General Surgery/GALLSTONES

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Question
Respected Doctor
         Please state, whether a female patient needs immediate surgery in case of severe gallbladder pain due to ACUTE CHOLECYSTITS OR her CHOLECYSTECTOMY can be delayed for three to four weeks even the patient has gone settled from acute cholecystitis?AND in this scenario what could be the best procedure/option for the patient either  LAP CHOLE OR OPEN CHOLE?
         Seeking for your early reply, please.


Sincerely yours,
NAJMUS SAQIB

Answer
Dear Najmus,

Unless there are gallstones with in the common bile duct, a cholecystectomy can be delayed for 3 to 4 weeks. It is up to the surgeon's expertise, but generally a laparoscopic cholecystectomy is easier and with less postoperative complications than an open cholecystectomy.  I have assisted with open cholecystectomy, but they were few and far between, And were always related to a severely diseased gallbladder.

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Dr. Pamela M. Cipriano, DNP, ACNP-BC

Expertise

GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED

Experience

My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Organizations
Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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