Cholecystectomy Care Plan
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Preoperative care for cholecystectomy
You will have an oxygen mask over your mouth that will administer supplemental oxygen. A blood pressure cuff will be on one of your arms, and intermittently inflated to measure your blood pressure. Rarely, a drain will be left in your abdomen to drain any fluid that may collect if it has been a particularly difficult operation. You will normally be able to get out of bed a few hours after surgery although the nurses will assist you the first time. How much pain will I experience post-operatively? Most people only experience mild-to-moderate pain, which is readily controlled with oral analgesia (painkillers). You may experience some pain from your wounds, especially on movement. If you do, the nurses will give you medication to ease the pain. You may notice some shoulder pain that is referred pain from the gas insufflated into your abdomen during surgery. This gas will gradually disappear but the discomfort may persist for several days. At the time of discharge you will be given a supply of painkillers and postoperative instructions on what to take when.
They can be smaller than a grain of sand or as large as a golf ball. People who are obese or who are trying to lose weight rapidly are more likely to get gallstones. Presence of gallstones in the gallbladder may lead to a condition called Acute Cholecystitis which means inflammation of the gallbladder. This can cause symptoms such as abdominal pain radiating to the back, vomiting, indigestion and occasionally fever. It is uncertain why some people form gallstones If the gallstone blocks the common bile duct, jaundice (yellowish discoloration of the skin) can occur. If this is not detected promptly and treated, patients can develop a condition called cholangitis which can cause high grade fever with rigors. How is gallbladder disease diagnosed and treated? Ultrasound is the most commonly used test to find gallstones, though more complex investigations like MRI or endoscopic ultrasound (EUS) may be done. You will also need some blood tests done to ensure that the liver function is normal.
Three little puncture wounds are made (one in the upper abdomen and two under your ribs on the right hand side) to allow the surgical instruments to be introduced. To provide space for the surgery to be performed, your abdomen is filled with carbon dioxide. Once the gallbladder is dissected off the liver and the connections to the bile ducts and blood vessels are clipped, it is removed through the umbilical incision. In about 3-5% of cases the gall bladder cannot be safely removed laparoscopically and a traditional open technique is required (laparotomy). This requires a 15 cm incision in your upper abdomen parallel to your right rib cage. This is a bigger procedure and will result in a longer hospital stay. The choice to go ahead with the open procedure is a decision made by your doctor either before or during the actual operation. When the surgeon feels that it is the safer to convert the laparoscopic procedure to an open one, this is not a complication, but rather should be viewed as sound surgical judgement.
Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties 135 Doctors Online MD Dr. Andrew Rynne Family Physician Exp 50 years Instant Access to Doctors Questions Answered Satisfaction Doctors waiting to answer your question General & Family Physician Exp 11 years Premium Questions if I should seek emergency medical care, I write everything off being a nurse but having bile.. a lap cholecystectomy last monday 2 weeks ago. Had bad abd cramping and rigid abdomen... View answer Answered by: Dr. T Chandrakant ( General Surgeon) I'm having pains in my ribs after having my gallbladder removed 2 weeks ago. I have read others having these same pains. I contacted my primary care doctor. He wants me to go to the ER. Do I need to go... Rishi a shock or pinching like pain. Called surgeons nurse and she thought it nothing extraordinary and should... View answer Hello. I have 14X5mm gallstones and have had enteric fever in 2007. Am planning a cholecystectomy with my sugeon this coming week and am on Losartan Pott as well for my essential hypertension which... Basheer Ahamed ( Diabetologist) I have been sick for four years.
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Cholecystectomy post op care
<< BACK The doctors and staff at Apollo hospitals are pleased that you are considering us for your Laparoscopic Cholecystectomy. We would like to take the time to briefly discuss the process of undergoing Laparoscopic Cholecystectomy. Your physician has discussed the indications for surgery and the criteria that must be met prior to your Laparoscopic Cholecystectomy. This information is designed to offer additional information on your preparation before surgery, the surgery itself, and the road to recovery after your procedure. What is the Gallbladder? The gallbladder is a pear-shaped organ that rests below the right side of the liver. The main purpose of the gallbladder is to collect and concentrate a digestive liquid (called bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile moves through tapered tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion. Gallbladder Stones Gallstones are made from cholesterol and other substances found in the bile.
After about 3 to 5 days most of the discomfort should disappear. When can I return to normal activities? You can return to normal physical and sexual activities when you feel comfortable. It is normal to feel tired after surgery, so take some rest, two or three times a day, and try to get a good night's sleep. After a week or so, you should be able to resume most of your normal daily activities. You should avoid heavy lifting and vigorous exercises for at least two weeks. What can I eat? There are no dietary restrictions after removal of the gall bladder and you may resume a normal diet as soon as you are hungry. It may take a few days before your appetite returns. When you feel hungry start with light frequent meals and then increase at your own pace. When will my bowel movements return to normal? It may take three or four days to have a normal bowel movement. What complications can occur? Though there are risks associated with any kind of surgery, the vast majority of Laparoscopic Cholecystectomy patients have few or no complications and quickly return to normal activities.
What is the nursing care plan for cholecystectomy? - Quora
In general, you can expect to go home once you're able to eat and drink without pain and are able to walk unaided. It takes about a week to fully recover. Open cholecystectomy. Expect to spend two or three days in the hospital recovering. Once at home, it may take four to six weeks to fully recover. Results A cholecystectomy can relieve the pain and discomfort of gallstones. Conservative treatments, such as dietary modifications, usually can't stop gallstones from recurring. In most cases, a cholecystectomy will prevent gallstones from coming back. Most people won't experience digestive problems after a cholecystectomy. Your gallbladder isn't essential to healthy digestion. Some people may experience occasional loose stool after the procedure, which generally resolves over time. Discuss with your doctor any changes in your bowel habits or new symptoms following your procedure. How quickly you can return to normal activities after a cholecystectomy depends on which procedure your surgeon uses and your overall health.
Gallstones do not go away on their own. Some can be temporarily treated with the help of drugs or by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Surgical removal of the gallbladder is the time honoured and safest treatment of gallbladder disease. Who needs a Cholecystectomy? Patients with gallstones and symptoms as mentioned above should have a Cholecystectomy, before they develop severe complications. Occasionally patients without gallstones, who have significant symptoms, will require a Cholecystectomy. Rarely, patients with large gallbladder polyps (growths) will have a Cholecystectomy because of the possibility of developing gallbladder cancer. How is the gallbladder removed? The most common method of removing the gallbladder is by Laparoscopic (keyhole) surgery. A camera, known as a Laparoscope, connected to a high intensity light is introduced through a small incision through your umbilicus (belly button).
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