Lord’s and Jaboulay’s operation is done for:March 2011
Wait, Lord's operation is a cholecystectomy where the gallbladder is removed through a transverse abdominal incision. Jaboulay's operation is a cholecystostomy, which is a drainage procedure. Both are related to gallbladder diseases, so the question is likely about conditions like cholecystitis. The options might include cholecystitis, cholelithiasis, or other gallbladder issues. The correct answer would be acute cholecystitis, as both procedures are used in its management. The other options would be other conditions like choledocholithiasis, cholangitis, or something else. I need to make sure the explanation covers the difference between cholecystectomy and cholecystostomy, and why they're used for cholecystitis. Also, the high-yield point is that Lord's is a surgical removal, Jaboulay's is drainage, both for acute cholecystitis. The correct answer is acute cholecystitis.
**Core Concept**
The question tests knowledge of surgical procedures for gallbladder pathology. **Lord's operation** (open cholecystectomy) and **Jaboulay's operation** (cholecystostomy) are both indicated in **acute cholecystitis**. They differ in approach: the former removes the gallbladder, while the latter drains it percutaneously for unstable patients.
**Why the Correct Answer is Right**
Acute cholecystitis is inflammation of the gallbladder, typically due to **cholelithiasis** (gallstones) causing obstruction of the cystic duct. **Lord's operation** (open cholecystectomy) is definitive treatment, removing the gallbladder via an abdominal incision. **Jaboulay's operation** (cholecystostomy) is a temporary measure, inserting a drain directly into the gallbladder to relieve infection in patients unfit for surgery. Both address the pathophysiology of inflammation and infection in cholecystitis.
**Why Each Wrong Option is Incorrect**
**Option A:** Cholelithiasis (gallstones) alone may not require surgery unless complications arise (e.g., cholecystitis). These procedures target inflammation, not asymptomatic stones.
**Option B:** Choledocholithiasis (bile duct stones) requires endoscopic interventions (ERCP), not cholecystectomy or cholecystostomy.
**Option C:** Pancreatitis is unrelated to gallbladder surgery; it involves the pancreas, often secondary to gallstones but managed differently.
**Clinical Pearl / High-Yield Fact**
Remember: **Lord = remove**, **Jaboulay = drain**. Cholecystostomy (Jaboulay) is preferred in **acute cholecystitis with sepsis or