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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

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All Posts Tagged: Gall Bladder Surgery

Precautions after a laparoscopic gallbladder surgery

Precautions After a Laparoscopic Gallbladder Surgery

Laparoscopic gallbladder surgery (cholecystectomy) removes the gallbladder and gallstones through several small cuts (incisions) in the abdomen. The surgeon inflates patient’s abdomen with air or carbon dioxide in order to see clearly.

Sometimes patients are nauseated after waking from the anesthesia. This sensation usually passes. If it does not, medication can be given to relieve it.
Postoperative pain can usually be controlled with over-the-counter pain relievers. Some patients may need a stronger, prescription analgesic.

The incisions are covered by small adhesive bandages that can be removed in about 5 days and the stitches dissolve over time. The area must be kept dry until the wound begins to heal and sponge baths are recommended for the first day or two.

Recovery from the laparoscopic procedure is quicker than from the open procedure. As the anesthesia wears off, and once vital signs stabilize, the nurse offers the patient ice chips. If ice is tolerated, water and other clear liquids are offered. Once liquids are tolerated, patients can eat a light meal and the IV is removed.

How is it different from an open surgery?

Recovery from open surgery is not as rapid. Patients experience pain at the incision site and a narcotic pain reliever is usually required for the first day or two. The patient may not be able to eat until the morning after surgery. The intravenous is left in until food and fluids are taken and tolerated.
Patients are usually able to get out of bed by the next morning. It is important to get up and walk as soon as possible to help blood circulation return to normal and to avoid complications such as blood clots. The hospital stay generally lasts 3 to 7 days and it usually takes about 3 weeks to fully recover. This procedure leaves a large abdominal scar, which may fade over time…

Diet instructions you need to know after the surgery

When you consider about your diet after the gallbladder surgery. No need to follow a special diet after having the surgery, as the gallbladder isn’t essential for digestion. You can usually start eating normally a few hours after your operation, although you’ll probably prefer to eat small meals to start with.

You may have been advised to follow a low-fat diet for several weeks before surgery, but this doesn’t need to be continued afterward. Instead, you should aim to have a generally healthy, balanced diet (including some fats).


Even Though cholecystectomies are safe, but complications can develop. The main disadvantage of laparoscopic surgery has increased the risk of injury to the bile duct, which connects the gallbladder and the liver. This rarest complication can cause serious liver damage.
If you experience side effects from the surgery – including indigestion, bloating, flatulence or diarrhea – it may help to make some small adjustments to your diet such as

  • Avoid drinks containing caffeine – such as coffee and tea,
  • Avoid foods that make the problems worse – such as spicy or fatty foods,
  • Gradually increase your intake of fibre – good sources of fibre include fresh fruits and vegetables, wholegrain rice, whole-wheat pasta and bread, seeds, nuts, and oats.
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Why is it advised to remove gall bladder when patients suffer from gall bladder stones

Why is it Advised to Remove Gall Bladder When Patients suffer from stones?

Gallstones are formed when bile, which is normally fluid, solidifies and hardens into small deposits in the gall bladder. The gallbladder is a part of the digestive system and is responsible for storing and releasing bile, which the liver produces, into the small intestine. Bile is essential for digestion since it helps in breaking down fat contents in the food.

Understanding gall stones

Gallstones are quite common in both men and women. Although the number and size of the stones can vary person to person, gallstones typically range in the size from a few millimetres to several centimetres in diameter.

Doctors usually advise a wait-and-watch policy for gallbladder stones when there is no report of pain. However, when the patient starts experiencing symptoms, doctors explore other treatment options including surgery.

Gallstones produce a variety of symptoms such as nausea, bloating, vomiting and abdominal pain. The most common symptom experienced is the however, abdominal pain.

Why should gall bladder be removed (and not only gallstone removal)?

Removal of the gallbladder is often recommended as a treatment option for gall bladder patients for a number of reasons, especially since it is a non-essential organ. Doctors mandatorily advise the removal of gallbladder when it is inflamed and infected, as the infection can turn life-threatening. In other cases, doctors advise removing the gall bladder when the pain and discomfort become very severe during an attack. It is also advised when the patient suffers repeatedly from gallstone attacks.

The removal of the gallbladder is usually advised for the following reasons:

  1. Prevents future gallstone attacks completely: The removal of the gallbladder eliminates gall stones entirely. This means that patients will not need to suffer pain arising from gallstones ever again.
  2. Prevents complications: Having gallstones as a condition predisposes patients to additional complications such as inflammation of the gallbladder also known as Cholecystitis. An infection arising as a result of the inflammation can turn life-threatening if the infection spreads to other parts of the body
  3. Prevents gall bladder cancer: In certain cases, patients with gallstones become more susceptible to gallbladder cancer. Doctors suggest removal of the gallbladder in order to avoid this.
  4. Prevents development of related medical conditions: An infected gallbladder can cause other complications such as inflammation of the Pancreas (Pancreatitis )and infection in the Common Bile Duct. The removal of the gall bladder removes the danger of this occurring.

