How does pregnancy proceed after gallbladder removal?

Pregnancy without a gallbladder

The waiting period for a baby is closely related to the risk of unpleasant health consequences. Hormonal transformation affects all concepts of the body. This especially applies to digestion, which is interconnected with the production and excretion of bile.

The body digests food, breaks down fats, carbohydrates and nutrients. After gall bladder surgery, it will take several weeks or 2-3 months before the bile duct increases in volume to its limit. Bile accumulates and steadily enters the intestinal tract. The loss of an organ is compensated through this process.

Sometimes, a repeated attack of pain ends only in the surgical department. Surgery - cholecystectomy is common among females, as is surgery to remove appendicitis. It is usually performed by opening the abdominal wall or laparoscopically.

The pregnant woman, after elimination, remains under the continuous supervision of a gynecologist and gastroenterologist. In order not to miss a shift for the worse, you must adhere to strict guidelines.

Pregnancy without a gallbladder has no effect on your general condition. Expectant mothers should definitely monitor the correct diet. Do not make long pauses between techniques. It is preferable to eat food no more than 5-6 times a day.

Since the beginning of fruiting, a strong heaviness in the right hypochondrium has been bothering me. The pain moves, radiates to the shoulder blade, under the left rib, shoulder. Other symptoms:

• increased gas formation;
• stool dysfunction;
• heartburn, rumbling;
• nausea, bitter taste.

The physiological disorder will not affect pregnancy, the woman will be able to carry a child. The hepatobiliary system stabilizes 1.5–2 years from the date of removal. During the first 6 months, stagnation is repeated, and a feeling of discomfort arises.

It is necessary to control any modifications and carefully monitor nutrition. Then, strong children will be born, even after medical intervention.

Carrying out

Laparoscopy is performed in stages:

• Anesthesia is administered. The anesthesiologist consults the patient in advance, determines the tendency to allergic reactions, and selects the dosage of the anesthetic.
• 2-4 thin incisions are made in the suprapubic and umbilical zones to insert instruments and a micro-video camera through them. The abdominal area is pre-filled with carbon dioxide to “move it aside” (pneumoperitoneum), expanding the surgical area to improve visualization.
• Using manipulators, the doctor controls the instruments while monitoring the process on the screen.
• After eliminating the problem, a detailed examination of the operated organ and the entire space around it, the laparoscope is removed. The punctures are sutured or only treated with an antiseptic and a sterile bandage is applied without stitches.

The entire operating process is displayed on the monitor and controlled by a computer system. This almost eliminates errors during laparoscopy, which takes no more than an hour. There is no blood loss or it is minimal - up to 15 ml. After a few hours, if you feel normal, you can leave the hospital. With the help of laparoscopy, you can remove uterine fibroids, ovarian cysts, cut adhesions, restore the patency of the oviducts, perform an audit of the reproductive organs - everything that will help lead to a healthy pregnancy.

Changes in the body after removal

The entire period of pregnancy is accompanied by heavy loads and hormonal changes. Physiological difficulties often arise. These include:

1. The pathology of dyspepsia is expressed in the form of intense vomiting. Accompanying flatulence and bloating.
2. At an early stage, toxicosis lasts longer
3. Aching pain begins in the intestines, the area under the ribs, on the right side. It intensifies when eating fatty, rich foods. Sometimes, the pain moves to the lower back, back.
4. Follow a diet

So, cholecystitis is expressed, the criteria correspond to the basic characteristics. They manifest themselves secondarily in pregnant women without gallstones. At the same time, they are characterized weakly, over a short stage.

Additional body signals:

• skin irritation, itching;
• increase in acidity.

Experts advise: take biliary medications, do systematic tubing. As a rule, antioxidants, a complex of vitamins and minerals, and anti-allergy medications are prescribed.

For blind probing, take sorbitol on an empty stomach. Stir (1–2 tbsp) with warm mineral water. Lie down and secure the heating pad on your right side. The process will take 1.5 hours. Take this healthy drink in small sips.

Warming up is complete, now you can have breakfast with easily digestible food. When bile stagnates, sorbitol removes it. It is possible to give birth to strong babies if the gallbladder is removed. The main thing is to regularly visit the doctor’s office, avoid stagnation of bile, and reduce the risk of jaundice.

Cholecystitis develops for many reasons. Progesterone relaxes the tone of smooth fibers, affects the bile duct, and causes atony. Normal activity is disrupted: stones appear, infection spreads.

Planning pregnancy after removal

When should you think about children? A representative of the fair sex becomes pregnant after surgery to remove the gallbladder. How long can it take? If a cavity dissection is performed, fertilization should be delayed for 1 year. A sufficient period for the scar to form and the activity of the gastrointestinal tract to be restored.

When gestation occurs after excision, rehabilitation is much more difficult. Problems with the digestive system begin, health deteriorates, and the body loses useful minerals.

