Stainless Steel Fixation Devices After Laparoscopic Cholecystectomy - Surgery

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Regarding the stainless steel fixation devices left after laparoscopic cholecystectomy?


Hello Doctor, I underwent surgery for acute cholecystitis on December 31.
During my follow-up appointment on January 6, while you were explaining my condition, I noticed some staples or fixation devices in the surgical photos.
After leaving the consultation room, I realized I forgot to ask about them.
Since I don't need to return to the hospital for follow-up, I thought I would inquire here.
I apologize for the inconvenience, but I would like to know if these stainless steel devices need to be removed.
If they do not need to be removed, what should I be aware of moving forward?

Tomeko, 20~29 year old female. Ask Date: 2024/01/06

Dr. Chen Bingze reply Surgery


The clamp that holds the gallbladder duct and blood vessels is used in every laparoscopic surgery, so it's normal.

Reply Date: 2024/01/06

More Info


After undergoing laparoscopic cholecystectomy, it is common for patients to have questions regarding the surgical materials used during the procedure, particularly stainless steel fixation devices, such as clips or staples. In your case, the fixation devices you observed in the surgical photos are likely surgical clips that are used to secure the cystic duct and cystic artery during the gallbladder removal process.
These clips are specifically designed to remain in the body permanently and do not need to be removed after surgery. They are made from biocompatible materials, such as stainless steel or titanium, which are safe for long-term implantation. The primary purpose of these clips is to prevent any potential bleeding from the cut ends of the duct and artery, ensuring that the surgical site heals properly.
In terms of post-operative care, there are a few considerations to keep in mind:
1. Healing Process: After laparoscopic surgery, your body will go through a healing process. It is essential to follow your surgeon's post-operative instructions, which may include recommendations on activity levels, dietary changes, and wound care.
2. Signs of Complications: While the clips themselves are not a cause for concern, you should be vigilant for any signs of complications, such as increased pain, swelling, redness at the incision sites, fever, or any unusual discharge. If you experience any of these symptoms, it is crucial to contact your healthcare provider.

3. Activity Restrictions: In the initial weeks following surgery, it is advisable to avoid heavy lifting and strenuous activities to allow your body to heal properly. Although the clips themselves do not pose a risk, excessive strain on your abdominal muscles can lead to complications such as hernias.

4. Dietary Considerations: After gallbladder removal, some patients may experience changes in digestion. It is often recommended to adopt a low-fat diet and gradually reintroduce foods to see how your body reacts. Staying hydrated and eating smaller, more frequent meals can also help.

5. Follow-Up Care: Although you mentioned that you do not need to return for follow-up visits, it is still important to maintain communication with your healthcare provider. If you have any questions or concerns about your recovery, don’t hesitate to reach out.

In summary, the stainless steel fixation devices used during your laparoscopic cholecystectomy are intended to remain in your body and do not require removal. Focus on your recovery by adhering to your surgeon's advice, monitoring for any signs of complications, and making necessary lifestyle adjustments to support your healing process. If you have further questions or concerns, consider reaching out to your healthcare provider for personalized guidance.

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