Gallbladder surgery

One of the common reasons for urgent treatment of patients at the Clinic + 31 Medical Center with bouts of severe abdominal pain is acute cholecystitis - inflammation of the walls of the gallbladder. Pain occurs in the upper abdomen, in the right hypochondrium with radiation to the right half of the chest, neck, heart region, accompanied by fever, nausea, vomiting, often jaundice. The disease can develop both rapidly and over a longer period of time, depending on various factors.

Treatment of acute cholecystitis

Acute cholecystitis is a reason for emergency hospitalization. Depending on the form of the disease and the severity of the clinical manifestations, the type of treatment of cholecystitis is determined. As a rule, they always start with conservative measures. Only some forms of the disease require emergency surgery.

The optimal treatment option for acute cholecystitis is the urgent implementation of surgical treatment. The most favorable terms are the first three days from the onset of the attack.

Examination Methods for Acute Cholecystitis

In terms of examination for acute cholecystitis, it is extremely important to assess the condition of the bile ducts. It is based on patient complaints, ultrasound, and biochemical blood counts.

Ultrasound examination; allows you to assess the severity of inflammatory changes in the wall of the gallbladder, as well as to study the diameter of the gall tree, the nature of its contents.

One of the most informative non-invasive methods for diagnosing the pathology of the biliary tree is magnetic resonance cholangiopancreatography . It does not require the introduction of contrast. Moreover, the results make it possible to evaluate all the features of the bile ducts and ducts of the pancreas.

When there is a stone in the common bile duct, just removing the gallbladder will not cure the disease. In these cases, staged treatment of cholecystitis is used. At the first stage, stones are removed from the bile duct using an endoscope. And in the second stage, the gallbladder is removed.

Treatment of cholecystitis in the elderly

There is another group of patients. These are mainly elderly people in whom an attack of cholecystitis significantly affected the well-being, already burdened by various diseases. In Clinic + 31, in such cases even more careful steps are taken to treat patients. At the first stage, decompression of the gall tree is created, which removes the symptoms of inflammation and allows the patient to gain strength, as well as time for a full examination and correction of concomitant pathology. Clinic + 31 has an excellent anesthesiology service, which allows using multilevel preparation and performing operations even for patients at the very advanced age. Patients older than 90 years are not uncommon for us!

Service record



Specialists

All specialists
Udin
Oleg Ivanovich

Deputy chief physician for surgery, surgeon

PhD

Korolev
Sergei Vladimirovich

Deputy chief physician for medical affairs, surgeon, oncologist

PhD

Shapovalyants
Sergei Georgievich

Chief Consultant in Surgery, Surgeon

Tsvetkov
Vitaly Olegovich

Surgeon

Doctor of Sciences, PhD

Malygin
Sergey Evgenyevich

Oncologist-mammologist, surgeon

Kovylov
Aleksey Olegovich

Specialist in wounds and wound infections, diabetic foot doctor

Kim
Ilya Viktorovich

Surgeon

PhD, research fellow

Kovalenko
Yuri Alekseevich

Surgeon

Doctor of Sciences, PhD

Ivanchik
Inga Yakovlevna

Surgeon, phlebologist

PhD

Shpilevoy
Nikolay Yurievich

Cardiovascular surgeon, surgeon, ultrasound specialist

PhD

Natalinov
Ruslan Viktorovich

Surgeon, ultrasound diagnostics doctor