Gall Stone Removal Process: Laparoscopic Cholecystectomy

Today laparoscopy is the most preferred form of surgery for removing the gallbladder. It is a far less invasive procedure than the traditional open cholecystectomy which requires a large incision in the abdomen.

As a part of the laparoscopic surgery, a small incision, less than an inch, is made in the navel and the surgeon inserts thin tubes that have a light, a camera and special surgical instruments using which the procedure is carried out. The patient recovers faster as a result of experiencing lesser trauma, lesser pain and lesser blood loss. It also results in lesser complications thus making it safer than open surgery.

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Gallstone-Prevention-Diet- for patient

Gallstone Prevention Diet

There is no sure evidence to prevent Gallstones but it is possible to have an effective gallstone diet plan to reduce risk. Research has also shown that Vegetarians have a significantly lower risk of developing gallstones, compared to people who eat meat.

Gallstones are pieces of solid material that form in the gallbladder, a small organ located under the liver. These stones develop because cholesterol and pigments in bile sometimes form hard particles. Read More about Gall Bladder stone at neoalta.com

Two main types of gallstones are:

  • Cholesterol stones: Usually yellow-green in color, approximately 80% of gallstones are cholesterol stones.
  • Pigment stones: These stones are smaller and darker and are made up of bilirubin.

Causes of Gallstones

  • Genetics – If other people in your family have had gallstones, you are at increased risk of developing gallstones.
  • Obesity – This is one of the biggest risk factors. Obesity can cause a rise in cholesterol and can also keep the gallbladder from emptying completely.
  • Estrogen – Estrogen can increase cholesterol and reduce gallbladder motility. Women who are pregnant or who take birth control pills or hormone replacement therapy have higher levels of estrogen and may be more likely to develop gallstones.
  • Ethnic background – Certain ethnic groups, including Native Americans and Mexican-Americans, are more likely to develop gallstones.
  • Gender & Age – Gallstones are more common among women and older people.
  • Cholesterol drugs – Some cholesterol-lowering drugs increase the amount of cholesterol in bile, which may increase the chances of developing cholesterol stones.
  • Diabetes – People with diabetes tend to have higher levels of triglycerides (a type of blood fat), which is a risk factor for gallstones.
  • Rapid weight loss –If a person loses weight too quickly, his or her liver secretes extra cholesterol, which may lead to gallstones. Also, fasting may cause the gallbladder to contract less.

Symptoms of gallstones:

A majority of the people may not experience any symptoms. Its your doctor who may find stones in your gallbladder while doing X-rays, ultrasound or surgery in the abdomen. Gallstones most frequently make their presence known when they become lodged in one of the ducts that carry bile, a digestive juice, from the liver to the small intestine and when such an obstruction occurs,the following symptoms might be experienced:

  • Severe and sudden pain in the upper right abdomen and possibly extending to the upper back
  • Fever and shivering
  • Severe nausea and vomiting
  • Jaundice (yellowing of the skin or eyes)
  • Clay colored stools or dark urine

How Are Gallstones Diagnosed?

Physical examination that includes checking your eyes and skin for visible changes in color. A yellowish tint in your skin or eyes may be signs of jaundice. The examination may also involve using diagnostic testing to see inside your body. These tests include:

  • Abdominal CT Scan-This is an imaging test that takes pictures of your liver and abdominal region.
  • Ultrasound-Ultrasound tests produce images of your abdomen.
  • Gallbladder Radionuclide Scan-This very important scan takes about one hour to complete. A specialist injects a radioactive substance into your veins. The substance travels through your blood to the liver and gallbladder. It highlights any infection or blockages in these organs.
  • Blood Tests-Your doctor may order blood tests that measure the amount of bilirubin in your blood. The tests also gauge how well your liver is functioning.

How Are Gallstones Treated?

The most common ways of gallstone treatment are-

  • Surgeries -Surgery is often the first option if you have symptoms. A surgeon may perform a commonly used technique called laparoscopic gallbladder removal.
  • Medications -Drugs that dissolve gallstones caused by cholesterol are an option if you cannot undergo surgery. These medications may take several years to eliminate the gallstones.

How can you prevent gallstones?

Veg  Assortment

Certain factors that increase the risk of developing gallstones, such as age, sex and ethnic origin cannot be altered.

But it is possible for us to have a effective gall stone diet plan – low in fat and high in fruit and vegetables, including plenty of dietary fiber, as many experts say that such type of a diet will help protect people from developing gallstones.

Avoid processed food such as read meat, sausages, also French fries , pastire.

Controlling your body weight – not allowing yourself to become overweight/obese – may also help prevent the formation of gallstones.

However, crash dieting and rapid weight loss are risk factors in the development of gallstones so try losing weight gradually following a healthy diet for which you could visit a diet counselor.

A Diet is when you watch what you eat and wish you could eat what you watch.

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What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

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    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience