GALLBLADDER SPECIALIST

DR KUMAR treats and operates on patients with gallbladder on a daily basis. And LAPAROSCOPIC GALLBLADDER SURGERY is his favorite surgery. Making him truly a GALLBLADDER SPECIALIST.

20000+

Happy Patient

SURGEON DR KUMAR

BEST GALLBLADDER STONE TREATMENT IN CHENNAI,INDIA | DR KUMAR GALLBLADDER SPECIALIST

Gallbladder stones commonly called as Gallstones are been increasingly seen in the General Population.The classical description of Gallstones being common in Fat, Forty, Fertile, Female no longer applies.It is increasingly seen in all ages,even in small Children,men and Female and more incidence during and after Pregnancy.

If you are Diagnosed with or suspect you have Gallstones and looking for the Best Gallbladder Stone ( Gallstone) Treatment in Chennai ,India then Dr Kumar at Billroth Hospital is the Top Choice .Dr Kumar at Billroth Hospital is the most trusted Doctor for Gallbladder Stones Treatment in Chennai ,Tamilnadu. He has 29+ years experience in Treatment of Gallbladder stones and Gallbladder Surgery and has successfully performed 5000+ Gallbladder Surgeries including Complex and Complicated Gallbladder Surgeries- Most of them by Laparoscopy. Dr Kumar has 29+ years of experience and an expert in the Laparoscopic Cholecystectomy- the Gold Standard Treatment for Gallstones– and Robotic Cholecystectomy.

WHAT ARE GALLBLADDER STONES?

Gallbladder stones are Hardened pebble like deposits of Digestive Fluid(Bile) that form in the Gallbladder.They are mostly composed of Bile pigments (Bilirubin) and Cholesterol.They may vary in size from small sand grain size to a big lemon size stones.Some people may have a Single large stone and Some have multiple small stones.

TREATMENT FOR GALLBLADDER STONES

DR KUMAR of Billroth Hospitals has 29+ years of experience in Treatment of Gallbladder stones and Highly Skilled in Complicated and Complex Gallbladder stone Surgery.

OBSERVATION

Many times small,asymptomatic stones can be watched and Just observed.

MEDICAL TREATMENT

Sometimes small,single asymptomatic stones may respond to Medical treatment with Ursodeoxycholic Acid medicine ,the assurance of Dissolution and the duration the Medicine to be continue remain uncertain.

LAPAROSCOPIC CHOLECYSTECTOMY

The Gold Standard of Treatment for Symptomatic Gallstones remain LAPAROSCOPIC CHOLECYSTECTOMY and DR KUMAR with 29+ years of experience , and 5,000 Gallbladder Surgeries,is a Master of Laparoscopic Cholecystectomy. Even for very Severely Infected, perforated, gangrenous and Complicated and Complex Gallbladder ,he has successfully performed Laparoscopic Cholecystectomy.He was also one of the First Surgeon in Chennai to start performing LAPAROSCOPIC CHOLECYSTECTOMY making him the Top Choice for Gallbladder Stone Surgery

ROBOTIC CHOLECYSTECTOMY

With technological Advancement Gallbladder Surgery is carried out using ROBOTIC approach and DR KUMAR at Billroth is highly skilled in ROBOTIC CHOLECYSTECTOMY .Mostly for Complex Gallbladder Surgeries ,Robotic Surgery offers better Precision, Magnifications and lesser Pain compared to Laparoscopic Surgery giving Faster Recovery.

OPEN SURGERY

DR KUMAR very rarely performs Open Surgery and is Preformed in Complicated situation like Cholecysto Duodenal Fistula which requires Duodenal Repair

ERCP- Endoscopic Retrograde Cholangiopancreatography

ERCP is most commonly performed for treatment for Bile Duct Stones, avoiding the need for open surgery.

ERCP is an advanced, minimally invasive procedure used to treat Bile Duct Stones- Gallbladder stones that have migrated into the common bile duct -Choledocholithiasis. It is especially helpful in patients with jaundice, cholangitis, or Pancreatitis caused by bile duct obstruction.

