Laparoscopic Gallbladder Removal

Overview

Gallbladder removal is among the common surgical procedures carried out in order to get rid of the stones, which create problems in it. These are often removed using the minimally invasive method or the laparoscopic option often termed as “Laparoscopic Cholecystectomy”. The purpose of this organ – gallbladder is to collect bile (digestive liquid), which is produced by liver. Once we eat, bile is released and moved to gallbladder, which expedites the process of digestion. Though the removal of the gallbladder due to the presence of gallstone in it hampers the digestion process to some extent but do not act impairment to it. Now, let us dig in deep into this procedure as under: 

How is the gallbladder removed?

The process of gallbladder removal is carried out with the laparoscopic procedure, wherein the surgeon inserts the camera inside the abdomen area and gets the view of the inside. If there are too many stones in the gallbladder, he or she would remove them with the special procedure known as ERCP, which will therefore becomes an open procedure for getting rid of the stones. Hence the surgery though starts with a laparoscopic approach turns out to be an open surgical option, which help in removing not just the gallstones but also the gallbladder, which are present in it.    

How is a laparoscope used to remove the gallbladder?

The laparoscopic gallbladder removal surgery starts with giving the patient general anaesthesia, which follows by making certain small size incisions over the abdomen area. The surgeon then inflates the abdomen using the carbon dioxide or air in order to see things clearly. The surgeon is then seen inserting a light video camera often via the incision made near the belly button. Before you find the surgeon removing the gallbladder, the surgeon employs a specialised kind of X ray procedure known as intraoperative cholangiography, which simply showcases the complete anatomy of your bile ducts. However, 50 percent of these surgeries are carried out using the open method, which may need big size incision. This is only done when too many stones are present in the gallbladder and are unable to get away from the laparoscopic procedure. 

What are the benefits of this type of surgery?

·         The use of laparoscopic gallbladder removal procedure come along with a number of benefits, which is the basic reason why more and more surgeons are seen opting the same. Some of these benefits are as under:

·         The surgery needs just few small incisions rather than the 5-7 incisions as seen in the open surgery over the abdomen area.

·         The patients face very less amount of pain after the surgery

·         The recovery after the surgery is usually faster after this procedure, which is not the case with the open option.

·         Generally, you will find all the patients leaving home the same day after the surgery and soon resume to their daily chores.

What is the Cost of Laparoscopic Gallbladder surgery?

The cost of the Laparoscopic Gallbladder Surgery in India is much less as compared to the US, which give enough reasons to the medical tourists for this surgery. If you check at the figures, it can cost you around 1600-2000 dollars, which may be much higher in the US ranging from 5000 to 8000 dollars depending upon the condition and other complications found in the surgery. However, the fact of the matter is, the laparoscopic gallbladder surgery in India is very much cost effective, which is not the case in developed nations. 

Conclusion

For treating the gallstones, generally the gallbladder is removed. One of the best ways to treat this ailment is via laparoscopic procedure. This comes along with a number of benefits as compared to the open ones. However, at times due to complications in the gallstone, the surgeon has to choose the open procedure as well. 

Bariatric Surgery for Arthritis

Overview

Being obese can be a curse as it can bring in a couple of health issues including type 2 diabetes and heart issues. In case if you are suffering from arthritis or osteoarthritis along with having extra weight, your conditions to OA can become bad to worse. However, if you have thought of losing weight via the non surgical options like diet and exercises, the bariatric surgery can help in improving upon the join health along with the overall health. As per reports of Arthritis Foundation, around 27 million US citizens are seen facing the joints breaks, which causes the bones to rub together. The issue or arthritis can bring issues like pain, stiffness and joint movement loss. The bad knees pain, lower back and hips are seen often getting hampered the most. 

How Bariatric Surgery Helps With Arthritis?

