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Abdominal Surgery

Laparoscopic Cholecystectomy

Cholecystectomy is a surgical procedure to remove gallbladder. Gall bladder is a small pear shaped organ located just below the stomach. It stores bile, a digestive fluid that helps to break down fatty foods. Gallstones are the most commonly occurring disorder of the gallbladder.

Some of the common symptoms of gallstones are pain, fever, jaundice, vomiting and nausea. If the symptoms worsen your condition, then your doctor will suggest for a laparoscopic cholecystectomy. Cholecystectomy procedure is also recommended to remove gallstones in the gallbladder and bile duct. The procedure also treats inflammation of the pancreas and gallbladder. It is the only procedure to prevent the gallstones.

During laparoscopic cholecystectomy, the surgeon makes several small incisions in your abdomen. Through one of the incisions a laparoscope, a small fiber-optic tube with a tiny camera, is inserted into the abdomen. Special surgical instruments are inserted through the other incisions to remove the gallbladder. Through this approach, your surgeon will be able to view the surgery on a large screen.

During this procedure, cholangiography (X-ray of the bile duct) is taken to look bile duct for any abnormalities. And if your surgeon finds stones in the bile duct, they can also be removed.

Some of the possible complications after cholecystectomy include bleeding, blood clots, wound infection, bile leakage into the abdomen, and injury to the bile duct, intestine, and blood vessels. However, these complications are mild and can be treated.

Advantages of laparoscopic surgery over open surgery

Laparoscopic surgery requires minimal recovery time, shorter hospital stay, and less pain and discomfort after surgery.

Open surgery requires longer hospital stay and recovery time and requires longer time to operate, and causes a large scar.

Laparoscopic Appendectomy

Appendectomy is the surgical removal of appendix, a small finger-shaped organ attached to the cecum (first part of the colon). Appendectomy is indicated in appendicitis, the inflammation of appendix and can be done two ways.

The older method, laparotomy, removes the appendix through a single incision in the lower right area of the abdomen. The newer method, laparoscopic surgery, uses several smaller incisions and special surgical tools fed through the incisions to remove the appendix.

The surgeon makes an incision over the abdomen and inserts a harmless gas into the abdominal cavity to expand the viewing area of the abdomen. Surgeon inserts trocar into an incision through which the laparoscope is introduced into the abdomen. Additional small incisions may be used for inserting surgical instruments to be used during the procedure. With the images from the laparoscope as a guide, the surgeon can look at the appendix and determine the extent of the problem and removes the appendix. Once the appendix is removed the area is washed with sterile fluid to minimize the risk of infection. The tiny incisions are closed and covered with small bandages. Laparoscopic surgery leads to fewer complications, such as hospital-related infections, and has a shorter recovery time.

Surgery occasionally reveals a normal appendix. In such cases, many surgeons will remove the healthy appendix to eliminate the future possibility of appendicitis. Occasionally, surgery reveals a different problem, which may also be corrected during surgery. Sometimes an abscess forms around a burst appendix called an appendiceal abscess. An abscess is a pus-filled mass that results from the body’s attempt to keep an infection from spreading. An abscess may be addressed during surgery or, more commonly, drained before surgery. To drain an abscess, a tube is placed in the abscess through the abdominal wall. CT is used to help find the abscess. The drainage tube is left in place for about 2 weeks while antibiotics are given to treat infection. Six to eight weeks later, when infection and inflammation are under control, surgery is performed to remove what remains of the burst appendix.

Laparoscopic Adrenalectomy

Adrenal glands are two triangle-shaped glands located above the kidneys, which secrete hormones that control your metabolism, blood pressure, chemical levels in blood and usage of glucose. Laparoscopic adrenalectomy is a minimally invasive procedure used to remove an adrenal gland affected with a tumor.

Laparoscopic adrenalectomy is performed under general anesthesia. Your surgeon makes 3 to 4 small incisions (1/4 to ½ inches) in your abdomen. A laparoscope (small tube with camera attached at one end) is inserted into one of the incisions to help your surgeon view your internal organs and perform the surgery. Surgical instruments are inserted into the other incisions to separate the adrenal gland from its connections and dissect it away from the kidney. The gland is placed in a bag and removed through one of the incisions. All the incisions are then closed. Laparoscopic adrenalectomy requires a very short hospital stay and causes less pain compared to the traditional open procedure. Like all surgeries, laparoscopic adrenalectomy may be associated with a few complications such as bleeding, injury to the surrounding organs, high blood pressure, blood clots and infection.

Nondiscrimination Statement:

Cahaba Valley Surgical Group, P.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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