What is it?
It is an operation whereby the gall bladder is removed with the use of a laparoscope.
Four small incisions are made in the abdominal region.
What is gall bladder inflammation?
Obstruction of the gall (bile) duct occurs as a result of, for example, gallstones
which are not functioning normally. This condition can be either acute or chronic.
- The condition is more prevalent among overweight women, over 40 years of age.
- A type of colic pain is experienced in the upper abdomen, and it may spread
to the right shoulder and back.
- Nausea and heartburn.
- Vomiting may occur if there are gallstones in both ducts.
- Acute pain is normally experienced in the early hours of the morning after
a late evening meal and when fatty foods are eaten.
- An uncomfortable feeling in the abdomen, flatulence and fever may also occur.
- For an acute attack of cholesistitis bed rest is recommended.
- An analgesic for pain will be prescribed.
- As soon as the condition is less acute a cholesistectomy is done (gall-bladder
- The doctor will arrange for blood to be drawn and analysed for liver functions
and viruses (e.g. hepatitis). Some patients may be sent for x-rays or an upper-abdomen
- The doctor will discuss with each patient whether he will remove the gall-bladder
with a laparotomy or laparoscopy.
- The patient is booked into theatre for a laparoscopic cholesistectomy.
- The patient may not eat or drink anything for six hours before the operation.
- The patient is put under general anaesthesia.
- Small incisions are made in the abdominal wall and four trocars are inserted.
A trocar is a canal through which the operation is performed.
- By using a 30° lens, a light cable and camera, the procedure may be monitored
on a TV screen.
- The gall-bladder, which is situated on the liver, is removed.
- Sometimes a drainage tube is inserted.
- The gall-bladder is sent for analysis.
- In most cases the patient may have small sips of water on the second
day, clear fluids on the third day and from the fourth day a soft to
normal diet may be resumed.
- The patient will be discharged from hospital within three to four
- Most patients are able to bath with the wound dressing.
- A follow-up consultation at the doctor’s rooms for the removal of
the sutures, as well as for receiving the laboratory report regarding
the gall-bladder that was removed, is arranged.