Many patients manage well without an anatomical organ, but at the same time live fully, and the absence does not complicate fruiting. For this reason, during the planning period it is important to provide for features that may occur:

1. The level of bile acids in the blood increases, and unpleasant itching of the epidermis appears.
2. During the entire period, the gland is displaced, the ducts inside the liver are compressed, this leads to intensive formation of stones.
3. The newborn may develop jaundice. Regular intake of multivitamins and minerals, antihistamines, and harmless antioxidants are prescribed.
4. Activity decreases in the third trimester, inactivity leads to stagnation of bile.

The complexity of the procedure directly affects the time period. When can you get pregnant after removing the gallbladder by laparoscopy? Planning for a future child is allowed after 1–2 months.

Dense formations in the bile ducts appear after childbirth if the expectant mother does not follow the diet or her immunity decreases. It is necessary to maintain an active lifestyle. Sports activities should be adjusted taking into account pregnancy.

After cholecystectomy, your health will be completely restored, and you can get pregnant right away. But it is better to wait 6 months for the body to adapt to the loss.

In general, how long after you can plan a pregnancy after removal of the gallbladder will depend on the woman’s internal state.

Advantages

Today, the technique in most cases avoids organ removal. This is her main advantage. Other advantages of laparoscopy in gynecology:

• at the same time it is a diagnostic and treatment procedure;
• during diagnosis, it allows you to see what the examination did not show and immediately carry out treatment;
• refers to gentle organ-preserving methods of surgical intervention;
• takes minimal time;
• the possibility of natural pregnancy is higher than after laparotomy operations;
• Rehabilitation has been shortened and is much easier. Women return to their normal lifestyle faster;
• high precision and effectiveness;
• low risk of complications;
• low probability of damage to adjacent tissues, as with abdominal access;
• There is practically no postoperative bleeding;
• no scars remain on the body, as after laparotomy.

According to various statistics, the pregnancy rate after laparoscopy is high - from 80% to 99%.

Indications

• myomatous nodes;
• obstruction of the fallopian tubes, determining its degree;
• ectopic pregnancy;
• cystic formations on the ovaries;
• adhesive process;
• infertility;
• study of the structure of the gonads and uterus if anatomical defects are suspected;
• endometriosis;
• contraindications for laparotomy surgery on the pelvic organs;
• chronic pelvic pain;
• control over previous treatment.

If it is not possible to find out why pregnancy does not occur, then laparoscopy is often used as a diagnostic and treatment method. Often, in one go, it is possible to establish the cause of infertility and eliminate it. Sometimes laparoscopic diagnosis is necessary before performing in vitro fertilization. Thus, with endometriotic lesions, the chances of successful IVF after surgery increase significantly. Laparoscopy is more informative than ultrasonography and hysteroscopy, so it is often used to clarify the diagnosis.

Laparoscopic access is prohibited for cardiovascular and pulmonary decompensation, bleeding disorders, severe obesity, diaphragmatic hernia, and ARVI.

Previously, pregnancy was an absolute contraindication. Nowadays, laparoscopy is often performed during gestation. The most common indications are gallbladder diseases requiring cholecystectomy (up to 48%), resection of the appendages (28-43%), appendectomy (16%). The results and forecasts are good. Laparoscopy during pregnancy is necessary in the following cases:

• ovarian torsion in the first trimester (1:5000);
• benign cyst (found in one in 80 pregnant women). However, the number of operations performed is 1:600, since more often a corpus luteum cyst occurs, which resolves on its own;
• malignant neoplasm;
• necrosis of the myoma node (rare).

During pregnancy, they resort to urgent laparoscopy due to the risk of malignancy (1-8%), torsion or rupture with bleeding (10-42%), and premature birth.

Pregnancy after cholecystectomy

Disruption of the tract often occurs after cutting off. Food is poorly absorbed, almost not digested, and the amount of nutrients in the body decreases: vitamins, iron, potassium. As a rule, the transformations are mild, so patients do not notice any disorders.

Cholecystectomy does not provoke pathologies of organ activity. Does not affect hormonal synthesis. Sometimes, the female sex feels unpleasant changes associated with the removed bladder.

In addition, the unborn child puts pressure on the intestinal tract and biliary tract. The longer the period of fertilization, the stronger the pain in the hypochondrium on the right side when the baby pushes.

After gynecological dysfunctions, gallstone disease is more common than others. Situations rarely occur that removal does not free the generated stones. In this case, the stones re-emerge in the ducts, and new attacks may appear.

Chronic biliary tract disease often ends with medical removal of the gallbladder. For specialists, removal is associated with the usual treatment of appendicitis. It should be borne in mind that problems with organs occur more often in females than in males. Therefore, removal occurs in most representatives. It is almost impossible to meet a girl of childbearing age with an intact gallbladder.

