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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