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Sep 27, 2009

Surprise Gallbladder Removal During Hernia Surgery?

This topic revolves around a person who is preparing for surgery to repair an incisional hernia that appeared after a urostomy. During a pre-surgery consultation, the surgeon unexpectedly suggested removing the patient's gallbladder at the same time. This suggestion was based on gallstones that were detected in a scan six months prior. However, the patient has not experienced any symptoms like pain, indigestion, shoulder pain, or dietary issues, which led them to question the necessity of this additional procedure.

Here are some key points from the situation:

1. The patient did some research and found that surgery is not typically recommended for asymptomatic gallstones.
2. A meeting with a general surgeon confirmed that there is no need to remove the gallbladder since there are no symptoms.
3. The general surgeon explained that if gallbladder removal were ever necessary, it would be done laparoscopically above the navel, not through the hernia incision below it.
4. The general surgeon plans to advise the hernia surgeon to focus solely on the hernia repair. There is also a possibility of performing a "tummy tuck" to improve the appearance of the scar.
5. The patient is feeling frustrated with delays in the British NHS and is hoping to avoid being in the hospital during the Christmas period.
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