Center of Excellence for Hernia Surgery

Institute of Minimally Access, Metabolic & Bariatric Surgery, Max Healthcare, New Delhi, India has been accredited as Centre of excellence for Hernia Surgery

APHS Centre of Excellence

Institute of Minimally Access, Metabolic & Bariatric Surgery Max Healthcare, New Delhi, India is hereby accredited as a APHS Centre of Excellence

Limca Book of Records

Dr. Chowbey in association with his team in the department performed more than 50,500 major Minimal access surgeries (also known as Laparoscopic surgery / key-hole surgery) between 1992-2010. He was one of the surgeons to recognise and acknowledge the increasing prevalence of diabetes and obesity in India. As part of a worldwide clinical trial Dr Chowbey is embarking on a unique comparative interventional study to evaluate the role of Laparoscopic Roux-en-Y Gastric bypass

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What is a Gall Bladder?

Gallbladder is a pear shaped organ present close to the liver. Its function is to store and concentrate bile juice which is produced in the liver. It does not produce bile as many people think.

What are Gallstones?

Gallstones are stones which form within the gallbladder. They may vary in number and size. For management of these stones, size/shape and number is not relevant.

What causes Gallstones?

The exact cause for their formation is not known, however, risk factors include

  • Gender: Women between 20 and 60 years of age are twice as likely to develop gallstones as men
  • Age: Practically all age groups but more common in the 30's & 40's
  • Obesity
  • Excess estrogen (women on oral contraceptive pills etc.)
  • Cholesterol-lowering drugs
  • Diabetes
  • Rapid weight loss
  • Prolonged fasting
  • Hereditary blood disorders
  • Unknown geological factors such as gallstones are much more common in northern and eastern part of India

What complications can these stones cause?

  • Recurrent severe abdominal pain or vomiting
  • Pus formation in the gallbladder (Empyema)
  • Cholangitis (life threatening infection of biliary system)
  • Gangrene and perforation of the gallbladder
  • Acute pancreatitis (swelling of pancreas) which can have a catastrophic sequel of multi-organ failure and other serious complications
  • Jaundice due to blockage of the common bile duct due to stones
  • Also associated with Cancer of gallbladder in the long term
 

Advantages of Laparoscopic Technique Over Conventional

  • Lesser post operative pain
  • Early recovery
  • Excellent cosmetic results
  • Chance to rule out any other pathology present in the same surgical sitting

Post operative instructions and information

Pls Note: This information is not a substitute to medical advice. Please consult your doctor before you start something new.

Wish you a speedy recovery!

  • After the operation you will be kept in the recovery room. This period may vary from few minutes to few hours. The anaesthetist decides about your shifting to room. The decision depends on many technical factors.
  • You will be sleepy immediately after the operation due to sedation given during anaesthesia and during the recovery period.
  • You may have some discomfort when coming out of the effect of sedation. It gradually reduces to a tolerable level within a few minutes without any pain killer. However, if necessary you may ask for pain killer injections/tablets. You should try to avoid these drugs because they produce drowsiness and you may sleep for a longer period which is not desirable.
  • You may feel nauseated in the immediate post-operative period, and you may even vomit which should not cause any worry. This generally gets over after few hours.
  • You are generally allowed to have sips of water immediately after the operation and liquids on day of operation. In case of vomiting the liquid intake may be stopped and restarted after 30 minutes. The liquids may include water / cold drinks / tea / coffee / milk / juices or some clear soups.
  • You are allowed to have normal home cooked meals of your choice from the next morning at breakfast.
  • You should have small frequent meals for few days after operation following which you can resume your normal diet gradually. This is vital because you may feel bloated and distended if the quantity of food is in large quantities at a time.
  • You should try to move the limbs and can sit up immediately after operation. You should also go to the toilet on your own. There are no restrictions whatsoever for the physical movement. In fact majority of the patients will feel much better after they have started the movement. The pain also dramatically reduces once you start sitting up, moving and walking.
  • There is no restriction on your physical activity. You are allowed to walk as soon as you recover from your sleep. There is no restriction on climbing of stairs, lifting weight etc. You may even drive two wheelers or car as soon as you feel fit. This infact is one of the major advantages of the laparoscopic procedure.
  • You will be discharged on the same day or next day of operation unless there is some associated medical/social problems. You are advised to visit again for follow up after 2-5 days when the dressings are removed. You should avoid wetting the dressings unless they are waterproof. After the removal of dressing, you can have normal bath with soap and water.
  • In very few cases there may be some bloody/whitish discharge from the wound in the post operative period. This should not bother you because it is generally harmless. You can wipe the discharge and apply band-aid so as to avoid staining the clothes. If it is more you should report to the surgeon during the next visit. Please feel free to ask any question that may come to your mind.
 
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