Abstract
POST - OPERATIVE RECOVERY AFTER LAPAROSCOPIC CHOLECYSTECTOMY

*Nirmeet Patel, Dilip Choksi, Sushil Damor, Sachin Veer, 

ABSTRACT

Background: Surgeons are usually uninvolved in the post-surgical recovery phase of patients after laparoscopic cholecystectomy (LC). The aim of this study was to document the symptomatic recovery of patients following laparoscopic cholecystectomy, to assess post-operative complications of laparoscopic cholecystectomy and to stratify and analyse data about the process of patients short-term recovery after hospital discharge, and the postoperative care required. Methods: Prospective Observational study. Data from all patients who underwent laparoscopic cholecystectomy at SSG hospital and Medical College Baroda in the period of November 2013 to December 2014 were collected. All patients enrolled in the study were then contacted after discharge from the hospital every week for 4 weeks. Results: The study cohort comprised 100 patients who all had completed the study. In this study we observed that gall stone dieses are more common among females of forties . All most all patients experienced post-operative port site pain and about 40 patients had post-operative nausea and vomiting, mean duration of hospital stay was 2 days and returning to house hold activities was 5 days and returning to routine activity was 18 days. During this study we had an interesting observation, patients who were employed has taken longer time to get back to work compared with the time taken to get back to their preoperative routine activity by patients those who were not engaged in office work. Conclusion: Post-operative nausea and vomiting is significantly observed among the study population but it doesnt affect the course of recovery. Post-operative pain after discharge and Intra operative mishandling CBD significantly prolongs the duration of recovery and increases the morbidity of the patient. Wound related complications are most commonly observed during this follow up period which draws special attention.

Keywords: Laparoscopic cholecystectomy, Postoperative symptoms, complications, Return to routine work.


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