What medications are used for cholecystectomy?
Drug classes that may be considered in the medical management of patients with postcholecystectomy syndrome include bulking agents, gastrointestinal (GI) antispasmodic agents, bile acid sequestrants, histamine H2 antagonists, and proton pump inhibitors (PPIs).
What are the indications for laparoscopic cholecystectomy?
At this time, laparoscopic cholecystectomy is indicated for the treatment of cholecystitis (acute/chronic), symptomatic cholelithiasis, biliary dyskinesia, acalculous cholecystitis, gallstone pancreatitis, and gallbladder masses/polyps[2]. These indications are the same for an open cholecystectomy.
Why is Xanax given before surgery?
Oral premedication with 0.5 mg of alprazolam decreases anxiety to the same extent as 7.5 mg of oral midazolam. In 80% of patients, alprazolam was found to be as effective as midazolam for anxiety reduction, but not in its amnestic effects [4].
What sedation is used for gallbladder surgery?
Conclusions Spinal anesthesia is adequate and safe for laparoscopic cholecystectomy in otherwise healthy patients and offers better postoperative pain control than general anesthesia without limiting recovery.
How many incisions are needed for gallbladder removal?
A cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four small incisions to see inside your abdomen and remove the gallbladder. Doctors call this a laparoscopic cholecystectomy.
What is the difference between laparoscopic cholecystectomy and open cholecystectomy?
No significant differences were observed in mortality, complications and operative time between laparoscopic and open cholecystectomy. Laparoscopic cholecystectomy is associated with a significantly shorter hospital stay and a quicker convalescence compared with the classical open cholecystectomy.
What are the contraindications for laparoscopic cholecystectomy?
What are the contraindications to laparoscopic cholecystectomy?
- High risk for general anesthesia.
- Morbid obesity.
- Signs of gallbladder perforation, such as abscess, peritonitis, or fistula.
- Giant gallstones or suspected malignancy.
- End-stage liver disease with portal hypertension and severe coagulopathy.
What does ALPRAZolam 0.5 mg do to you?
Alprazolam is used to treat anxiety and panic disorders. It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA).
Do they intubate for laparoscopic cholecystectomy?
Since almost all patients undergoing laparoscopic or open cholecystectomy will be intubated and mechanically ventilated, the expected physiologic perturbations associated with this need to be understood.
Why is general anesthesia used for laparoscopic cholecystectomy?
Laparoscopic procedures have been traditionally performed under general anaesthesia (GA) due to the respiratory changes caused by pneumoperitoneum, which is an integral part of laparoscopy. The precise control of ventilation under controlled conditions in GA has proven it to be ideal for such procedures.
What are the indications for elective cholecystectomy for gallstones?
Cholecystectomy is indicated in the presence of gallbladder trauma, gallbladder cancer, acute cholecystitis, and other complications of gallstones. More controversial are the indications for elective cholecystectomy.
Is same-admission cholecystectomy necessary in patients with complicated symptomatic gallstone disease?
In patients with mild-to-moderate complicated symptomatic gallstone disease, same-admission cholecystectomy reduces the risk of recurrent complicati … Indications of cholecystectomy in gallstone disease
When is cholecystectomy indicated in the treatment of cholelithiasis?
Cholecystectomy (or some other form of gallstone therapy) is indicated in most patients with symptomatic cholelithiasis—especially those with non-functioning gallbladders. Cholecystectomy is not indicated in most patients with asymptomatic stones.
How common is persistent abdominal pain after cholecystectomy in patients with symptomatic gallstone disease?
Recent findings: Considerable variations in indication for gallbladder surgery have been noticed leading to a significant number of unnecessary cholecystectomies. As a consequence, up to 33% of patients with uncomplicated symptomatic gallstone disease have persistent abdominal pain after cholecystectomy.