Even with small amount of weight loss can help in improving upon the symptoms of arthritis claims the Arthritis Foundation reports. However, people who lose good amount of their weight with the help of bariatric surgery can end up giving dramatic improvement in terms of arthritis claims the Cleveland Clinic Bariatric and Metabolic Institute based in Ohio, the USA. The fact is with these surgeries for weight loss, you can reap a number of benefits in terms of arthritis, which are as under:

·         Pain reduction: Generally the patients of bariatric surgery lose 75 pounds from their ideal weight, while after a month or so post surgery; people are seen shedding 20-30 pounds. The kind of weight loss usually corresponds with competitive improvement in terms of pain medications. For people considering this surgery can get rid of the pain in a big way, which is due to the decrease of pressure over the joints.

·         Increased mobility: Losing your weight can really help in making people more active claims the experts. This is really vital since physical activities like exercise can be called as the key of helping people maintain their weight loss. The more you indulge into physical activities like walking and running can really make the weight loss more effective, which in terms in reducing the symptoms pertaining to arthritis.

·         Better outcome after joint replacement: If you are keen to have joint replacement surgery, by being obese can boost up the risks of after the surgery. The obese patients are twice as most likely to suffer the post operative risks like infection and blood clot being the non-obese patient. Also, obesity can be reduced the lifespan of several new joints, hence at times a competent orthopaedic surgeon will really insist that people losing the weight before the surgery.

heart

Who's a Good Candidate for Surgery?

Bariatric surgery is for those who are facing severe kind of weight issues and having 35 or greater the body mass index and the patients who are not seen losing weight with any other way. The people after trying all the non surgical options are among the good candidate for the bariatric surgery. However, there is a wide range of bariatric surgical options available, which is simply decided after having a word with your surgeon. After discussing with your surgeon and considering the pros and cons of the suitable weight loss or bariatric surgery, you become the candidate for any bariatric surgery.  

Conclusion

Being overweight is really a curse in many ways, you not only get a couple of medical conditions with you but at the same time you face other issues. The extra load really gives in issues like adding much of the wear and tear over the joints. However, with the weight surgical options like bariatric surgery, one can reduce the impact of arthritis on the body.

Type 2 Diabetes After Weight Loss Surgery

Overview

Of late, the ailment like Type 2 Diabetes is increasing with greater pace owing to the current epidemic of obesity. Both these ailments are lethal to the health and can propel the problems. One of the best treatments for both the kinds of ailments can be called as metabolic surgery. One of the most common kinds of metabolic surgery include the weight loss surgical procedures are seem getting established, however, the underlying mechanism often remains very much unclear. Considering the relationship between these two conditions, it is interesting to explore the impact of Type Diabetes once you under the weight loss surgery. Let’s check how the former can impact over the latter in the following paragraphs: 

Weight-Loss Surgery and Type 2 Diabetes Remission

Looking at the recent metal analysis report of the improved glycemic control and remission of the menace called Type 2 diabetes in 84 percent of patients following the weight loss surgery including gastric bypass and 48 percent with other procedure gastric banding. However, the data while comparing the two procedures in the same space is confined along with remission are found inconsistent between these studies. The most possible reasons for this can include good surgeon, patient or cultural priority for one surgical procedure over the other. This will simply explain the lack of the published studies comparing several kinds of procedure. 

Dropping Weight and Diabetes With Weight-Loss Surgery

The weight loss surgical procedures can make a big difference for people suffering from the menace called Type 2 Diabetes. For some people who are seen with these surgeries, their blood sugar levels fall back to normal in quick time. This simply means that such patients would need less amount of medication or even no medicines as at all. The recent research data indicate a lot of improvement in terms of type 2 diabetes after having the weight loss surgery. Also, according to one of the long term studies, 400 patients suffering from Type 2 Diabetes even after six years with any weight loss surgery, 62 percent of these patients showcased no symptom or signs of the menace called diabetes. These people were also reported with good blood pressure, triglyceride and cholesterol levels. However, the people with 6 to 8 percent of patients who were seen consuming medicine for the same but didn’t have any weight loss surgery, showed similar kind of results. Hence considering the same, having these surgical procedures for weight loss can really make a big difference for people suffering from diabetes.

 Life After Weight-Loss Surgery

If you have opted for any weight loss surgery on having the issue of diabetes, you are looking ahead for better results. You can certainly expect to lose good amount of weight after the surgery. In case if you have any issues like Type 2 Diabetes or some other issue, then these conditions is more likely to improve. As per the reports, more than 95 percent of the people with obesity after having the surgery claimed that their life was improved. Once they recovered from the surgery, they know what changes they will find in their way. Of the many weight loss surgeries, the procedures like gastric banding or sleeve Gastrectomy is among the preferred choices by the patients and surgeons, which play a vital role in removing around 40 to 50 percent of the extra weight.  On an average the people facing the problem of obesity where seen losing the extra weight with gastric bypass surgery.

Conclusion

If you have extra weight, you are bound to face issues like type II diabetes then life becomes a big hell. However, with losing the weight with any of the weight loss surgeries, one can certainly improve upon these conditions, which include getting rid of taking medications for the same and other issues.

Weight - Loss, Obesity and Health Risks

Body Mass Index (BMI) is a widely used method for estimating body fatness or weight in terms of height and often is seen applied to most of the men and women falling in the age group above 20 years. For kids with the age of 2 and above, the BMI percentile becomes the base of assessing their fatness over their body. However, the BMI simply do not measure the body fat directly, though several research studies simply indicate that the BMI associate to several direct measures of the body fatness like the underwater weight and issues like dual energy, etc, which become the most cost effective and easy to carry out options. This is not the only method to measure your weight in terms of your height and health, there are ways as well. 

  Img credit: thewellnesschoicecenter.com

Some other ways of estimating your body fat

BMI is not the only method to measure your body fatness; there are several other tools, which can help in calculating your body mass index, some of these are as under: 

• Bioelectric Impedance Analysis (BIA): It helps in measuring the electrical impedance or the repulsion over the flow of electric current inside your body. Our muscle is known to have a rich water content, which is very much conductive, and on the other side, the fat has less amount of water content, which is certainly not very much conductive. As per the strength of the person’s impedance in terms with height and weight metrics, you can find the BIA scale estimating your fat free body mass (FFBM) and the percentage of body fat.
  
• Anthropometric: It employs measuring the circumference of your body in order to find out the fat percentage of your body. Here, you can find people taking the neck, waist and the height circumference for men, while for women the hips, neck and height are considered to measure the fatness in the body. This can be done with a measuring tape.
  
• Hydrostatic Weighing: It is often referred as the gold standard of measuring fatness of the body, which demands you to submerge inside the specialised water tanks. As we k now both bone and muscles are denser than water, hence people having larger fat percentage will have more weight in water as compared to the one with lower ones. Using this concept, the body fatness is calculated. 

What are treatment options for morbid obesity?

Though there are other non surgical methods to get rid of morbid obesity but effective are the ones called the surgery. You can find two common types of surgical methods to treat morbid obesity, which include laparoscopic gastric bypass surgery and laparoscopic gastric banding. Let’s take a view on the two as under: 

• Gastric bypass surgery: It is one of the common methods of shedding extra weight, which works on the idea of limiting the food intake and thus reduces the food absorption. The food intake is simply confined by a small size pouch, which is very much similar in terms of size of the adjustable gastric band.  This surgery is carried out using laparoscope, which include making small size incisions over your abdomen area, which gives the surgeon a better view of your inside making things simple. The surgeon then does the needful and closes the incisions to finish the surgery procedure.
  
• Lap gastric banding: This is also one of the popular surgeries carried out for weight loss. It is again carried out using the laparoscopic approach, which involves making small size incisions and inserting the camera and getting the best view of your inside to the surgeon. The surgeon then puts the band across your stomach using special tools, which further restricts the food intake. This in turn helps in working out the effective weight loss. This procedure is often an ideal choice for losing weight even for people who have BMI of 40. In this way, you get rid of the extra weight to avert other health issues to a great extent.

You can read more about
Permanent Weight Loss: What You Need To Know
The Best Obesity Treatment
Gallbladder Disease and Obesity