| Now it's time to talk about the actual procedure your doctor has recommended for you.
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On the day of your operation, you will be asked to put on a surgical gown. |
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You may receive a sedative by mouth and |
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an intravenous line may be put in. |
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You will then be transferred to the operating table. |
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In the operating room, a nurse will begin preparation by clipping or shaving the abdomen. |
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The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. |
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The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made, |
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... place a sterile drape around the operative site. |
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Then, after you're asleep, your doctor will make a small, vertical incision in your navel. |
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Using a pair of small retractors, the surgeon will gently open the incision and divide the exposed tissues. |
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Sutures resembling a purse string are placed in the skin around the navel. |
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Next, a special instrument called a Hassan Trocar is inserted through the opening in the navel. |
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The purse string sutures are pulled, causing the skin to tighten around the instrument. This creates an airtight seal. |
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The team then connects the Trocar to a small hose ... |
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... in order to inflate the abdomen with carbon dioxide. This serves to enlarge the internal work area and to separate the organs. |
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They will make three or more incisions into the abdomen, with care taken to keep the openings as small as possible. |
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Next, the laparoscope is carefully inserted into the Hassan Trocar. Once the laparoscope is in place, it will provide video images to allow the placement of additional instruments. |
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The surgeon will then locate and retract the liver to identify the gallbladder. |
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Next, the surgeon removes the connecting tissue in order to expose the cystic duct and the cystic artery... |
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Using clips, the surgical teams clamps off both the duct and artery |
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which are later cut to prepare the gallbladder for removal. ... |
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Finally, any remaining tissue connecting the gallbladder to the liver is cut... |
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The gallbladders is moved into the laparoscopic working port |
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where it is taken out of the body. |
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Then the instruments are withdrawn... |
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the carbon dioxide is allowed to escape... |
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the muscle layers and other tissues are sewn together... |
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and the skin is closed with sutures or staples. |
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Finally, a sterile dressing is applied. |
