Single Incision (Scarless) Gallbladder Surgery
An estimated one million people are newly diagnosed with gallstones each year. Out of these patients diagnosed approximately 500,000 will undergo gallbladder removal surgeries (cholecystectomies). Gallbladder disease is caused by gallstones, or a poorly functioning gallbladder (biliary dyskinesia). If a person has gallstones, the stone can block the outflow of the gallbladder and cause it to become greatly inflamed and possibly rupture. In a poorly functioning gallbladder, it fails to contract well and many times a patient will have vague right upper quadrant pain and excessive belching especially after meals. Many times patients live with this condition for many years because their abdominal ultrasound fails to show any gallstones. It is not till your doctor orders a study called a HIDA scan that your poorly functioning gallbladder can be diagnosed. Gallstones or a poorly functioning gallbladder can cause right upper quadrant pain, nausea and vomiting and fever. These symptoms usually begin right after meals and sometimes resolve several hours later. If you exhibit these symptoms you should see your doctor immediately so he can order the appropriate tests. The earlier you diagnose gallbladder disease the greater chance you have to get your gallbladder removed laparoscopically.
Single incision (scarless) surgery is the latest technique in gallbladder removal. Single incision surgery is considered scarless because the incision is hidden in the navel and is rarely visible. The gallbladder dissection for removal is the same as the traditional way, but the ports are all placed through the navel. I have found that patients have the same pain as the traditional manner, but return to work the same time if not sooner. The best part is that friends or family members can rarely see the incision hidden in your navel. I performed the first single incision gallbladder removal surgery (cholecystectomy) at Gulf Coast Medical Center and Cape Coral Hospital in 2009 and have performed hundreds since that time. The response has been incredible from patients and their family members because the incision is not visible and their pain was minimal.
One of the greatest misconceptions of gallbladder surgery is that a patients diet will be limited after the surgery. This is not the case. A patient can slowly resume their normal diet within one to two days after surgery. You will not be able to lift heavy weight (greater than 40 lbs) till 3-4 weeks after surgery. If you have a desk job, many patients return in 7-10 days. A patient may have diarrhea after gallbladder surgery and this due to excessive bile acids in the digestive tract. Your body usually adjusts to the bile salts, but if you continue to have diarrhea several weeks after surgery Welchol or Questran has been proven effective. Please speak to your doctor before taking these medications.
Gallbladder surgery has evolved from a large foot long incision below your right rib cage to four small laparoscopic incisions to one incision hidden in your navel. It is incredible how quickly minimally invasive surgery has evolved. If you have gallbladder disease donít hesitate and please call today to schedule your appointment. Please see my webpage for photos of single incision laparoscopic (SILS) cholecystectomy (gallbladder removal).
- Contact Information
- Dr Robert Tomas
- Ft Myers, Florida
- U First Health
- Contact via E-mail
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