Bile produced by the liver is stored in the gallbladder. When food is ingested, it flows into the duodenum via bile for digestion.
Bile sludge and stones are formed as a result of the precipitation of salts and minerals in bile for a number of reasons.
Genetic factors, age, gender and multiple births have an effect on their formation. The most common problems caused by the gallbladder are “biliary colic” with periodic pain attacks and pain that starts suddenly and continues uninterruptedly,
It is an inflamed gallbladder called “acute calculous sac” accompanied by fever and chills.
The gold standard approach in treatment is laparoscopic cholecystectomy, which is the removal of the gallbladder by closed surgery.
This method is not applied because breaking the stones in the gallbladder like kidney stones causes more serious problems because the broken stones fall into the biliary tract and cause severe jaundice,
It causes more serious problems such as pancreatitis and bile duct inflammation called cholangitis.
In our clinic, a scarless closed surgery called “Modified Bikini Line Cholecystectomy” is performed.
The aim here is to create the trocar entry points opened to the abdominal wall in closed surgery on the bikini line and to ensure that the scars remain under the bikini.
In this way, there is no visible scar in the abdominal area. This method provides a serious cosmetic advantage.
Gallbladder surgeries are performed in an average of 1 hour and patients need to stay in bed for 1 day. Pain is quite minimal.
Patients are walked and fed after 6 hours. One of the most common misconceptions after gallbladder surgery is the limitations in eating and drinking.
Contrary to popular belief, patients can eat eggs after surgery and consume the foods they want without restriction.
These restrictions are only available for patients who have not undergone surgery. Since the problem is solved radically after the operation, these limitations are meaningless.
Another issue is the number and shape of the stones in the gallbladder, which is always a matter of curiosity. There are minerals called bile salts in the gallbladder,
Depending on which of these minerals precipitates, stones vary in color, shape and number. There may be one stone in the gallbladder or hundreds of stones.
The number and size of stones are not very important in the treatment decision. In the presence of a stone, the only solution is absolute surgery. Small stones create a risk of falling into the duct. Contrary to popular belief, the presence of small stones is even more dangerous in this respect.
Another problem caused by gallstones is stones falling into the bile duct, which is a very serious condition for patients.
Due to the congenital narrowness of the end of the bile duct opening into the duodenum, stones that fall into the bile duct get stuck in this section and cause serious problems such as jaundice, pancreatitis and cholangitis.
In this case, patients urgently need to undergo a procedure called ERCP to remove stones and sludge from the bile duct.