Our Summary

This research paper looked at the long-term risk of developing a hernia after gallbladder removal surgery, also known as a cholecystectomy. Different surgical methods were compared, including multiport and single-incision laparoscopic surgery, open surgery, and robotic surgery. The data was collected from 89 different studies.

The results showed that the risk of developing a hernia after the operation was relatively low for multiport laparoscopic and open surgery. However, the risk was considerably higher with single-incision laparoscopic and robotic surgery. Notably, there was a wide range of hernia incidence for robotic surgery, from 0% to 16.7%.

In simple terms, the way your surgeon removes your gallbladder could impact your risk of getting a hernia afterwards. The methods that involve multiple small cuts or a larger open cut seem to carry a lower risk than the methods that involve just one small cut or a robotic procedure.

FAQs

  1. What is a cholecystectomy and how is it performed?
  2. What is the risk of developing a hernia after gallbladder removal surgery?
  3. Does the surgical method used in a cholecystectomy impact the risk of developing a hernia post-surgery?

Doctor’s Tip

As a helpful tip, your doctor may advise you to discuss the surgical method for your cholecystectomy with your surgeon. It’s important to weigh the potential benefits and risks of each approach, including the risk of developing a hernia post-surgery. By having an open and informed conversation with your healthcare provider, you can make the best decision for your individual situation.

Suitable For

Based on this research, patients who are recommended for cholecystectomy are typically those who have symptomatic gallstones, gallbladder inflammation (cholecystitis), gallbladder polyps, or gallbladder cancer. Additionally, patients who have recurrent episodes of biliary colic or complications related to gallstones, such as pancreatitis or jaundice, may also be recommended for surgery. The choice of surgical method may depend on various factors such as the patient’s overall health, the size and location of the gallbladder stones, and the surgeon’s expertise. It is important for patients to discuss the risks and benefits of each surgical method with their healthcare provider before making a decision.

Timeline

Before cholecystectomy:

  1. Patient experiences symptoms of gallbladder issues such as abdominal pain, nausea, vomiting, and jaundice.
  2. Patient undergoes diagnostic tests such as ultrasound, CT scan, or MRI to confirm the presence of gallstones or other issues.
  3. Patient consults with a surgeon to discuss the need for cholecystectomy and the different surgical options available.

After cholecystectomy:

  1. Patient undergoes the chosen surgical procedure to remove the gallbladder.
  2. Patient may experience pain, swelling, and discomfort in the abdominal area post-surgery.
  3. Patient is advised to follow a specific diet and take pain medication as prescribed by the surgeon.
  4. Patient may need to stay in the hospital for a few days for monitoring and recovery.
  5. Patient is discharged from the hospital and instructed on post-operative care, including wound care and follow-up appointments.
  6. Patient gradually resumes normal activities and diet as instructed by the healthcare provider.
  7. Patient may experience changes in bowel habits or digestion due to the removal of the gallbladder.
  8. Long-term complications such as hernia formation may occur, depending on the surgical method used for cholecystectomy.

What to Ask Your Doctor

  1. What are the different surgical methods available for cholecystectomy, and what are the pros and cons of each in terms of hernia risk?
  2. Based on my specific health history and condition, which surgical method would you recommend for me?
  3. What is the likelihood of developing a hernia after the cholecystectomy surgery, and how does it compare to other potential risks?
  4. Are there any steps I can take before or after the surgery to reduce my risk of developing a hernia?
  5. What symptoms should I watch out for that could indicate the development of a hernia post-surgery?
  6. How soon after the cholecystectomy should I follow up with you to monitor for any potential hernia development?
  7. Are there any specific activities or movements I should avoid in the weeks following surgery to prevent hernia formation?
  8. If I do develop a hernia after the surgery, what treatment options are available and what is the typical recovery process?

Reference

Authors: Jensen SAS, Fonnes S, Gram-Hanssen A, Andresen K, Rosenberg J. Journal: Surgery. 2021 Jun;169(6):1268-1277. doi: 10.1016/j.surg.2020.12.027. Epub 2021 Feb 17. PMID: 33610340