Question about gallbladder surgery times.....

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Posted 2/13/2013 by **Angie** in NSBR Board
 

**Angie**
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Posted: 2/13/2013 7:55:05 PM
Fil had surgery today. After putting him under, they decided they couldn't do laproscopic surgery on him. The surgery took three hours. Mil said the doctor said that fil would be in recovery for 4-5 hours.

Are those common times?

We worry because fil has been very sick and they had to wait until he was healthy enough to undergo surgery.

Thanks....






scrap4maddie
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Posted: 2/13/2013 8:32:33 PM
I had the laproscopic surgery. Surgery took less than an hour and I was in recovery for about an hour. I felt that they kicked me out of the hospital before I was ready. I was still half out of it when I left.


~Erica~







tinaev
PeaFixture

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Posted: 2/13/2013 8:49:56 PM
My mom just had her gallbladder removed laproscopically last week. She was admitted at 6am and they sent her home at 11:30. Hers was completely routine, no complications.

scoobers
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Posted: 2/13/2013 9:36:23 PM
Sounds about right for full blown incision.



Laurel Jean
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Posted: 2/13/2013 9:38:58 PM
From what I've seen (I read medical records for a living), that seems pretty normal for a laproscopic surgery that gets converted to an open procedure.

Hoping that your FIL heals quickly.

FlyKy
BucketHead

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Posted: 2/13/2013 9:45:03 PM
Please inquire further. My DF is a high volume general/Bariatric surgeon. He does 20+ GB a week. His average lap gb takes abt 12 minutes. If for some very rare circumstances, he has to open, it would never take more than an hour.
Hope all is well.

dwisker
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Posted: 2/13/2013 9:57:07 PM
....."His average lap gb takes abt 12 minutes."


I've been an OR nurse for 17 years and I have never seen a laparoscopic cholecystectomy done in only 12 minutes. The lingo we use for a procedure is "skin to skin", meaning starting the procedure, performing it and closing. So perhaps ligation of the artery, the duct and excision from the liver bed is possibly 12 minutes, but you have to add anesthesia time on each end-induction and then reversal and extubation, so that's another 15 minutes or so.

From what the OP said, her father-in-law had been feeling lousy and probably had wicked bad gallbladder disease. Perhaps he had a common duct stone and they did an intra-op cholangiogram. Perhaps he had a multitude of stones and they had to open the gallbladder at the skin and remove some of the stones manually before they could deliver the gallbladder through the incision. It would take well over an hour then.

As far as PACU time, 4-5 hours is not an extremely long time to be there. After he hits phase II or stage II he will be transferred to a room. He has to meet the criteria for being stable with his B/P, O2 sats, hemodynamics and pain control.


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**Angie**
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Posted: 2/13/2013 10:15:01 PM
Thanks for the replies.

Fil has been very sick - literally near death a month ago. They had to wait for his various levels to even out (sugar, bp, etc) because they were afraid to put him under for the procedure.

As of an hour ago, he's doing okay. Mil said he got mad because she wouldn't go get him something to eat. I don't think he truly understands that his old way of eating (fried everything, lots of sodas) is not the best for him.





Zella
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Posted: 2/14/2013 12:55:40 AM
In my experience, yes. My own open gallbladder surgery was a couple of hours. I wasn't in recovery as long, but with an older, sicker person I'd expect that.

Recovery from this surgery is HARD. He will need help doing such simple things as getting up out of bed for a while. And if he drives, please tell him not to try driving until he gets the okay. I think they say 6 weeks, and believe me, you do NOT want to do it before that. This is a major surgery, and it involves cutting through musculature. You don't realize just how much you use your abdominal muscles: pretty much every time you move.

I hope your f-i-l recovers well, and that he feels better once he is recovered from the surgical part.


Trying to live each day for itself


**Angie**
Pea Who Should Be Cleaning!

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Posted: 2/14/2013 7:37:04 AM
Thanks, Zella. I don't know if fil is allowed to drive, but I'll mention is to mil.




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