WHAT DOES THE GALLBLADDER DO

The Gallbladder is a small pear shaped organ situated just beneath the Liver on the Right side upper part of the Abdomen. The capacity is the Gallbladder ranges from 50 to 100 ml.In pathological Conditions the Gallbladder may expand to 200 to 300ml volume also. The Gallbladder is a Temporary storage organ for Bile.We have to understand that more than one liter of Bile is formed from the Liver everyday and only a small amount is stored in the Gallbladder. Whenever we eat extra Fatty food, an enzyme called Cholecystokinin is secreted from the Small Intestine which causes the Gallbladder to Contract and release the stored Bile into the Intestine via the Common Bile Duct and this extra Bile Aid in Fat digestion.

The Important point to notes is

Digestion occurs in the Stomach and the Intestine and not in the Gallbladder, as falsely believed by many people
Only a part of Bile is stored in the Gallbladder.All the Bile formed is not Stored in the Gallbladder.
Gallbladder plays a minimal role in digestion and the Whole digestive system is not dependent on Gallbladder as believed Paradoxically by many people.

WHAT IS BILE

The Bile is a Digestive Juice formed in the Liver and secreted by the Liver cells.The Hepatocytes into the Biliary ductules,which unite to form the Bigger Biliary Duct.

The Bile is composed of

Water
Bile Salts- Ursodeoxycholic acid and Chenodeoxycholic Acid which helps in breaking down fat to fatty acids which are absorbable.
Bile pigments which are breakdown substances of old Blood Cells-RBS,which form a Substance called Heme and these are excreted in the Bile.The Bilirubin pigment is the reason the stools are yellow in colour.
Cholesterol – the bad Cholesterol in the Blood is excreted through the Bile and Hence while taking Cholesterol lowering agent there is increased Cholesterol in Bile.

FUNCTIONS OF BILE

Helps in Digestion of Fat
Helps in Excretion of Breakdown products of Blood Cells- Heme
Helps in excretion of Cholesterol

PATHWAY OF BILE

Bile is secreted by the Hepatocyte into the Biliary ductules

These ducts combines to form the Major ducts- The Right Hepatic duct and Left Hepatic Duct which exits from the Left Lobe and Right Lobe of Liver; these two ducts combine to form the Common Hepatic Duct.The Gallbladder join the Common Hepatic Duct through the Cystic duct to form the Common Bile Duct -CBD,

which then transverse through the head of the Pancreas and Open into the second part of the Proximal Small Intestine called the Duodenum .Before opening into the Small Intestine, it is joined by the Pancreatic Duct carrying the Pancreatic Juice. The opening of the Common Bile Duct into the Intestine is Prominent and called the Ampulla of Vater..This is the pathway of Flow of Bile.

These ductules form the segmental and sectoral ducts

HOW DO GALLBLADDER STONES FORM | CAUSES

When the Bile contains too much Cholesterol

Normally the Bile Contains Bile salts which help in dissolving the Cholesterol excreted by the Liver.However when the Liver secretes more Cholesterol ,than the Bile may not be able to dissolve the Cholesterol and the excess Cholesterol many forms into Stones.

When Bile contains too much Bilirubin

When there is excess of red Blood cells breakdown,more Heme and More Bilirubin is formed, which leads to stone formation.This occurs in conditions like Liver Cirrhosis.biliary Tract Infection and certain Blood disorders. The excess Bilirubin leads to Gallstone formation.

When there is Improper / delayed emptying of Gallbladder

In the Gallbladder does not empty completely or often the Bile becomes very concentrated leading to Gallstone Formation.This occurs when taking oral Contraceptives pills and other hormonal medications.

TYPES OF GALLBLADDER STONES

CHOLESTEROL STONES

The most common type of Gallstones,often yellow in colour and contains undissolved Cholesterol

PIGMENT STONES

Are dark in colour and Brown or Black stones when the Bile Contains too much Bilirubin

RISK FACTORS FOR GALLBLADDER STONES

The factors which increases the risk of Gallstones includes

Female
40 years and older
Obesity/ Overweight
Sedentary
Pregnancy
High Fat Diet
High Cholesterol diet
North east part of India
Low Fiber Diet
Family history of Gallstones
Diabetics
Blood disorders like Cell anemia/ Leukemia
Loosing weight very quickly
Medications containing estrogen such as oral Contraceptives or Hormonal therapy
Liver diseases

PREVENTION OF GALLSTONES

We can reduce the risk of Gallbladder stone Formation if you follow these points.

