Free Medical Advice Related to Laparoscopic Surgery

gall bladder stone hence pain in lower abdomen
Discussion in 'All Categories' started by swagatika maharana - Aug 24th, 2011 2:10 pm.
swagatika maharana
swagatika maharana
i am having continuous pain in lower abdomen since 16th Aug 2011.i consulted Dr.Md.Ibrarullah(Gastroentrology.Laparoscopic surgeon)prescribed medicine(Nexpro fast 40mg and Levazeo 25)for 7 days and suggested if pain persists then go for Ultrasound.But after 4 days no improvement found hence i made ultrasound and report found that there are multiple echogenic opacity of size 2.4*1.04 cm and 2.8*1.2 cm. seen in the GB lumen with sludge(the lumen of GB appears echogenic same as the lever is due to sludge) with posterior acoustic shadow CBD appear normal lumen clear.So the surgeon advised for laparoscopic surgery.But i am not ready to do surgery because my menstrual cycle get delay for 3 days hence made pregnancy test(Urine test on Velocity Kit) now i found that i am pregnant.Kindly suggest me is there any medicine to dissolve the stone permanently or any alternate way to get rid of pain.Is laparoscopic surgery do any harm at this pregnant stage kindly advise.
re: gall bladder stone hence pain in lower abdomen by Dr Sadhana - Aug 26th, 2011 1:38 am
#1
Dr Sadhana
Dr Sadhana
Dear swagatika

We are sorry for the problem which you faced during pregnancy but in our opinion you should immediately get laparoscopic cholecystectomy done. Operative intervention may be performed in any trimester of pregnancy. Historical recommendations were to delay surgery until the second trimester in order to reduce the rates of spontaneous abortion and preterm labor. Recent literature has shown that pregnant patients may undergo laparoscopic surgery safely during any trimester without any increased risk to the mother or fetus. Postponing necessary operations until after parturition may, in some cases, increase the rates of complications for both mother and fetus.

It has been suggested that the gestational age limit for successful completion of laparoscopic surgery during pregnancy is 26 to 28 weeks. This has been refuted by several studies in which laparoscopic cholecystectomy and appendectomy have been successfully performed late in the third trimester.

Although laparoscopy can be performed safely in pregnancy with good fetal and maternal outcomes, the long-term effects to the children is not there. One recent study evaluated eleven children from one to eight years and found no growth or developmental delay in pregnant women.
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