Gallbladder removal: should it be removed?
Indications for removal of the gallbladder
The gallbladder is usually removed when stones form in the cavity of the bladder itself or the bile ducts. If the presence of stones is not accompanied by any painful symptoms, the doctor may postpone the removal, but this is not a cancellation of the operation, but rather a delay - the prolonged presence of stones can lead to bladder perforation, the appearance of a malignant tumor, the development of an acute inflammatory process.
Acute cholecystitis (inflammation of the gallbladder) is an absolute indication for surgery, as is chronic cholecystitis, often relapsing and poorly amenable to drug therapy.
Also, the need for removal occurs in case of obstruction of the biliary tract, abnormal liver function or pancreas, caused by a disease of the gallbladder, or the development of a malignant or benign tumor.
Is it possible to avoid surgery?
It is impossible to get rid of stones with the help of tablets or decoctions of herbs. Sometimes patients believe that, by following a strict diet and taking usual medications, they can avoid surgery or at least postpone it indefinitely. This often ends badly - with neglected gallstone disease or with chronic inflammation there is a high risk of perforation of the bladder walls, peritonitis, gangrene of the bladder.
The longer the operation is delayed, the higher the risk of developing liver and gallbladder dysfunction. Over time, the chances of complete recovery after surgery are also reduced.
Fear of cholecystectomy is often caused by misconceptions about this operation, possible complications and lifestyle features after the gallbladder is removed. Currently, more and more often, removal is performed by laparoscopy - a low-impact method in which surgical abdominal manipulations are performed through one or more small punctures.
Laparoscopic operations are characterized by a shorter recovery period, after which complications occur less frequently.It is also important that traces of punctures are less noticeable than the long postoperative scar remaining after open cholecystectomy. However, with advanced disease, laparoscopy may not be possible - you have to do the traditional open surgery.
Full recovery after cholecystectomy is possible, subject to compliance with all the recommendations of the doctor. Compensatory capabilities of the body are not limitless - if you take a long time with an operation, it will be much more difficult to return to your normal lifestyle after it.
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