Laparoscopic Cholecystectomy

Steps Involved in IVF:

Procedure Description

Laparoscopic cholecystectomy, commonly known as gallbladder removal surgery, is a minimally invasive procedure used to treat gallbladder diseases, most commonly gallstones and inflammation. The gallbladder, a small organ located under the liver, stores bile—a digestive fluid produced by the liver that aids in fat digestion. When gallstones or other issues interfere with bile flow, symptoms such as pain, nausea, and infection may occur. Removing the gallbladder can relieve these symptoms and prevent complications such as pancreatitis.

The laparoscopic approach to cholecystectomy has become the preferred method because it uses small incisions, minimizing scarring and promoting faster recovery compared to traditional open surgery. In the procedure, a surgeon inserts a laparoscope—a thin, flexible tube with a camera attached—through small incisions in the abdomen. The camera provides a high-definition, real-time view of the surgical area, enabling the surgeon to navigate and remove the gallbladder with precision.

Once inside the abdominal cavity, the surgeon uses specialized tools inserted through additional small incisions to carefully detach the gallbladder from surrounding tissues. The bile duct, which connects the gallbladder to the digestive system, is then sealed to prevent bile leakage, and the gallbladder is removed through one of the incisions. This minimally invasive approach reduces pain, shortens hospital stays, and allows patients to resume normal activities within a few weeks.

Procedure Duration

Laparoscopic cholecystectomy is generally completed within one to two hours, although the exact time can vary based on patient-specific factors, including any complexities encountered during the surgery. The procedure can be divided into three main phases: preparation, surgery, and post-operative recovery.

During preparation, patients undergo a series of routine tests such as blood tests, imaging scans, and anesthesia evaluation to ensure they are suitable candidates for the surgery. This phase also includes reviewing the procedure and obtaining consent from the patient. An anesthesiologist administers general anesthesia to ensure the patient is comfortable and pain-free during surgery.

The surgical phase begins with the creation of small incisions, typically 0.5 to 1 cm in length, through which the laparoscope and surgical instruments are inserted. Carbon dioxide gas is used to inflate the abdomen, creating space for the surgeon to operate. Once the gallbladder is removed, the instruments are withdrawn, and the incisions are closed with sutures or surgical glue. In most cases, patients spend just a few hours in a recovery room before they can be discharged.

The post-operative recovery phase involves monitoring the patient’s vital signs and ensuring they can tolerate liquids before discharge. Although some discomfort and fatigue may be experienced for a few days, most patients can resume light activities within a week, with full recovery usually occurring within two to four weeks.

Benefits

  • Minimally Invasive Approach: Smaller incisions reduce scarring and lower the risk of infection.
  • Faster Recovery: Patients often resume normal activities within a week, with full recovery in a few weeks.
  • Reduced Pain: Minimal tissue disruption results in less pain and discomfort post-surgery.
  • Lower Risk of Complications: Compared to open surgery, laparoscopic cholecystectomy has a lower risk of complications.
  • Shorter Hospital Stay: Many patients can go home on the same day or the day after surgery, reducing hospital expenses.

Potential Destinations

  • India: Known for advanced medical facilities and cost-effective care, India has many hospitals offering laparoscopic procedures with internationally accredited standards. English-speaking medical staff, competitive prices, and high-quality care make it ideal for medical tourists.
  • Thailand: Thailand has a strong reputation for medical tourism, with hospitals providing high-quality care in laparoscopic cholecystectomy. Modern facilities, experienced surgeons, and an appealing tourist environment attract patients from around the world.
  • Mexico: For patients from North America, Mexico is a popular destination due to its proximity and affordability. Many hospitals specialize in laparoscopic procedures, offering significant savings without compromising quality.
  • Turkey: Turkey is emerging as a hub for medical tourism, with a range of accredited hospitals providing advanced laparoscopic surgeries. Its healthcare facilities are known for blending cutting-edge technology with competitive prices.
  • Singapore: Singapore’s healthcare system is renowned for its stringent medical standards and modern facilities. While costs may be higher, Singapore offers exceptional care and advanced technology, ensuring high success rates in laparoscopic cholecystectomy.

Risks & Considerations

  • Infection: Though rare due to small incisions, infections can occur at the incision sites and may require additional treatment.
  • Bile Leakage: There is a risk of bile leakage, particularly if the bile duct is inadvertently damaged. This may lead to the need for additional procedures.
  • Bleeding: Bleeding during or after the surgery, while uncommon, can occur and may necessitate a blood transfusion or further surgical intervention.
  • Digestive Changes: Some patients may experience diarrhea or bloating after gallbladder removal, which typically improves over time but may require dietary adjustments.
  • Anesthesia Risks: General anesthesia is generally safe but can carry risks, including allergic reactions, especially in individuals with underlying health conditions.

How to Choose the Right Doctor and Hospital

Selecting a qualified doctor and hospital for laparoscopic cholecystectomy requires careful consideration of several factors. Look for a hospital with a reputable laparoscopic surgery department that adheres to international safety and quality standards. Checking for accreditation from well-established medical bodies can help ensure the facility follows best practices.

It is also essential to choose a surgeon with extensive experience in laparoscopic procedures, particularly cholecystectomy. Reviewing the surgeon’s qualifications, success rates, and patient testimonials can provide insight into their expertise. Additionally, asking about the hospital’s post-operative care facilities, emergency support, and infection control practices can help ensure a safe and successful experience.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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