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Cholecystectomy
My father had a Right PCA territory infarction in 2020 and right MCA infarction in 2022. Currently, he takes Ecosprin AV 75/20 .Recently, he has developed Gall Stones and we are planning for his surgery . Could you please let me know about the risk factors if a laproscopic surgery is performed?
Answers (5)
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If he’s symptomatic with recurrent episodes of pain/cholangitis he needs lap cholecystectomy after assessment by anaesthetist pertaining to history of CVA/stroke
Next Steps
Laparoscopic cholecystectomy
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Look for signs of fever , severe abdominal pain
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As you specifically ask about risk factors he fall under high risk group but you need to operate !!! Can you please share his investigation too blood as well as radiological!!!
You should operate where good anaesthesia backup is there and cardiology team is there as well as cardiac critical care Icu as backup plan !! Inshort go for where multispeciality team is available under one roof
Next Steps
Inshort go for where multispeciality team is available under one roof
Health Tips
Relax Don’t panic !!
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Hello there!
You havent mentioned his age
What was his symptoms?
Was it accidentally detected stone?
Apart from CVA what else does he have?
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Dr. Smriti
Anesthesiologist
12 yrs exp
Bangalore
Hi, any history of stroke puts him in high risk patient category. But he will definitely require a detailed work up before surgery.
Next Steps
please meet the anaesthesiologist atleast 2 days prior to surgery, take all previous records and follow his/her orders
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Dr. Jeevan G
General Surgeon
2 yrs exp
Bangalore
Hello! He can undergo laparoscopic gallbladder removal if he is experiencing any symptoms of abdominal pain, bloating and vomiting. Ultrasound report is needed to look for size of gallbladder stones or any features of infection. The risks included are bleeding which will be taken care by stopping ecosprin AV prior to surgery and it can be continued post surgery. Pls consult nearby surgeon with recent reports.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.