After though evaluation underwent laparoscopic cholecystectomy, discharged on day 1 after surgery without any pain or other complaints
laparoscopic cholecystectomy Surgery
- Patient's Name: ms
- Patient's Age: 34
- Patient's Gender: female
- Repeated pain in upper abdomen for last 3 years
Treatment and prognosis
Physical Examination & Tests
- USG suggestive of multiple gallbladder stones
Relevant Case Studies
Multiple Gallbladder Stones
A 35 year old female came with a repeated upper abdominal colicky pain for last 6 month. On USG she was diagnosed to have multiple gallbladder stones. After evaluation a laparoscopic cholecystectomy was planned. She under went day care surgery. Discharged from hospital within 24 hr with comfortably.
Gallbladder stones can vary in size. Some people develop just one gallstone, while others develop many gallstones at the same time. The stones may stay in the gallbladder and cause no symptoms, or they may irritate the gallbladder wall or block gallbladder ducts, resulting in infection, inflammation and upper abdominal pain. It is possible for the infection to spread to the liver or pancreas. Treatment can range from pain relief to surgery. According to Dr. Samrat Jankar laparoscopic surgeon in Pune, “the excess cholesterol or bile forms crystals, which eventually form stones. The risk of developing gallstones tends to increase with age (especially after age 40 years)”.
A 43 year old female came with diagnosed case of chronic diverticulitis. She was on medication for last 2 years. Upon examination, abdomen distended with tympanic note all over abdomen. After thorough evaluation she underwent laparoscopic sigmoidectomy with 5 small cuts over abdomen. The operation time was 4 hours with a blood loss of 200 ml. She was hospitalized for 6 days, later discharged with normal life style and tolerating normal food.
Diverticulosis is a condition in which there are small pouches or pockets in the wall or lining of any portion of the digestive tract. These pockets occur when the inner layer of the digestive tract pushes through weak spots in the outer layer. Diverticulitis occurs when the pouches become infected or inflamed. This condition usually produces localized abdominal pain, tenderness to touch and fever. A person with diverticulitis may also experience nausea, vomiting, shaking, chills or constipation. Minor cases of infection are usually treated with oral antibiotics and do not require admission to the hospital. Repeated attacks of diverticulitis may require surgery to remove the affected portion of the colon.
He underwent complete laparoscopic cholecystectomy, took almost 2hr 30min, only 100ml blood loss, he recovered very well, after 12 hr of surgery was walked in ICU.was discharged 3day after surgery.
Appendicitis can be one of the most common causes of abdominal pain. Acute perforation of the appendix is one of the complications of appendicitis. It can also be complicated by “rupture”. Hence regarded as a surgical emergency. In such cases, there is a risk of the stool contents within the appendix leaking out into the abdomen. This can result in an inflammatory reaction in our body in an attempt to “contain” the spread, creating abscesses. The resulting inflammation also makes surgical removal difficult as the bowel becomes friable. These abscesses can result in prolonged fevers and pain. Complete cleaning of abdomen and Appendicectomy done laparoscopically. Antibiotics were given. The patient recovered very well, discharged on day 3.
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