On October 25th, information from Da Nang Family Hospital indicated that doctors had successfully performed a laparoscopic surgery to remove the gallbladder and gallstones from an elderly patient with multiple underlying health conditions.
Previously, Mr. NBH (65 years old, residing in Thanh Khe District, Da Nang City) was admitted to the emergency room with severe pain in the right lower abdomen and right iliac fossa, accompanied by continuous high fever, chills, fatigue, and loss of appetite…
Mr. H. has a history of gallstones, which were discovered a long time ago but have not been completely treated. The patient also suffers from underlying conditions including hypertension, type 2 diabetes, a stroke more than 10 years ago, and weakness on the left side of his body.
Dr. Nguyen Hoang checks Mr. H.'s health after surgery.
Doctors determined that Mr. H. had a biliary tract infection due to gallstones complicated by gallbladder necrosis, with a poor prognosis. Because Mr. H. was elderly and had several serious underlying conditions, the doctors proceeded with the laparoscopic surgery cautiously.
During the surgery, it was noted that Mr. H.'s abdominal cavity contained a large amount of bile-transudative fluid, the gallbladder was greatly distended forming abscesses, there was necrosis in the subhepatic region, and the gallbladder wall also showed scattered necrotic patches.
After three hours, the team successfully removed the entire gallbladder, extracting hundreds of gallstones, and flushing and draining the peritoneal cavity for Mr. H.
According to Dr. Nguyen Hoang (Family Hospital), one day after surgery, Mr. H. was able to sit up, pass gas, his abdominal pain had subsided, and he could move around and eat light meals. In addition, he continued treatment for underlying conditions, with good control of blood pressure and blood sugar, and prevention of thrombosis and recurrent stroke. After 5 days of comprehensive care and close monitoring, Mr. H. was discharged from the hospital.
Hundreds of gallstones were removed from Mr. H's gallbladder.
"Gallstones are a common gastrointestinal disease, but due to complacency and reluctance to seek treatment, people often only seek medical attention when complications have already developed. At this point, treatment becomes much more difficult, especially in elderly patients and those with multiple comorbidities. Therefore, when experiencing symptoms such as intermittent abdominal pain in the right lower quadrant, accompanied by nausea and bloating, high fever, or any other unusual signs, patients should seek treatment at reputable medical facilities," advised Dr. Nguyen Hoang.
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