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NHS Birmingham Crosscut Clinical Commissioning Group NHS Birmingham South Central Clinical Commissioning Group NHS San dwell and West Birmingham Clinical Commissioning Group NHS Solidly Clinical Commissioning
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How to fill out cholecystectomy for asymptomatic gallstones

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How to fill out cholecystectomy for asymptomatic gallstones

01
Begin by reviewing the patient's medical history and performing a thorough physical examination.
02
Order necessary laboratory tests, including a complete blood count, liver function tests, and abdominal ultrasound.
03
Confirm the diagnosis of asymptomatic gallstones based on the ultrasound findings.
04
Discuss the treatment options with the patient, including observation, medical management, or cholecystectomy.
05
Educate the patient about the potential risks and benefits of cholecystectomy.
06
Obtain informed consent from the patient before proceeding with the surgery.
07
Schedule the surgery at an appropriate time, considering the patient's preferences and availability.
08
Ensure the patient follows preoperative instructions, such as fasting before the surgery.
09
Perform the cholecystectomy procedure using laparoscopic or open surgery techniques.
10
Monitor the patient closely during the postoperative period for any complications or adverse reactions.
11
Provide appropriate postoperative care, including pain management and instructions for wound care.
12
Schedule follow-up appointments to monitor the patient's recovery and address any concerns.
13
Evaluate the effectiveness of the cholecystectomy in alleviating symptoms and preventing complications.
14
Communicate the results of the procedure to the patient and provide further recommendations if needed.

Who needs cholecystectomy for asymptomatic gallstones?

01
Patients with symptomatic gallstones, such as recurrent gallbladder pain or acute cholecystitis, typically require cholecystectomy.
02
Asymptomatic gallstones are often managed conservatively, but certain high-risk groups may benefit from cholecystectomy:
03
- Diabetic patients
04
- Immunocompromised individuals
05
- Patients with porcelain gallbladder
06
- Patients with gallbladder polyps larger than 1 cm
07
- Patients with a history of biliary pancreatitis
08
- Patients planning to undergo major abdominal surgery
09
- Patients unable to undergo prompt surgical intervention in case of complications
10
It is important to consider each patient's individual characteristics and medical conditions when determining the need for cholecystectomy.

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