| docicu3 |
09-15-2008 01:46 PM |
Quote:
Originally Posted by GBBob
It's gall stone related, but they aren't passing and his liver numbers are getting weird so that is why it will most likely have to come out.
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If his abdominal pain is in fact gallbladder related there are a number of things that have to be taken into account to keep Tom safe and give him the best chance at a speedy recovery.
There is cholelithiasis or gallstone disease but more likely a coexisting cholecystitis which is an active infection or inflammation of the gallbladder that is causing both 1) the difficulty in passing a stone or sludge (nonstone material causing partial or complete obstruction of the common bile duct)
2) the elevated liver enzymes (hepatitis) which has to do with the bile
backing up from the inflammation and possibly an obstructing stone causes this thing known as biliary stasis which is in and of itself a likely focus of infection.
MOST SURGEONS PREFER NOT TO OPERATE ON A HOT OR INFECTED GALLBLADDER BECAUSE 1) THE CHANCE OF A SYSTEMIC INFECTION IS HIGHEST WHEN YOU ARE THE SICKEST SO THEY COMMONLY GIVE ANTIBIOTICS FOR AT LEAST 24-48 HOURS RATHER THAN RUSH TO SURGERY
2) they prefer to do the procedure through a laproscope so the recovery time is far less and the scar is minimal. Cooling a patient down allows you to have the best chance at doing a lapchole or removing the gallbladder via a videoscope instead of a Kocker incision which is 6-8 cms long just below the ribcage and hurts much more.
Hopefully this is all mute ad Scavs will recover nicely and have a minimally invasive procedure and be out of the hospital in a few days.
My prayers are with you buddy if you can see this stuff.
DrD |
