Gallstones, resulting from the gallbladder's difficulty in emptying bile, initially involve the formation of bile sludge, followed by the development of a small stone nucleus. This formed gallstone enlarges as other stones and bile sludge adhere to it, disrupting the function of the gallbladder and leading to gallbladder diseases.
Stones can be multiple or singular, ranging in size from millimeters to several centimeters.
Large stones may block the exit of the gallbladder duct, leading to acute cholecystitis, inflammation of the gallbladder, and in some cases, associated with other diseases, progressing to perforation of the gallbladder. Millimeter-sized stones, on the other hand, can pass through the gallbladder duct and fall into the main bile duct pathways. In such cases, more serious clinical conditions and interventions are required.
Gallstones result from a decrease in the fluidity of bile within the gallbladder, triggered by hormonal imbalances, medication use, and issues with the gallbladder's emptying function. It arises from the precipitation of bile, leading to the formation of bile sludge, and the subsequent development and growth of a small stone nucleus within the bile sludge.
While many factors contribute to the formation of gallstones, diet also plays a role. The gallbladder is an organ that aids in fat digestion and stores bile. Diets with very low fat content can reduce the emptying of the gallbladder, leading to the stagnation of stored bile. This stagnant state contributes to the formation of bile sludge and stones.
Gallbladder stone surgery, after routine blood tests and anesthesia consultation, is performed under general anesthesia using the laparoscopic surgical technique, also known as the closed method. This procedure is called laparoscopic cholecystectomy.
In laparoscopic cholecystectomy, a small incision is made below the navel, and a trocar, a hollow tube system allowing entry and exit of the tools used during surgery, is inserted through this incision and three other small incisions in the abdomen.
The gallbladder is then removed through one of these openings using either a direct method or a bag called an endobag. The extracted gallbladder is sent for pathology examination. The abdominal gas is released, concluding the surgery. Patients are allowed to eat and walk around 4-5 hours after the surgery.
As a precaution, patients are hospitalized for one day and discharged the day after a visit from the doctor. A day after discharge, they are instructed to take a shower. They consult with the diet department to receive a diet program to follow for about 2-3 months for preventive measures.
After gallbladder stone surgery, patients no longer have a gallbladder, the organ responsible for storing bile. Instead, bile produced by the liver is directed to the intestines through bile ducts to aid in fat digestion.
In the postoperative nutrition process, a diet program of approximately 2-3 months is recommended to allow the liver to adapt to the absence of gallbladder for bile storage and to prevent digestive discomfort. This diet program is designed in collaboration with a dietitian.
The main focus of this program is to limit the consumption of foods rich in fat. While non-compliance with this diet does not harm the surgery itself, patients may experience digestive issues such as indigestion and bloating. To ease through this transition, it is advised for patients to adhere to the diet program.
After gallbladder stone surgery, patients are advised to adhere to the recommended diet program and eating habits for 2-3 months to prevent potential digestive issues post-surgery.
Following laparoscopic (closed method) procedures, it is not recommended for patients to engage in intense physical activities for approximately 2-3 months, as these may increase intra-abdominal pressure and strain abdominal muscles. However, there are no restrictions on patients participating in social activities such as walking, swimming, driving, and exercises involving arm strength. These activities do not pose any risks.
We are committed to being with you during your treatment process for general surgery diseases with accurate diagnosis and effective treatment methods. Here, you can read the real experiences of my patients who share their health journey with me. Their sincere comments can be a guide for you as well.
Prof. Dr. Sezai AydınGeneral Surgery Turkey
PROF. DR. SEZAI AYDIN
I reached my teacher Sezai through a reference. As a result of my research on the internet, I decided to meet with my teacher. We first talked on the phone. He listened to my complaints very attentively and carefully, and I was diagnosed with keloid as a result of the pie{...}
First of all, I would like to say that I am very happy to have met Dr. Sezai and for saving me from this disease. I learned that I had breast cancer during my routine check-up. While I didn't know what to do in the face of this situation that destroyed me and my family, I{...}
The reason I met my teacher Sezai was related to the problem I had with my gallbladder. One evening, I went to the doctor at work complaining of stomach pain. After the examination, gallbladder surgery was recommended to me. I learned from one of his clients that Sezai B{...}