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Combined lower segment cesarean section and cholecystectomy in single sitting-our initial experience
Majid Mushtaque1, Ibrahim R Guru2, Tajamul N Malik2
1Department of Surgery, Skims Mc Hospital, Bemina, Srinagar, Jammu and Kashmir, India.
Journal of the Turkish German Gynecological Association
|March 5, 2014
Summary
Combining cholecystectomy (gallbladder removal) with cesarean section is a feasible and safe procedure. This approach offers significant benefits by reducing hospital stays, costs, and patient inconvenience, while ensuring maternal and infant well-being.
Area of Science:
- Obstetrics and Gynecology
- General Surgery
- Gastroenterology
Background:
- Gallbladder disease (cholelithiasis) is common during pregnancy.
- Separate surgical procedures increase healthcare costs and patient burden.
Purpose of the Study:
- To evaluate the feasibility and outcomes of performing cholecystectomy concurrently with cesarean section.
Main Methods:
- Thirty-two patients underwent combined cesarean section and cholecystectomy.
- Cholelithiasis was diagnosed antenatally in most cases.
- Subcostal mini-laparotomy was utilized for gallbladder removal.
Main Results:
- The combined procedure was successfully performed in all patients.
- Mean operative time was 90 minutes.
- No major intraoperative or postoperative complications were reported; patients were discharged on postoperative days 5-7.
Conclusions:
- Combined cesarean section and cholecystectomy is safe and effective.
- This approach minimizes rehospitalization, reduces costs, and avoids maternal-infant separation.
- The combined procedure offers significant advantages for patients and healthcare systems.

