General Surgery

Gallbladder Disease and Surgery

1. What is the gallbladder, what does he do?

2. What are gallstones?

3. How diagnosed gallstone?

4. What causes gallstones?

5. All gallstones the same?

6. Who will be in Gallstones?

7. What are the symptoms of gall stone?

8. What is the treatment for gallstones?

9. open cholecystectomy (open surgery) - closed cholecystectomy (closed surgery) What does it mean?

Did 10.Açık surgery, closed operations should there be preferred?

11. Anyone can get off the surgery?

12. Gallstones can be broken as kidney stones?

13. What else can be done for Gallstones?




What is 1.Fıtık?

2.Fıtık Why and How does it occur?

3.Fıtık How is the difference?

The hernia is seen in 4.Nere?

5.Göbek Hernia Important?

6.Fıtık How is it treated?






Gallbladder Disease and Surgery

1.Safr sac What is, what does he do?

             The underside of the liver, gallbladder is an organ shaped pouch attached. Task bile produced by the liver to the sarıyeşil liquid storage. Usually deposited in the form of fasting gallbladder bile is stored concentrated here. During digestion, the contraction of the gallbladder empties bile into the intestine. The Safran's mission is to ensure the absorption of fat.

What 2.Safr carry pouch?

             Melt normally found in the gallbladder, cholesterol or pigments structures resulting precipitate forming.

How is it diagnosed 3.Safr Move?

             The diagnosis of gallstones by ultrasonography issue today is the easiest and effortless. Or detected incidentally during other tests.

4.Safr consists cause stones?

             Substances in the bile is located at a certain rate and keeps the balance as they melt. If this rate of degradation gallbladder bile while concentrating the precipitate in bile (cholesterol crystals, pigment deposits ...) occurs. They form the stones we are going to grow and fix.

5. All gallstones the same?

             No I Do Not! There are different according to the nature gallstones. the diameter may also vary. Small crystals up to several cm in diameter stone different stones may occur. About 90% of gallstones are cholesterol stones. The remaining pigment (bilirubin) blocks. There are also varying amounts of calcium stones. Normally gallstones not seen in plain x-rays. How much is the amount of calcium contained in the incidence of gallstones increases plain film.

Who would be in 6.Safr stones?

             20 - The incidence of gallstones in women 60 years of age is 3 times more than men. very postnatal women are more frequent. Age and increase the incidence of obesity. 60 people over the age of about 10% - 20% found gallstones.

What are moved to 7.Safr of complaints?

             The vast majority of the gallstones (70% to 80%) have no complaints. These, incidentally, are detected during other tests. These "silent stones" is called. The most important complaints caused in the right upper abdomen and pain that can be shot in the back. Sometimes the various complications (unwanted side-effects) may cause. Small stones fell into the common bile duct obstruction causing jaundice can form here. Some of them may lead to complaints about the pancreas. Sometimes bloating, indigestion, especially fatty foods can cause symptoms such as intolerance.

8.Safr What is the treatment of bladder stone?

             The main reason for the formation of gallstones, because the concentration of defects in cutting ability is bladder patients. Surgical removal of the primary reasons that this treatment is cholecystectomy the gallbladder. Thus, both the gall bladder stone removed, and be removed bladder stones can form again.

9.Açık cholecystectomy (open surgery) - closed cholecystectomy (closed surgery) What does it mean?

             Open cholecystectomy, or open surgery with the name among the peoples, under general anesthesia, to be entered into the abdominal cavity through a surgical incision made in the abdominal wall and the removal of the gallbladder. To be healed and the patient's discharge is needed in a 57-day period. Off cholecystectomy, closed surgery, with or without medical name is "laparoscopic cholecystectomy" 1990 is a method proposed in s. Also this process is the removal of the gallbladder. However, there is no need to make an incision in the abdominal wall widely. 3 to 5 until all operations and tools inserted into the abdomen through the hole with the aid of a camera operation is performed using a television screen. This process of general anesthesia (bayıltılarak), but with the comfort of the patient's abdominal wall is a large incision and healing is not much better. The patient can go home the next day.

Did 10.Açık surgery, closed operations should there be preferred?

             Today closed surgery (laparoscopic) is the standard method. Safety should be the first choice for indoor operation. Moreover, often these patients should not even be preferred. The first task is to avoid damage to the patient the doctor, instead of cutting the stomach naturally find less damaging than a few holes surgery patients prefer it.

11.Herkes be closed surgery?

             Can not be. Earlier in the upper abdominal region who have undergone surgery (eg .: stomach, liver ...) adhesions in the abdomen and can be difficult to apply this method. Increased intra-abdominal pressure (gas for inflation) in cases where harmful (some heart diseases), this operation can not be performed. Sometimes it starts off even if the operation can return to open during surgery.

12.Safr stones may break as the kidney stones?

             Theoretically it is possible. Location of the stone in the presence of ultrasound and high-energy shock waves are detected by focusing on the stones may break. Crumbling stone reach the intestine through the bile duct or tried to melt these small parts with different drugs. Obstructive jaundice can cause more harm than good and may be cause serious complications that can be applied in very limited centers, such as ... However, other methods may be tried in the case can not be used. Is not a method of routine use.

13.Safr what else can be done for stone?

             Today adopted a single treatment of gallstones is the removal of the gallbladder with stones. However, in patients where surgery is too risky, you can search for cure with surgery outside the method. Medications containing long-term ursodeoxycholic acid used to dissolve the stones. High risk (very old, those with severe concomitant diseases ...), but to end a moment before surgery in cases where it is necessary by reason of the operation can be satisfied only by taking stones.