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All About Gallbladder Surgery

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How does your doctor diagnose gallstones?


 
  Your doctor may use ultrasound scan to confirm if you have gallbladder problem.  


After learning your medical history, your doctor may examine you to find out about signs, health problems, risk factors that point to gallbladder disease. Diagnostic investigations such as blood tests, ultrasound and CT Scan may be used to confirm the problem.

: A Step-by-Step Guide

In the Clinic

  • Your doctor will ask you for your medical history and explain to you the nature of your operation as well as its complications
  • Blood may be taken from you for tests to ensure that you are in good health and fit for surgery.
  • If you are 40 years old and above, the following may be done:
    1. Electrocardiogram (ECG) - to check your heart's function
    2. Chest x-ray - to ensure your lungs and heart are fit
  • The nurse will brief you on the following:
    1. Your estimated period of stay in the hospital. If all goes smoothly, you may go home 2-3 days after the operation.
    2. Your estimated bill size for the hospital stay
    3. To bring along your current medication on admission to the ward if any
    4. If you are a smoker, to stop smoking 2 weeks before operation
    5. To start on low fat diet (if you require more information, an educational pamphlet is available)
  • If you have cough with phlegm 2 days before your scheduled operation, please call the hospital at tel: 6788 8833 during office hours. It may be necessary to postpone the operation.
  • You are advised not to bring excessive money or valuables when you come in for operation.
  • If you need help at home when you leave the hospital, please inform your nurse. One of the hospital social workers will speak to you and your family.

On the day of Admission

  • After you arrive in the ward, the nurse will help you settle in and will check your weight and temperature, pulse, respiratory rate and blood pressure.
  • Your doctor will ask you for your medical history and examine you. l He or she will explain to you the nature of your operation as well as its complications. The doctor will also obtain your consent for operation.
  • Your anaesthetist will come and assess your fitness for surgery.
  • Blood may be taken from you for tests to ensure that you are in good health and fit for surgery if it is not already done in the clinic.
  • The nurse will provide you with the following information:
    1. What to expect when you are in the operating theatre
    2. What to expect when you wake up from your operation
  • Your nurse will inform you not to eat or drink (usually after 12 midnight)

On the day of Operation

  • Take a shower in the morning before your operation.
  • Hand any valuables to your nurse for safekeeping before the operation.
  • You will be asked to change into a specially designed gown before going to the operating theatre.
  • You will be accompanied to the operating theatre by a nurse.
  • The theatre nurse will check your name and particulars
  • After the operation, you will be closely monitored in the ward.
  • You may vomit after the operation due to the side-effects of the anaesthesia or feel some pain at the operation site. If you experience this, inform your nurse. She may give you an injection to make you feel more comfortable.
  • Should you need to cough or sit up, bend slightly and hold down your operation site lightly. This will help to reduce the pain.
  • If you are feeling well, you are encouraged to sit up or walk slowly around your bed.
  • After your surgery, you will be given drink or food. Your nurse will inform you on what to eat or drink. It is important to eat or drink only as much as you can tolerate.

On the day after Operation

  • Your doctor will come and examine you in the morning. You may go home if he finds you fit.
  • Walking is important for a quick recovery. You are encouraged to sit out of bed and walk short distances.
  • You are advised not to carry heavy things or do strenuous tasks as these may overstrain in the muscles around the operation site. However you are encouraged to continue to exercise moderately.
  • If you are feeling well, you may be able to take low fat food.
  • Blood may be taken from you for tests to ensure that you are in good health and fit for surgery if it is not already done in the clinic.
  • Your nurse will teach you how to care for your wound and to look out for signs of wound infection such as redness and swelling. If you require more information, an educational pamphlet is available.

On the day of Discharge

  • Please continue to exercise moderately at home for the next 2 weeks before resuming usual exercise routine.
  • A low fat diet is recommended for about 3 months.
  • If you have any questions about how to care for your wound, please ask your nurse. Please keep your wound clean and dry. If there is redness or swelling around the wound, please see your GP or polyclinic doctor as soon as possible.
  • If you need to have your sutures removed, your nurse will inform you of the date to do so. If you wish to have it done at the polyclinic or GP, please bring along your discharge letter.
  • When you are ready to go home, your doctor will prescribe medications that you will need. Your pharmacist or nurse will instruct you on how to take the medications. If there are any queries, please ask your doctor or nurse.
  • Your nurse will give you a discharge letter, medical certificate and an appointment date to see the doctor before you leave the hospital. Please ensure that you have them before you go home.

 


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