Dr Wong Jen San
Consultant Hepatobiliary & Pancreatic Surgeon
MBChB (UK), MMed (S’pore), MSc (S’pore), FRCS (Edin), FAMS
Gallbladder
surgery, also known as cholecystectomy, is a procedure that removes the
gallbladder, often due to gallstones, inflammation or severe gallbladder-related issues. Proper
preparation is key to ensuring the procedure goes smoothly and supports a safe recovery. By
taking the right steps beforehand, patients can get ready both physically and mentally, helping
to minimise the risk of complications.
If you or your loved one is considering gallbladder removal surgery, this comprehensive guide
will walk you through how to prepare for the surgery.
Preoperative Instructions
During the initial consultation, the doctor will provide detailed guidance on how to prepare for
gallbladder surgery to help ensure a safe procedure and the best possible outcome. These
preoperative instructions may include:
Medication Adjustments
Provide your doctor with a list of medications you are currently taking, as some may need to
be stopped or adjusted before surgery. For instance, blood thinners and herbal supplements
may need to be discontinued several days or weeks prior, as they can increase the risk of
bleeding during the operation.
Fasting
Fasting before gallbladder surgery is often required to prevent adverse effects associated
with anaesthesia. Typically, you will be asked to stop eating and drinking at least six
hours before the procedure. Your surgical team will provide specific instructions based on
your scheduled surgery time. Following these guidelines helps prevent aspiration, a
condition where stomach contents could enter the lungs during anaesthesia.
Hygiene
Patients are often advised to shower with antiseptic soap the night before or the morning of
surgery to help reduce the risk of infection. On the day of the procedure, avoid using
makeup, lotions, perfumes or deodorants, as these can interfere with the surgical site or
medical equipment.
What to Bring
Bring essential items for your clinic visit, such as a valid ID, insurance information, and
any paperwork from your healthcare team. You may also bring personal items like glasses,
medications, or a small hygiene kit. Having everything ready can speed up admission and give
you peace of mind.
What to Wear
On the day of surgery, wear comfortable, loose-fitting clothing to make it easier to change
into a hospital gown. Choose soft, breathable fabrics and avoid anything tight that could
irritate the surgical site after the procedure. Slip-on shoes are also recommended for ease
and comfort before and after surgery.
Lifestyle Changes
Adopting healthy habits before surgery can strengthen your body and improve your recovery.
Doctors may recommend certain lifestyle changes, such as:
Smoking Cessation
Smoking can adversely affect the healing process and increase the risk of complications
during and after surgery. Nicotine and other chemicals in cigarettes impair blood flow,
leading to delayed wound healing and increased infection risk. Quitting smoking before
surgery is highly advised to improve surgical outcomes and promote a more effective
recovery.
Eating Healthy
A balanced diet rich in nutrients is vital to support your body’s ability to handle surgery
and recover effectively. Focus on consuming lean proteins, whole grains, fruits and
vegetables in the weeks leading up to your procedure. Staying hydrated can also help
maintain energy levels and overall well-being.
Managing Medical Conditions
If you have pre-existing conditions such as diabetes, anaemia, or hypertension, consult your
doctor for guidance on keeping them well-controlled before surgery. For example, maintaining
stable blood sugar levels or addressing anaemia can help reduce complications.
Post-Surgery Preparations
Planning for recovery is just as important as preparing for the surgery itself. Proper preparation can help you manage discomfort and return to normal activities more smoothly.
Transportation
You will not be able to drive after surgery due to the effects of anaesthesia and potential discomfort. Arrange for a family member or friend to accompany you, ensure you get home safely, and provide support during the first few days of recovery.
Dietary Restrictions
Your digestive system needs time to adjust. Start with clear liquids like water or broth, gradually reintroducing solid foods. Avoid high-fat, greasy, or spicy foods in the early stages to prevent discomfort. Your doctor will also provide a personalised dietary plan to guide you through this transition and support healing.
Preparing Your Home for Recovery
Set up a quiet recovery space at home where you can rest and recuperate without disturbances. Keep essentials, such as medications, water, or your phone within easy reach to minimise unnecessary movement. Preparing your home in advance can significantly enhance
your comfort and facilitate healing.
Take Charge of Your Health
Gallbladder removal can feel daunting, but with good preparation and careful follow-through on your doctor’s instructions, you can approach surgery with confidence.
To discuss your preparation and address any concerns, schedule a consultation with hepatobiliary surgeon Dr Wong Jen San. Call (65) 6235 4088 or email enquiry@liverpancreassurgery.sg.