In general, the operation does not have a negative effect on the woman’s genital organs; 85% of operable situations lead to minor pathologies in the activity of other internal organs.

For a pregnant woman with gallbladder, specific signs appear in the first stages of fetal formation:

• the likelihood of pathologies of the digestive system increases significantly;
• in the early stages, severe toxicosis appears, in which pain and other signs of cholecystitis recur.
• The disease actively manifests itself:
• strong sensations of discomfort on the right side;
• characterized by acute colic, radiating to the left region, shoulder blades, right shoulder, and entire side;
• unpleasant feeling of heaviness;
• severe nausea, bitterness in the mouth, acute heartburn;
• fetal movement is transmitted by pain symptoms.

Even after removal, the consequences of cholecystitis are very pronounced. You can become pregnant after removal of the gallbladder; cholecystectomy does not affect your overall health. If severe pain is felt in the liver, stagnation occurs periodically; You need to contact a gastroenterologist for consultation and do a full diagnosis.

How do women without gall bladder experience childbirth?

The absence of a gallbladder in a woman is not an indication for a cesarean section. If there are no gynecological or other pathologies that prevent natural childbirth, they give birth on their own.

Caesarean section becomes mandatory when:

• thinning;
• immaturity;
• failure of the postoperative scar.

If the condition of the scar left after removal of the gallbladder is satisfactory, there is no risk of complications during childbirth.

In conclusion, we can say that cholecystectomy does not have a negative impact on the process of fertilization or the development of the baby. Sometimes, a pregnant woman may experience some complications associated with removal of the gallbladder. However, with proper rehabilitation and medical supervision, a woman has every chance of successfully becoming pregnant, carrying and giving birth to a healthy baby.

Pregnancy after laparoscopic removal

Resumption, after removal of the organ, takes 2–3 weeks. In theory: it is necessary to plan fertilization, and only then conceive a child. It is possible to become pregnant immediately after hospital treatment. It is important to understand that the body has undergone a very complex procedure; it will take a lot of time to adapt to new circumstances:

• Enzymes of pancreatic secretion and bile decrease or are completely absent
• The functioning of the gastrointestinal tract is disrupted

Complications after surgery are rarely observed, and the rehabilitation period lasts for several weeks. According to statistics, fertilization and normal development of the child immediately after surgery is quite possible.

If pregnancy occurs during this time interval, then it is very problematic to endure the changes.

To avoid unpleasant consequences, it is recommended to use safe contraceptives in the first month. When the condition returns to normal, the body and stomach are restored, fertilization can be planned.

After laparoscopic surgery, complications occur in rare cases

Doctors strongly recommend following a proper diet:

1. Provide the body with the necessary amount of additional proteins and carbohydrates daily. (Meat, fish products, fresh vegetables, cereals, dairy products, fruits).
2. Create a menu for every day to get the amount of highly nutritious substances your body needs. Take the rules of healthy, wholesome food as a basis.
3. Carefully process, boil, steam. Use aromatic and hot spices in minimal quantities.

The gestation of gallbladder laparoscopy does not differ from the standard physical condition of an ordinary woman.

Pregnancy after open removal

Resection by direct removal involves free access to the abdominal cavity by cutting the layers of the abdominal wall. Rehabilitation continues for 2-3 months.

It is necessary to wait until pregnancy until the scar has completely healed. Doctors will conduct diagnostics and determine the strength of the seam. When the gynecologist gives permission, it is allowed to plan children.

It is important to adhere to proper nutrition and daily routine. Such patients are examined more often than other expectant mothers. The strength of the scar is systematically checked using ultrasound equipment. Every 3 months, be sure to be examined by a gastroenterologist.

Preparation

Before laparoscopy, the patient undergoes a medical examination, her anamnesis and medical record are studied, and basic tests are taken:

• blood, urine;
• coagulogram;
• biochemistry;
• RV, HIV, hepatitis;
• FLG, ECG;
• ultrasonography (transvaginal or abdominal);
• colposcopy;
• cervical smears for oncocytology and microflora.

If based on the results there are suspicions of other diseases, then an additional examination is prescribed. This may be a polymerase chain reaction (PCR), MRI, or biopsy. If PCR shows an infection, then laparoscopy is postponed until recovery, since acute or chronic inflammation from the acute stage is a temporary limitation to the procedure. If magnetic resonance imaging reveals metastases or a primary cancer site of a different location (not in the reproductive area), then a completely different approach is chosen for treatment. Pregnancy can occur after successful elimination of non-metastatic cancer or a benign tumor. Biopsy material from the suspicious area is taken during the laparoscopy itself.

You need to prepare as for any intervention: do not eat foods that increase gas formation, and cleanse your intestines with an enema the day before. The timing of the planned implementation is 7-10 days before the expected ovulation.

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