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gallbladder surgery

18 replies

saltedtomatoes · 23/07/2010 02:13

Due to have my gallbladder removed.Anyone tel me if I can refuse laporoscopy in favour of open surgery.Know too many complications with the lap way.

OP posts:
bruxeur · 23/07/2010 04:37

In much the same way that you would refuse a GA and ask for a bottle of whisky and a stick to bite on?

Open choles are long, horrible operations with more, and worse, complications than with a lap approach.

SittingBull · 23/07/2010 06:14

This reply has been deleted

Message withdrawn

mathanxiety · 23/07/2010 06:51

Please do the laparoscopy!

The traditional 5 to 8 inch cut through the layers of skin, tissue and muscle right under your ribs is one that takes ages to heal. Every time you draw breath it will hurt like being stabbed with an ice pick. It takes weeks to recover, and you run the risk of developing horribly painful adhesions later on, which may require further surgery.

Laparoscopy requires three small cuts, so the muscle is not cut right through from side to side. Recovery is far faster, and there are fewer complications -- don't know where you're getting your info from here.

saltedtomatoes · 23/07/2010 23:41

my info is fromis frm people I know and I don't want further surgeries to remove clips that have come away and embedded elsewhere.

OP posts:
bruxeur · 23/07/2010 23:56

Were these people in the pub, by any chance?

saltedtomatoes · 24/07/2010 00:03

haha! two of them are my family bruxeur,(t-total mums)I' a former paramedic too and that's How I know the others

OP posts:
mathanxiety · 24/07/2010 17:15

There are risks with any surgery. Everyone you meet will tell you a horror story about surgery, and paramedics probably have more to share than most -- for instance, my exSIL left hospital with a surgical sponge inside her after a cs (major abdominal surgery). OTOH, lots of people have had painful but successful and uncomplicated surgeries, with no clips and no sponges, wristwatches, etc., left behind after being sewn up. You don't hear so much about the positive experiences that the vast majority of people have, because good news is not news, or fun to relate to someone facing surgery.

The vast majority of abdominal surgeries (with the exception of CS) these days are laporoscopic, and the very good reasons are that the surgery is far less complicated as the incisions are so small, recovery takes much less time and is much less painful. I had lap surgery for my gallbladder about 16 years ago. The surgeon even moved a stone through my bile duct where it was lodged into my stomach, an unusual turn of events and the surgery lasted longer than anticipated. I walked up two flights of stairs to where I lived the day I was discharged.

Another factor to consider is that lap surgery is so common now that a lot of surgeons, especially younger ones, do not actually have the kind of expertise you would really expect for traditional methods of surgery. Your surgeon will probably be very well trained in lap techniques because it is the standard procedure now and has been for a long while.

saltedtomatoes · 24/07/2010 19:28

cheers mathanxiety

OP posts:
DoNotFeedMeBiscuits · 24/07/2010 22:07

You should speak to your surgeon about your concerns. They should be able to reassure you about complication rates with laproscopic surgery. Open gallbladder surgery takes much longer to recover from, and is associated with higher post-operative complications.

BeenBeta · 24/07/2010 22:10

Had a laproscopy that went well - still took four weeks to get over it. Open surgey takes longer to recover.

If is starts to go wrong they proceed to open surgery.

crazyforniamh · 24/07/2010 22:19

ok folks, I've just been diagnosed as having gallstones. Do I have to hav surgery? I am meeting with general surgeon folk next week and I want to know my options a bit before then. I've read that you can control with diet, or have them disolved with drugs or zapped(?). Really don't want surgery but don't want the pain I had with the gallstone attack.

BeenBeta · 24/07/2010 22:28

crazy - I lived with gall bladder symptoms for 18 months. In the end I was in constant pain, could not walk up a hill and aged 10 years.

My mother lived wth it for 3 years until she ended up in A&E. The consultant that saw her was horrified as her gall bladder was infected and on the point of rupture. Her GP had told her to eat a light diet and take pain killers.

I asked about the gall stones being zapped with ultrasound. The problem is that if they break them up they just form the nucleus of new stones and on top of that small remnants can go down the bile duct and block it. That causes billiary colic and agonising pain - which I have had for 48 hours when a gall stone got stuck.

crazyforniamh · 24/07/2010 22:32

Beenbeta - have you had the op? Just really scared of being in hospital and then the afterwards recovery. The only time I have been in hospital was having my baby and I was only in for one night and hated it. Also worried about having to deal with 4 month old baby and recovering.

crazyforniamh · 24/07/2010 22:33

beenbeta - sorry just read you post! d'oh!

BeenBeta · 24/07/2010 22:37

If you have a 4 month old it will be hard.

You will need help as you will be too tired to care for the baby on your own.

My mother was frightened too but she had to have it done in the end.

mathanxiety · 25/07/2010 04:52

Crazy you will have to have surgery. Gallbladder rupture is a real risk here, and the pain attacks don't go away on their own. Recovery with a 4 month old might be easier than you think I had a lively two year old to chase after. exMIL came to help out after I got home from the hospital but she refused to change nappies, so within 30 minutes of getting home I wrangled DD out of a poopy one and into a fresh one (thank you exMIL for all the 'help'). Nevertheless, we went on a transatlantic flight together, just me and the toddler DD (not exMIL) within a month of the surgery.

Before surgery I never knew when the next attack would come I remember driving, with my DD in her carseat one day, hoping I wouldn't pass out or die from the pain one time and it wasn't one bit nice. I avoided fatty foods, lost a huge amount of weight I was very worn out and not in good shape by the time I was eventually diagnosed (as my pain was happening in a place my idiot doctor associated with bleeding ulcers), so not in very good shape to be taking care of a two year old really, and the longer you delay, the less fit you will be too for your baby.

LittleSilver · 25/07/2010 06:51

I don't think you'll find a surgeon to agree. Open takes a lot longer, recovery time longer and is more expensive. Really think you should talk to professional, not horror-story bearers.

crazyforniamh · 25/07/2010 15:48

Thanks for all the comments. Just checked diary and it's actually Tuesday I am meeting with the surgeons so will talk it thru with them. Just wanted to see how real people had experienced it. Ta x

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