This document provides information about cholecystectomy surgery, which is the removal of the gallbladder. It discusses why the surgery is common due to poor lifestyle habits leading to gallbladder issues like gallstones. It describes the types of cholecystectomy procedures including laparoscopic and open surgery. It outlines the pre-operative, operative, and post-operative management of patients including risks, diet restrictions, and physiotherapy practices to aid recovery.
2. Contents
1. Introduction
2. Why gall bladder surgery is common nowadays?
3. What are the indications?
4. Types
5. Operative Management
• Pre-operative
• Post-operative
6. Risk factors
7. Contraindications
8. Lifestyle modification and physiotherapy
management
3. Introduction
A Cholecystectomy is a surgical
procedure to remove gall bladder.
It is one of the most common type
of surgery done nowadays due to
poor lifestyle. Gall bladder is a
small organ under your liver. It is
on the upper right side of your
belly. Function – stores and
releases bile juice to help digestive
system break down fats.
5. The most common issue occurred is the gallstones
may form if the bile contains to much cholesterol, too
much bilirubin or not enough bile salts. Excessive
cholesterol occurs in body due to extra consumption
of junk food, lack of physical activity and poor
lifestyle. High saturated fat content food (meat pies,
butter, ghee, cheese etc.)
9. Operative
management
(Pre-operative)
A cholecystectomy is performed
using general anesthesia, so you
won't be aware during the
procedure. Anesthesia drugs are
given through a vein in your arm.
Once the drugs take effect, your
health care team will insert a tube
down your throat to help you
breathe. Your surgeon then performs
the cholecystectomy using either a
laparoscopic or open procedure.
12. Post-operative
• Laparoscopic cholecystectomy. People are
often able to go home the same day as their
surgery, though sometimes a one-night stay
in the hospital is needed. In general, you can
expect to go home once you're able to eat
and drink without pain and are able to walk
unaided. It takes about a week to fully
recover.
• Open cholecystectomy. Expect to spend two
or three days in the hospital recovering. Once
at home, it may take four to six weeks to fully
recover.
13. Complications
Some possible complications of a cholecystectomy may include:
• Bleeding
• Infection
• Injury to the tube (the bile duct) that carries bile from the
gallbladder to the small intestine
• Liver injury
• Scars and a numb feeling at the incision site
• A bulging of organ or tissue (a hernia) at the incision site
• During a laparoscopic procedure, surgical tools are put into
your belly. This may hurt your intestines or blood vessels.
14. PT Management/Diet
Protocol
• Avoid Oily food for few weeks.
• Maintain cholesterol level.
• Practice Breathing exercises
• Avoid jerky movement
• PT gives knowledge in initial days
after surgery how change position
and back to ADL activities preventing
further injury and fast recovery.
• Maintaining normal body physique
