PROCEDURE Cholecystostomy

CHOLECYSTOSTOMY

When is this operation required`?

Cholecystostomy is required in cases of inflammation of gall bladder:

·        To open the gall bladder

·        To remove stones from the gall bladder and drain it .

Position of the patient

Supine.

Anesthesia

General.

Surgical steps

·        A vertical or right sub costal incision is given.

·        The gall bladder is surrounded with packs.

·        The bile is aspirated.

·        Now the gall bladder is incised near the fundus; the bile is aspirated and all stones are removed.

·        Do not miss stone impacted in the cystic duct.

·        Insert a 24F Foley catheter and close the opening around the cath­eter using a purse-string        suture.

·        The gall bladder is fixed to the parietal peritoneum.

·        The sub hepatic area is washed and abdomen is closed with subhe­patic suction drainage.

Instruments used

·        Laparotomy set

·        Gallstone-holding forceps

·        Foley catheter

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