Don’t skip meals- Stick to the Usual meal time each day.skiping meals or fasting can increase the risk of Gallstones

Lose Weight slowly – Rapid weight loss leads to Gallstone formation
Aim to lose 0.5 to 1 kg per week

High Fiber Food- Include more Fiber food in the Diet such as fruits,vegetables and Whole grains

Healthy Weight – Obesity and more weight increase the risk of Gallstones.Try to achieve and maintain a healthy weight and regular physical activity is necessary
Healthy diet and regular physical exercise is necessary .

COMPLICATIONS OF GALLBLADDER STONES

Dr KUMAR at Billroth Hospitals has huge experience of 29 + years in the Treatment of Complicated and Complex Gallbladder stones.He has huge expertise in the Treatment of Gallbladder Stone Complications and has performed 5,000+ successful Gallbladder Surgeries

Infection and Inflammation of the Gallbladder

The Gallstone can become lodged in the neck of the Gallbladder and can cause Inflammation of the Gallbladder (Cholecystitis) .The Gallbladder wall becomes thickened and Patient develop pain and Fever.

Mucocele of the Gallbladder

The Stone may get impacted in the neck causing progressive and Huge enlargement of the Gallbladder filled with Mucous.

Empyema of the Gallbladder

The Gallbladder becomes filled with pus leading to sepsis

Perforation and Gangrenous Cholecystitis

Sometimes the Infection in the Gallbladder came become severe to cause Perforation and Gangrene of the Gallbladder leading to Peritonitis

Jaundice

The Gallstone can migrate to the Bile Duct leading to obstruction to Bile Flow leading to Jaundice patient presents with Yellowish urine, Raised Liver Function Test and Abdomen Pain.

Pancreatitis

The migrated Gallbladder stone can cause blockage of the Pancreatic Duct leading to Inflammation of the Pancreas and Pancreatitis. The Inflammation can vary from mild to severe Pancreatitis which can become Life Threatening.

Cholecystoduodenal Fistula, Gallstone Ileus

The Gallbladder can erode into the Duodenum causing a Fistula between the Gallbladder and Duodenum, Gallbladder Ileus .When the Gallstones may cause Obstruction in the Small Intestine.

Mirizzi’s Syndrome

There is a Communication between the Gallbladder neck and the adjacent Bile Duct leading to Cholecysto Choledochal Fistula

HOW TO DIAGNOSE GALLBLADDER STONES

Ultrasound : The Best modality and Investigation to diagnose Gallbladder Stone is an Ultrasound of the Abdomen.It is Better to do the Ultrasound in empty stomach which leads to better visualization of the Stones.

CT Scan with Contrast of the Upper Abdomen when we are suspecting complications of the Gallbladder Stone and Perforation/ Gangrene and to rule out Associated Pancreatitis.A word of Caution. 20% of Gallbladder stones ae Radiolucent and maynot be picked up by CT scan.

MRI Upper Abdomen with MRCP: This is necessary whenever we are suspection a stone in the Bile Duct and to rule out complicated Gallbladder Stone.Infection and Associated Pancreatitis MRCP is particular indicated in patients with Gallstones and Raised Liver Function Test.

Biochemical Test are usually done to rule out Jaundice Liver Function Test and CBC to rule out Infection ,serum Amylase and Lipase usually done to rule out Pancreatitis.

SYMPTOMS OF GALLSTONES

If you experiencing pain/discomfort in your right upper Abdomen especially after fatty food,you maybe having Gallstones.

Sometimes you may experience fullness and Bloating after Fatty food, this may indicate Gallstones.If you suffering from the Symptoms,its better to Consult a Specialist in Gallbladder like Dr Kumar of Billroth Hospitals,who will be able to diagnose and treat your Symptoms properly.The Common Symptoms of Gallstones are

Asymptomatic or Silent

Most of the time the Gallstones are asymptomatic and Diagnosed with Routine Scan.

Dyspepsia

Maybe fullness and Bloating of the Abdomen after fatty meals and also some pain in the Right Upper Abdomen

Can a ventral hernia heal without surgery?

No. Ventral hernias do not heal naturally and typically enlarge over time. Surgical repair is the only definitive treatment.

What are the modern mesh repair options for ventral hernia?

Advanced mesh repair techniques reinforce weakened muscles and reduce recurrence. Options include laparoscopic intraperitoneal mesh placement and robotic abdominal wall reconstruction.