avomakaleikkausta

Avomakaleikkaus, also known as open cholecystectomy, is a surgical procedure to remove the gallbladder. It is a traditional method compared to laparoscopic surgery, which is now more common. In an avomakaleikkaus, the surgeon makes a larger incision, typically in the upper right abdomen, to access and remove the gallbladder. This approach is often chosen when the gallbladder is severely inflamed, infected, or has significant adhesions from previous surgeries or inflammation, making laparoscopic removal more challenging or risky.

The procedure involves general anesthesia. After the incision is made, the abdominal cavity is opened, and the surgeon carefully dissects the gallbladder from its surrounding structures, including the liver and bile ducts. The cystic duct and cystic artery are ligated and divided. Once detached, the gallbladder is removed through the abdominal incision. The incision is then closed with sutures or staples.

Recovery from avomakaleikkaus is generally longer and more painful than from laparoscopic surgery. Patients typically remain in the hospital for several days and may experience more significant post-operative pain and a longer period of restricted activity. Scarring from the incision is also more prominent. Despite these drawbacks, avomakaleikkaus remains an important surgical option for specific complex gallbladder conditions where a less invasive approach is not feasible or safe.