Centre for

SURGICAL TREATMENT OF OBESITY

Puebla

(222) 239 6549
 

Practiced procedures

Cholecystectomy

Removal of the gallbladder is one of the most common surgeries performed in the United States. Today , most gallbladder surgeries are performed laparoscopically . The medical name for this procedure is Laparoscopic Cholecystectomy .

  • Instead of a cut from five to seven inches ( 13-18 cm ) , the operation requires only four small openings in the abdomen.
  • The patient usually has minimal postoperative pain.
  • The patient usually experiences a quicker than patients operated with traditional gallbladder surgery recovery. Most patients go home in a day and enjoy a rapid return to normal activities .

This surgery is performed to remove a diseased or damaged gallbladder . The injury is usually caused by an infection or inflammation. The damage is often due to gallstones which are crystals of bile that can form in the gallbladder. Sometimes these get stuck in the ducts through which bile flows normally . This blockage of the ducts can damage the gallbladder and liver.

About operation

Under general anesthesia , the patient will be asleep during surgery.
Using a cannula ( thin tube) the surgeon enters the abdomen at the navel region .
A laparoscope ( a thin telescope ) connected to a special chamber is introduced through the cannula , giving the surgeon a magnified image of the patient's internal organs on a television screen .
Other cannulas are inserted which allow your surgeon to delicately separate the gallbladder from its attachments and remove it through one of the openings .
Many surgeons perform an X-ray , called a cholangiogram , to identify stones which can be located in the bile duct or ensure that structures have been identified.
If the surgeon finds one or more stones in the bile , he can extract ( the ) with a special scope , may choose to remove them after using another minimally invasive procedure or can convert to open surgery in order to remove all the stones in this surgery .
After the surgeon removes the gallbladder , the small incisions are closed with a stitch or two or with surgical tape .

Postoperative follow-up

Attending scheduled visits to your doctor, after leaving the hospital, is another important part of their management.

Like all surgical procedures, obesity surgery has risk of complications, some of them serious.

Doctor visits will, once a month during the first half. Once every three months during the second half, and when the weight has stabilized, attend at least once a year.

Changing eating habits is one of the most important factors in maintaining the weight lost.

We must remember that nutrition and support multidisciplinary management group is relevant to achieve the greatest success of surgery for obesity

Operation Recovery

Removal of the gallbladder is a major abdominal surgery and some amount of pain can be felt . Nausea and vomiting are not uncommon.
Once liquid diet or tolerated , patients leave the hospital the same or the next day of laparoscopic gallbladder surgery .
The activity depends on how the patient feels . Walking is recommended . Patients can remove the dressings and shower the day after surgery.
Patients probably will be able to return to their normal activities within a week , including driving , walking up stairs, light lifting and work .
In general , the recovery is progressive from when the patient returns home .
The presence of fever, drainage from wounds yellowing of the skin or eyes , worsening abdominal pain , bloating , nausea , persistent vomiting, or are indications that a complication may have occurred. You should contact your surgeon in these circumstances.
You may request an appointment within two weeks after surgery , even if their postoperative been completed smoothly.

Preparations for the operation

Before surgery, you should stay on solid and liquid fasting from midnight the previous day.
You should shower the night before or the morning of surgery.
If you have difficulty in bowel movements, an enema or similar preparation may be used after consultation with your surgeon.
Some preparatory examination may be required according to their medical condition.
Taking any medication daily, discuss with your surgeon if he wants to take any medication on the morning of surgery with a sip of water. If you take aspirin or blood thinning medication for arthritis, you need to discuss with your surgeon the appropriate time to discontinue these drugs before surgery.
Your surgeon will ask you to sign a consent form. This confirms that you understand the risks, benefits, alternatives to the procedure and have given your permission for it to go ahead.

What are the risks?

Before surgery, you should stay on solid and liquid fasting from midnight the previous day.
You should shower the night before or the morning of surgery.
If you have difficulty in bowel movements, an enema or similar preparation may be used after consultation with your surgeon.
Some preparatory examination may be required according to their medical condition.
Taking any medication daily, discuss with your surgeon if he wants to take any medication on the morning of surgery with a sip of water. If you take aspirin or blood thinning medication for arthritis, you need to discuss with your surgeon the appropriate time to discontinue these drugs before surgery.

   
Asociación
Mexicana
de Cirugía
Endoscópica
Colegio Mexicano de Cirugía de la Obesidad y Enfermedades Metabólicas Colegio Mexicano
de Cirugía de la Obesidad
y Enfermedades Metabólicas
© Copyright 2013, Dr. Gustavo Theurel Vincent Privacy Policy