A syringe of saline may also be needed after inserting the Verres needle. S retractors or Army-Navys may be used to retract to insert trocars. Another method is to insert a trocar, and then attach the CO2 tubing, achieving pneumoperitoneum.
A locking grasper is then used to grasp the gallbladder and retract it. Fat or adhesions can be dissected with graspers, hook cautery, and Maryland. When properly dissected, the gallbladder hilum is visualized along with the cystic duct and artery. The clip applier will then be used on the cystic artery two times. This is when a cholangiogram may be performed.
The laparoscopic scissors will be used to incise the cystic duct. The cholangiogram catheter will be inserted into the duct’s incision, and the clip applier will be used again to hold it in place. Saline and radiopaque dye should be available and drawn up into syringes. X-ray will be used for visualization. The cholangiogram catheter will then be removed, and the clip applier will be used again on the duct.
The rest of the gallbladder will then be dissected from the liver, most likely using the hook cautery and wave graspers. The suction/irrigator should then be used to visualize any bleeding on the liver. An endopouch will then be inserted and the gallbladder will be removed from the port. If there are stones in the gallbladder preventing it from fitting through the port site, the gallbladder may be aspirated, and the stones may need to be removed. Before skin closure, the doctor may use the suction irrigator one last time.
The trocars will then be removed, and the port sites will be closed. A needle driver and an adson pic
... keep reading on reddit ➡20F here. Unusually enough, i got diagnosed with gallstones and H. Pylori at the same time, so it has been a pretty painful few weeks.
I’m having my gallbladder taken out tomorrow morning and my nerves are getting the best of me.
To those of you who had the same procedure done, how long before you were able to workout again? And any tips for post op?? :)
•26 •Female •5’3’’ •175lbs •White •Duration of complaint: End of December 2018 •Location: An inch to the left and right of spine, entire mid back. The worst pain is on left side top part of mid back
•Existing medical issues: -Frequent kidney stones - currently only one in left kidney measuring 1.24cm and left kidney cyst measuring 1.6cm -PCOS -Frequent UTI’s -Interstitial Cystitis
•Laparoscopic cholecystectomy - 3/13/2019
I had an xray done today (3/29/19) and it revealed that there are clips where the surgery was. 1. Were the clips supposed to come out? If they were, what is the process to get them out? 2. Are they easily detached? What happens if one does?
I suffered two severe and painful gallstone attacks before I decided to get surgery done, and both of these attacks followed very successful extended water fasts.
I do not regret any of it, since I still believe that water fasting is a net benefit, but be careful of the possible side effects and complications of doing this.
There were probably 200 or so small gallstones inside my gallbladder, so that little sucker needed to come out and now I am healing up just fine. I feel good and I have not had any bad effects so far.
Surgery was at 10:00am this morning (it’s midnightish now) The doctor looked me in my face and said “a little shoulder pain.”
It feels like they broke my fucking collarbone.
I cannot sit unless it is on the edge of a chair with my back bolt upright. If I try to sit all the way in a seat (which brings my knees up a bit) it feels like someone is driving a knife into my right shoulder at the collarbone.
If I attempt to lay down I get the added joyous sensation of whom’st’ver is doing the stabbing also twisting the knife with what I can only assume is racial hatred in their heart.
I’ve tried flat on my back with my knees on a pillow, on my left side with my legs straight, and on my left side with my right knee brought up a bit.
I’m not finding any new suggestions on Google that I haven’t tried. I’ve been pacing for over 8 hours. I just need to sleep.
Edit: I’m sorry the language. Minimally, but still.
Edit 2: 9:00 am the following day... still haven’t slept. Still can’t lay down or sit without intense stabbing pain. Called surgeon; waiting on him to have a nurse call us back.
I am a 6.2 guy at the moment weight is around 75KG due to weigh loss (bladderstones) I was diagnosed this back in November but due to local complications and restrictions I am just getting the surgery this coming Saturday.
My main concern is that I smoke weed and have done it for the past 8 years maybe, the anesthesiologist already knows about this and I will highlight it once again before procedure.
I have not been under surgery lights for my last 25 years so honestly I am quite scared and anxious, also fighting the fact of smoking low to none becase doctors said it.
I know everyone is different and react to many things but have read things from nothing happening to waking up mid surgery and even coma, so I guess I am just trying to look for other experiences if possible that someone can share to ease mind a little bit... thanks at least for reading, writing this helped a bit ....
