Chirurgia ogólna

Gallbladder removal surgery, also known as a cholecystectomy, is a very common procedure. It is usually carried out if you have painful gallstones. Gallstones often cause no symptoms and you may not realise you have them, but occasionally they can block the flow of bile and irritate the gallbladder (acute cholecystitis) or pancreas (acute pancreatitis).

There are 2 main ways of removing a gallbladder:

Laparoscopic (keyhole) cholecystectomy – several small cuts (incisions) are made in your abdomen and fine surgical instruments are used to access and remove your gallbladder.

Open cholecystectomy – a single larger incision is made in your abdomen to access and remove your gallbladder.

A hernia is caused by an organ pushing through the muscle or tissue wall that holds it. Most hernias form in your abdomen or groin. Hernia surgery allows your surgeon to push the organ and herniated tissue back into place and reinforce the barrier holding it there using stitches or surgical mesh.

Hernia Repair Surgery is usually recommended if you have a hernia that causes pain, severe or persistent symptoms, or if any serious complications develop.

There are 2 ways a hernia repair can be performed:

Open surgery – where a cut is made to allow the surgeon to push the lump back into the abdomen

Laparoscopic (keyhole) surgery – a less invasive, but more difficult, technique where several smaller cuts are made, allowing the surgeon to use instruments to repair the hernia

An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus.

An anal fissure can heal by itself, but in some cases it might need to be treated by having surgery.  

Surgery will be done under general anaesthetic and involves weakening the sphincter muscles on the inside of your anus. The muscles control the opening and closing of your anus.

Haemorrhoids (piles) are lumps inside and around your anus. They often get better on their own after a few days. 

There are various treatment options for more severe haemorrhoids. One of these options is banding, which is a non-surgical procedure where a very tight elastic band is put around the base of the haemorrhoid to cut off its blood supply. The haemorrhoid should fall off after about a week. Surgery carried out under general anaesthetic may be used to remove or shrink large or external haemorrhoids.

A pilonidal sinus is a small hole or tunnel at the top of your bottom, between your buttocks. Treatment is usually only needed if it becomes infected.

A pilonidal abscess can burst by itself, or it can be treated with antibiotics. However, surgery is often the only way to treat the cause of the abscess and remove all the infected tissue. The type of surgery you require will depend on the size of your pilonidal sinus, your symptoms and if you have previously had an infection of your pilonidal sinus.