General Surgery

Get Immediate Pain Relief Gall Bladder Removal

Laparoscopic cholecystectomy (removal of gall bladder) is a surgical procedure in which the doctor removes your gallbladder with the aid of a laparoscope (small camera that can be inserted into the abdomen) and other surgical tools through four small incisions.

Laparoscopic cholecystectomy is the most common way to remove the gallbladder today, but you should always keep in mind that a cholecystectomy cannot always be done laparoscopically and sometimes a larger incision is needed. The scars are very small. There are no alternatives to surgically removing the gallbladder when it is causing pain.

This procedure is performed when you have stones or inflammation in your gallbladder, causing pain. The gallbladder is shaped like a small balloon. It is attached to the liver and holds bile. Bile is produced in the liver and helps with digestion of fatty foods. Small particles of bile can form a sediment in the gallbladder that can turn into gallstones. These stones may remain loose in your gallbladder or they may block the gallbladder outlet causing pain when the gallbladder contracts. In that case the gallbladder may also become swollen, inflamed, and/or rarely start to decompose (become “gangrenous”).

DURING THE PROCEDURE: For the surgeon to see inside you with the camera, your abdomen must be inflated with carbon dioxide gas. This lifts the abdominal wall and helps the doctor see your gallbladder. The doctor makes three or four small incisions in your abdomen, puts in special instruments to remove your gallbladder.

POST-OPERATIVE CARE: Immediately after the surgery, you will be transferred to the Post Anesthesia Care Unit where you will be monitored closely for approximately 1-2 hours. Pain medications and breathing treatments will be administered as needed. It is normal to feel a little nauseous after waking up from surgery. This is an effect of the anesthesia. Simply inform your nurse and he/she will treat your nausea with medications ordered by your anesthesia provider. Most patients return to full, normal activities within 5 to 10 days. There are usually no restrictions on lifting or exercising. Ask your doctor what steps you should take and when you should come back for a checkup.

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Get Immediate Pain Relief Hernia Repair

Hernia repair surgery is the procedure to correct the bulging of internal organs through the abdominal wall. Usually, the intestine or the abdominal cavity protrudes through a weak point in the abdominal muscle resulting in a bulge under the skin in the abdominal area. This bulge may be painful while coughing and lifting heavy objects.

Surgery is necessary when the omentum (or a loop of intestine) is trapped in the abdominal wall or incarcerated, which can cut the blood supply to the intestine. This is a life threatening condition if not treated.

A hernia repair surgery is quite common and can be done as an out-patient procedure. The bulge of a hernia is noticeable when standing upright and can be felt around the groin area on the sides of the pubic bone or near the umbilicus. Hernias usually occur as a result of excess weight, pregnancy, coughing or sneezing, straining during bowel movements, heavy lifting and a weak spot in the abdominal wall. Sometimes, the condition develops at birth when the abdominal lining (peritoneum) does not close properly or later in life when muscles weaken with age.

In a laparoscopic hernia repair surgery, the surgeon will make 3 or 4 small incisions and introduce a small camera or laparoscope through one incision. With the laparoscope’s guidance, the surgeon will push back the bulging tissue into the abdomen using tiny instruments. The weakened muscled will be sown and usually reinforced with a synthetic mesh. The peritoneum is then sutured closed and the incision as closed with a stitch or two. The surgery is usually done under general anesthesia.

Inguinal Hernia: An inguinal hernia occurs around the groin area where the walls of the abdomen weakened due to age, weakened muscles, substantial weight gain.

Ventral Hernia: A ventral hernia occurs at the site of a previous surgical incision where the abdominal wall muscles weakened.

Umbilical Hernia: An umbilical hernia occurs when abdominal contents push through the abdominal wall near the belly button or navel.

After the surgery, the patient will be encouraged to ambulate around as much as possible. Laparoscopic surgery allows for faster healing times, less scarring and less pain. The patient will fully recover in about 4 to 6 weeks.

Begin taking your medications on your first day. Your surgeon will typically prescribe an antibiotic, pain medications, and an anti-nausea medication. Take these medications as directed and do your best to not miss a dose.

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