Introduction : Case study: A 30-year-old woman from Uttarakhand underwent Single Incision Laparoscopic Cholecystectomy (SILS) by Dr. Mir Asif Rehman in Gurgaon. Learn how advanced scarless gallbladder surgery successfully treated her recurring right-side abdominal pain, gallstones, and fatty-food intolerance with fast recovery at our laparoscopic surgery centre in Delhi NCR.
Patient Profile & Medical History – recurrent Gallbladder Pain
- Name: As per Patient (Confidential)
- Age: 30 years
- Patient Home Location: Uttarakhand
Chief Complaint:
Recurrent pain on the right side near the lower end of ribs for 2 months, especially after eating oily or fatty foods.
Patient Clinical History
The patient, a young 30-year-old woman, visited Dr. Mir Asif Rehman with a history of:
• Sharp pain in the right upper abdomen
• Pain radiating toward the back and shoulder
• Episodes occurring after meals, particularly after consuming fatty foods
• Associated nausea and bloating
• 2-3 attacks since 2 months
Due to increasing frequency of episodes and impact on daily life, she sought a permanent solution.
Diagnostic & clinical examination
After clinical examination, the following tests were advised by Dr Mir Asif:
1. Abdominal Ultrasound
• Presence of solitary gallstones
• Mild gallbladder wall thickening
• No CBD (Common Bile Duct) dilation
2. Blood Tests
• Liver function tests: Normal
• No signs of jaundice or infection
Diagnosis:
Symptomatic Gallstone Disease (Cholelithiasis) requiring surgical removal of the gallbladder.
Decision for Surgery
After the diagnostic evaluation, Dr. Mir Asif advised and counseled the patient about treatment options. Considering:
• Her young age
• Recurring, debilitating pain
• Desire for faster recovery
• Cosmetic concerns (minimal scarring)
Dr. Mir Asif opted for Single Incision Laparoscopic Cholecystectomy (SILS)—an advanced technique performed by only a few surgeons in India.
She traveled all the way from Uttarakhand to our Centre in Gurgaon specifically to undergo this minimally invasive, scarless surgery under Dr. Mir Asif Rehman.
Day prior to her surgery routine blood work was done so as to avoid surprise’s on the day of surgery and Pre Anesthesia consult was done to check for the feasibility of administration of general Anesthesia
The Day of Surgery
Single Incision Laparoscopic Cholecystectomy (SILS)
• Surgery performed through one tiny incision inside the belly button
• Specialized instruments used
• Complete removal of gallbladder with stones
• No drain tube required
• Blood loss was minimal
• Procedure time: ~25 minutes
• Patient was shifted to recovery in stable condition
Postoperative Recovery
• The patient was able to walk within a few hours
• Started taking liquids 6 hours post procedure and semisolid as soon as she was able to tolerate liquids
• Discharged within 24 hours
• Only one hidden scar inside the navel—virtually invisible
• Returned to routine activities in 3–4 days
• Follow-up ultrasound confirmed normal recovery
Patient Happiness and Surgery Outcome
The patient reported:
• Complete resolution of pain
• Ability to eat normally without discomfort
• High satisfaction with the scarless cosmetic result
• Grateful for a smooth and painless surgical experience
Doctor’s Note – Dr. Mir Asif Rehman
“Single-incision laparoscopic cholecystectomy is an excellent and a novel option for young patients who want minimal scars and fast recovery. With the right expertise and technology, gallbladder surgery can now be performed safely with just one small incision hidden within the navel.”
Key Highlights of SILS Gallbladder Surgery at Our Centre
• Practically scarless surgery (incision hidden inside the navel)
• Faster healing, minimal pain and bleeding
• Performed by a highly experienced laparoscopic surgeon
• Quick discharge and recovery(Within 24 hours of admission in most cases)
• Ideal for young and cosmetically conscious patients
P.S. we are earnestly grateful to our patients who travel from far and wide of the country and the world for the trust they have shown in us