What causes an inguinal hernia after gallbladder surgery

What are the risks of a gallbladder removal?

The removal of the gallbladder (cholecystectomy) is one of the most frequently performed operations and is therefore a routine procedure. Complications are very rare.

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Nevertheless, every operation carries risks. The patient is informed about all possible problems in a preliminary discussion by the doctor and he is given sufficient time to think about it. The risks also depend on the general condition of the patient and any concomitant diseases.
A gallbladder removal, which has to be performed as an emergency, has a higher risk than a planned operation. If the gall bladder persists, the aim is to remove the gall bladder before inflammation or other acute symptoms develop.

Complications are somewhat more common in conventional gallbladder surgery with an abdominal incision than in a cholecystectomy, which is performed in a minimally invasive manner as part of a laparoscopy. One of the reasons for this is that the conventional method, which requires an abdominal incision, is usually the method of choice for seriously ill patients. It will be carried out when there are severe adhesions or inflammation or a Gallbladder tumor must be removed. The minimally invasive keyhole surgery is preferred where possible because it is less painful for the patient and fewer scars remain visible. The smaller wounds also reduce the risk of infection of the wound. In addition, the patient is back on his feet sooner after the operation and can leave the hospital after two to three days. Both procedures are performed under general anesthesia. Anesthesia has its own risks. Serious complications are extremely rare.

Risks during the operation

With any operation, it is possible that neighboring organs are damaged. For example, gallbladder surgery can affect the liver or neighboring bile ducts. Leaked bile can lead to inflammation of the peritoneum (peritonitis), which is life-threatening. Internal bleeding can also occur.

Risks after surgery

Occasionally, wound healing disorders can occur after the operation. Their frequency is around 1.5 percent. Postoperative bleeding, infections or the development of a thrombosis are possible after every operation, including after a cholecystectomy.

Temporary pain in the treated area is common. They can be treated with pain medication. The so-called Postcholecystectomy Syndrome it concerns upper abdominal pain, which can indicate stones or a narrowing in the bile duct, for example, which were not treated. If stones are discovered in the biliary tract after the operation, they can be removed as part of an ERCP (endoscopic retrograde cholangiopancreatography). A tube is passed through the mouth and into the biliary tract. Not only can the attending physician assess the condition of the biliary tract in this way, he can also remove the stone.

Usually, however, postoperative pain is only a sign of the healing process and subsides in the days after the operation.

After a laparoscopy there is often pain caused by pumping up the abdomen with CO2 arise. The CO2 is pumped out after the operation, but gas remains are left behind. These are eliminated through the stomach and intestines, which takes a few days. Until then, there may be pain under the costal arch, in the chest or in the shoulder area. The cause is irritation of a nerve that supplies the diaphragm and other areas of the chest. In the case of severe pain, medication can help that has a defoaming effect on the air in the abdomen and makes it easier to pass it out.

If the pain persists or is severe, the doctor should always be consulted.

Aftercare at home

Even when the patient is back home, he should follow the doctor's advice. So he should take it easy in the first few weeks after the operation and, above all, not lift heavily. Otherwise, the result could be a hernia that has to be treated surgically. Patients who are physically working are on sick leave for two to three weeks.

The prerequisite for resuming physical work is that the patient is free of pain. It is also advisable to eat easily digestible food, especially in the first two weeks, and to avoid pulses, salads and fresh fruit.