Friday, April 27, 2012

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
Any questions be sent to drmmkapur@gmail.com
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