Gall Bladder is a pear-shaped accessory digestive organ tucked under the liver in the right upper abdomen. The function of the gall bladder is primarily storing of a small amount of bile juice and when we eat fatty food the gall bladder squeezes this bile through the common bile duct into the intestine. When the concentration of cholesterol or fats increase in the bile juice it precipitates as stone in the Gall Bladder. It can occur in all age groups and in both males and females, though more commonly in females. The five F’s of gall bladder stone diseases are “A Fat, Flatulent, Fair, Female of Forty is more likely to have gall stones.”
Signs & Symptoms
The common symptoms of gall bladder stone disease or cholelithiasis are:
- Gaseous Distension or Bloating.
- Flatulent Dyspepsia.
- Acute upper abdominal pain along with vomiting and fever. This occurs when a gall stone gets impacted at the neck of the gall bladder.
This occurs when a gall stone drops down from the gall bladder into the common bile duct resulting in obstruction to the flow of bile and hence causing jaundice.
This occurs when the slipped gall stone in the common bile duct irritates the duct of the pancreas gland leading to inflammation of the gland. This is an emergency situation and patient requires admission into the intensive care unit most times.
- Laboratory Tests
Complete Blood Count, Liver Function Test, Blood Sugar, Urine Routine & Microscopy, Lipid profile
Holmium Laser Enucleation of Prostate (HOLEP)
Presently the Gold standard for the treatment of gall stone disease is – Mini Laparoscopic Cholecystectomy (Keyhole Surgery). This procedure is done under General Anaesthesia. In this procedure, small 3-4 holes (5mm) are made by the specialist in the abdomen through which telescope and other specialized instruments are inserted into the abdomen and surgery is carried out watching a TV Monitor. The gall bladder along with the stones is removed. The patient is subsequently discharged from the hospital within 24 hours.
Advantages of Holmium Laser Enucleation of Prostate (HOLEP)
|Key Factors||HOLEP||Open Surgery|
|Hospital Stay||24 Hrs.||Long Hospital Stay|
|Blood Transfusion||Nil||May Be Required|
|Scar||No Long scar||Long Scar|
|Risk of Hernia||No||High Risk|
|Infection Rate||Less||High Risk|
|Recovery Period||Quick Recovery||Slow Recovery|
|Patients with Diabetes||Can undergo||High Risk|
|Patients with Hyper Tension & Heart Diseases||Can undergo||High Risk|