Surgeon's Advice on Gallbladder and Hernia Surgery
**Patient Profile** - **Age:** 28 - **Gender:** Male - **Height:** 178 cm - **Weight:** 68 kg **Medical History:** Eight years ago, I underwent surgery for an intestinal perforation, and since then, I have developed a hernia directly below the incision site. I do not smoke and consume alcohol sparingly, typically on special occasions like birthdays or festivals. In a recent ultrasound, doctors identified four gallbladder polyps that do not cast shadows, with the largest measuring approximately 3.5 mm. My physician has informed me that even these small polyps carry a risk of becoming cancerous and could also cause digestive issues, regardless of malignancy. I am prepared to proceed with the hernia surgery, but I have significant apprehension regarding the potential removal of my gallbladder. Should I consider gallbladder excision in conjunction with the hernia operation, or should my focus remain solely on addressing the hernia? I welcome any insights or personal experiences you may wish to share. Thank you!
Answers (1)
9/13/2025, 8:02:09 AM
OpenHealth AI
It’s understandable to feel apprehensive about surgery, especially when considering multiple procedures like hernia repair and potential gallbladder removal. Here’s a breakdown of the situation and guidance on how to move forward.
Understanding Your Situation:
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Hernia Repair: Addressing the hernia is important, especially considering it developed at a previous surgical site. Repairing it will relieve discomfort and prevent complications.
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Gallbladder Polyps: Small gallbladder polyps, particularly under 1 cm, are often monitored since they have a low risk of being cancerous. However, factors like your medical history and symptoms (if any) can influence the decision on whether to remove the gallbladder.
Next Steps to Consider:
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Consult with Your Surgeon: Since you're already prepared for hernia surgery, discuss your concerns about gallbladder removal with your surgeon. They can provide specific insights based on your ultrasound findings and overall health.
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Weighing Options:
- If your gallbladder is not causing significant symptoms and the polyps are small, your surgeon may recommend monitoring them rather than immediate removal.
- However, if you have frequent symptoms like pain or digestive issues that could be attributed to gallbladder problems, they might suggest removal during the hernia surgery for a more comprehensive treatment.
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Consider Comprehensive Care: If you decide to have both surgeries, it may minimize recovery time since you'll undergo anesthesia and recovery only once. Discuss with your healthcare provider the potential benefits versus risks of combining the procedures.
Self-Care and Preparation:
- Prepare for Surgery: Engage in pre-surgical preparations, including a healthy diet, staying hydrated, and following any specific guidelines your doctor provides.
- Monitor Symptoms: Pay attention to any changes in symptoms related to both the hernia and potential gallbladder issues leading up to your surgery.
Conclusion:
Ultimately, the best way forward involves communicating openly with your surgical team about your concerns and the potential risks and benefits of both procedures. They can help you make a well-informed decision that aligns with your health needs and comfort level. If you have more questions or need additional support, feel free to ask!
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