Treatment methods

Gallbladder surgery brings relief of pain

Our specialists at Schoen Clinic have the right treatment for every case: 

If gallstones tend to cause minor discomfort, the gallbladder is surgically removed at a suitable opportunity. 

Surgery is urgently required in the event of acute gallbladder inflammation and all situations with mechanical bile flow obstruction. 

Severe colic pain also often becomes an emergency event.

Conservative treatment methods

Gallstones: Treatment without surgery

Treating gallstones without surgery not only takes a long time but also requires long-term medication. What’s more, conservative treatment offers no guarantee that gallstones will not be formed again.
If there are no symptoms or conspicuous laboratory changes, the patient remains under observation. However, even if the symptoms are only minor, a gallbladder removal can be useful in order to avoid possible colic. 

Surgical treatment methods

Gallbladder surgery – depending on the type of symptoms

Colic
The pain that occurs with biliary colic can be improved by avoiding colic-inducing food. Nevertheless, gallbladder surgery with removal of the gallbladder including the gallstones a safer option.

“Acute gall”
In the case of acute inflammation of the gallbladder, surgery is the first priority. In this case, gallbladder surgery should be performed very promptly. If there are signs of peritonitis, this may also be necessary as an emergency.

Inflammation of the bile ducts
Following antibiotic treatment, the cause must be carefully clarified.

Stones in the bile duct
First, a notch is created in the papillary sphincter. The stones can then generally be removed endoscopically with a basket. In addition to endoscopy, an X-ray fluoroscopy (ERC) is required, during which a contrast medium is injected into the bile duct.

Papillary sclerosis
Plastic tubes can be inserted into the bile duct after notching of the scarred constriction and possible collection of a tissue sample. These then allow drainage into the duodenum.

Tumour formation
This is usually followed by an extensive open abdominal operation. It involves a large area of the tumour, including the lymphatic ducts, possibly also neighbouring tissue and organs, in order to facilitate healing.

Surgical procedure: laparoscopic cholecystectomy

The removal of the gallbladder is performed using minimally invasive keyhole surgery in over 90 per cent of cases. For you as a patient, this means gallbladder surgery with minimal pain, rapid resilience after a short period of rest and only a brief stay in hospital. During the procedure, the finest instruments and a video camera are inserted into the peritoneal cavity via three to four small incisions. This allows the organ to be removed gently. 

Aftercare after gall bladder surgery

Since we use dissolving stitches during the operation, the stitches do not need to be removed. On the second day after the operation, we will check your lab results again and perform an ultrasound of the site of the surgery. You can then usually be discharged. It is now possible to shower and you can eat everything again – within reason, of course. However, it is important that you take it easy for one or two weeks. Depending on the severity of your residual symptoms, however, light activities may be possible already.