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Digestive Changes and Surgery Complications

Digestive Changes and Surgery Complications

In addition to the expected digestive side effects, gallbladder removal is typically considered a minimally invasive procedure, but it carries a small risk of other complications. These include:

Bile Leakage

As part of the surgery to remove your gallbladder, clips are used to seal the tube that connects the gallbladder to your main bile duct.

It’s possible, though, for bile to leak into the abdomen if the clip doesn’t adequately seal the tube.

When a bile leak occurs, symptoms may include abdominal pain, nausea, fever, and swelling of the abdomen.

Sometimes a bile leak can be drained without the need for further surgery. In more severe cases, though, an operation is needed to drain the bile and wash out the inside of your abdomen.

Bile Duct Injury

In some cases, your main bile duct may be injured in the course of removing your gallbladder. During surgery, bile ducts may be cut, pinched, or burned.

This can lead to the leakage of bile into the abdomen or the blockage of bile flow from the liver.

If your surgeon realizes this right away, it may be possible to fix the problem immediately. More severe bile duct injuries are often referred to medical centers with expert teams that can better deal with this problem.

Injury to Surrounding Structures

In extremely rare cases, your surgery may cause damage to nearby blood vessels, your liver, or your intestines.

These problems can usually be spotted and fixed right away, but if they’re not noticed until later, another operation may be needed.

Recurrent Stones

An obstruction from a new stone in your biliary tract can occur even after gallbladder surgery

In some cases, this can cause severe pain. Some people can form stones in their bile ducts even after gallbladder surgery. Surgically removing these stones may resolve the pain.

Blood Clots

People with certain risk factors — like prior clots, prolonged immobilization, or cancer — are at higher risk for developing a blood clot after surgery.

This type of clot, known as deep vein thrombosis, usually develops in your leg but can travel to and lodge in other areas of your body, cutting off blood flow to parts of your lungs (known as pulmonary embolism).

If you have an elevated risk of blood clots, talk to your doctor about ways to mitigate the risk. These may include getting up and walking around as soon as possible after surgery, wearing medical compression stockings, and taking blood-thinning medication to prevent clots.

Infection

After your surgery, you may develop either an internal infection or one at the incision site.

Signs of an infected wound include:

  • Increased pain at the site
  • Swelling
  • Redness
  • Pus leaking from the wound

To treat an infection, your doctor will prescribe antibiotics. In rare cases, it may be necessary to surgically drain fluid or pus from the infected area.

Bleeding (Hemorrhage)

While it’s rare, bleeding can occur internally or externally after your operation. If this happens, you may need a further operation to stop the bleeding.

Scars and Numbness

You may develop scarring and a loss of sensation at or around your incision sites.

Hernia

Part of your intestines or some other tissue may bulge through your abdominal wall at the incision site. This bulge, called a hernia, may be painful, and if it doesn’t resolve on its own, it may require surgery to correct.

General Surgical Complications

The following are risks inherent to all surgeries, not just gallbladder surgery:

  • Reactions to Anesthesia It’s possible, though very rare, to have severe reactions to the anesthesia used for your surgery, including a severe allergic reaction or even sudden death.

  • Heart Problems If you already have cardiovascular disease, the stress of surgery can cause or worsen heart problems.

  • Pneumonia During your surgery, you’ll be given a breathing tube since you won’t be able to breathe on your own under general anesthesia. This ventilated breathing may increase your risk of pneumonia.

     In rare cases, you can develop a lung infection following your surgery as a result of this. Depending on its severity, you may be prescribed oral antibiotics, or you may need to be hospitalized and given intravenous fluids and antibiotics.

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