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cholecystectomy Surgery cost in india

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Cholecystectomy is the surgical removal of the gallbladder. The operation is done to remove the gallbladder due to gallstones causing pain or infection. Laparoscopic cholecystectomy—The gallbladder is removed with instruments placed into small incisions in the abdomen.

The gallbladder is a small hollow organ where bile is stored , which is created in the liver. Bile released into the small intestine that helps to breaks down fats into fatty acids, which is important for the digestion of food. Bile can also pass directly to the bowel from the Liver.

• ✓To store and concentrate bile
• ✓To respond to intestinal hormones (such as cholecystokinin) to empty and refill its bile stores
• ✓To contribute to regulating the composition of bile (the percentage of water, bile salts and more)
• ✓To control the flow of bile into the small intestine
• ✓To contract (secreting bile into the biliary tract and duodenum)
• ✓The contractions of the gallbladder are caused by several factors, including:
• ✓Fatty food content, combined with gastric distension (outpouching of the stomach due to a high volume of food content) The release of cholecystokinin (CCK) from the duodenum

Bile is a fluid that is made and released by the liver and stored in the gallbladder. Bile helps with digestion. It breaks down fats into fatty acids, which can be taken into the body by the digestive tract. Bile acids (also called bile salts)

Symptoms can include:

• ✓Sharp pain in your abdomen,
• ✓Nausea and vomiting,
• ✓Indigestion,
• ✓Fever, and
• ✓Yellow skin – Jaundice is the medical term for skin and eyes that look yellow. You might get jaundice if gallstones block your bile duct.

• ✓Acute cholecystitis: Inflammation of the gallbladder that commonly occurs due to gallstones
• ✓Choledocholithiasis: A condition, wherein the gallstone travels out of the gallbladder and blocks the common bile duct, preventing the flow of bile into the small bowel. In a majority of the cases, the stone in the duct is addressed first, prior to gallbladder removal
• ✓Gallstone pancreatitis: A condition, wherein the stone travels out of the gallbladder and blocks the pancreatic duct. The pancreatitis condition is addressed first, prior to gallbladder removal
• ✓Biliary dyskinesia: A condition in which the gallbladder ejection is decreased, thus decreasing its function. A poorly-functioning gallbladder can cause indigestion and hence, sometimes, the gallbladder has to be removed
• ✓Gallbladder polyp, more than 10 mm in size
• ✓Trauma to the gallbladder
• ✓Porcelain (calcified) gallbladder; a condition that causes the gallbladder to function poorly
• ✓Gallbladder cancer is cancer that begins in the gallbladder. Gallbladder cancer is uncommon. When gallbladder cancer is discovered at its earliest stages, the chance for a cure is very good

Gallbladder removal is considered a safe operation. Complications are rare. However, every surgical procedure carries some risks. Before the procedure, your doctor will perform a complete physical examination and medical history to minimize these risks.

• ✓allergic reaction to anesthesia or other drugs
• ✓excessive bleeding
• ✓blood clots
• ✓damage to blood vessels
• ✓heart problems, such as rapid heart rate, heart attack, or heart failure
• ✓infection
• ✓injury to the bile ducts or small intestine
• ✓pancreatitis.

You will have general anesthesia for your laparoscopic gallbladder removal. This means you are asleep during surgery. When surgery is finished, the surgeon closes your incisions with tiny stitches, staples, surgical tape or glue. These disappear as you heal, so the doctor does not need to remove them late

• ✓Fast (no eating or drinking) for at least four hours or more before surgery.
• ✓Plan for a hospital stay in case of complications.
• ✓Shower using a special, antibacterial soap.
• ✓Makes a small incision in the abdomen.
• ✓Inserts a tube with a camera at one end to find the gallbladder.
• ✓Makes other small incisions in the abdomen to insert surgical instruments.
• ✓Uses the images from the camera to guide the instruments and remove the gallbladde

• ✓Smaller incision – Several small incisions, each less than one (1) inch long, instead of a 5- to 7-inch incision for open surgery.
• ✓Less pain than after open surgery.
• ✓Quicker recovery than open surgery – You might go home the same day you have your surgery. You can also go back to regular activities more quickly.
• ✓Smaller scars than regular surgery.
• ✓shorter hospital stay
• ✓Patients usually have minimal pain and Minimal discomfort after cholecystectomy surgery
• ✓Early resumption of normal and routine activities

1. Patient require a night fasting before surgery.The intestine must be clear before the surgery.
2. Follow your surgeon instructions for any prescribed medications about your ongoing medicines and stop or continue certain medicines and supplements
3. Some preoperative investigations like blood tests, X-ray or ECG and ultrasound of the gallbladder are required before surgery.
Post Procedure

1. Post Surgery, Patient allowed to take soft diet and liquid for some days.
2. Patient advice to stay under Doctor Observation & Follow-up for few weeks

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