Should Gallbladder Surgery Be Postponed After Fever Before Operation?

Is it advisable to postpone the surgery if a patient has a fever a few days before the procedure?

Doctor, I was originally scheduled for gallbladder surgery this Friday, but I developed tonsillitis on Monday and had a fever of 38 degrees Celsius.
If I no longer have a fever by Thursday, can I proceed with the surgery as planned on Friday? Or would it be better to postpone it? Should I be admitted to the hospital first and then discuss it with the surgeon for their decision? Thank you!

Liang Ba, 30~39 year old female. Ask Date: 2018/04/30

Dr. Ke Fangxu reply Surgery

Each physician has a different perspective on this situation.
Some believe that since antibiotics will be used postoperatively, it doesn't matter.
Others think it's best to wait until the condition stabilizes before proceeding with surgery.
It's advisable to discuss this with the physician beforehand to avoid impacting the entire hospitalization process.

Reply Date: 2018/04/30

More Info

When considering whether to proceed with gallbladder surgery after experiencing a fever, there are several important factors to take into account. In your case, you mentioned having a fever of 38 degrees Celsius due to tonsillitis earlier in the week, but you expect to be fever-free by Thursday, just one day before your scheduled surgery on Friday.
In general, the presence of a fever before surgery can indicate an underlying infection or other health issues that may complicate the surgical procedure and recovery. Surgeons typically prefer to operate on patients who are in optimal health to minimize the risk of complications. Here are some key considerations:
1. Underlying Infection: If your fever was due to tonsillitis, it is crucial to ensure that the infection is adequately treated and resolved before undergoing surgery. An active infection can increase the risk of postoperative complications, such as wound infections or sepsis.

2. Stability of Condition: If you are fever-free by Thursday and feel well otherwise, it may be possible to proceed with the surgery. However, it is essential to assess your overall condition. If you still feel unwell or have other symptoms, it may be prudent to postpone the surgery.

3. Surgeon's Recommendation: The final decision should be made in consultation with your surgeon. They will evaluate your medical history, current health status, and the urgency of the gallbladder surgery. If there are any concerns about your health, the surgeon may recommend postponing the procedure to ensure a safer surgical experience.

4. Preoperative Assessment: If you are admitted to the hospital before the surgery, the medical team can perform a thorough evaluation, including blood tests and imaging studies, to rule out any ongoing infections or complications. This assessment can help guide the decision on whether to proceed with the surgery as scheduled.

5. Postoperative Considerations: If surgery proceeds, be aware that any lingering effects from the infection could impact your recovery. Postoperative fever can occur due to various reasons, including surgical site infections, pneumonia, or other complications. Close monitoring in the days following surgery will be essential.

In conclusion, while it may be possible to proceed with gallbladder surgery if you are fever-free and feeling well by Thursday, it is critical to have a thorough discussion with your surgeon. They will provide the best guidance based on your specific situation and ensure that you are in the best possible condition for the surgery. Always prioritize your health and safety, and do not hesitate to ask questions or express concerns with your healthcare provider.

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