Postoperative Care of Patients Undergoing Same‐Day Laparoscopic Cholecystectomy

Brenner, Patricia; Kautz, Donald D.

doi:10.1016/j.aorn.2015.04.021

Cited by 9 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This method provides analgesic system activation by reducing physiological stress (Park et al, 2013). It has been shown that BE after abdominal surgery reduce pain and prevent development of complications (Brenner & Kautz, 2015).…”

Section: Introductionmentioning

confidence: 99%

The effects of Kinesio taping and breathing exercises on pain management after gynaecological abdominal surgery: A randomized controlled study

Yılmaz

Terzioğlu

2022

Int J of Nursing Practice

View full text Add to dashboard Cite

Aim This study aimed to evaluate the effects of Kinesio taping and breathing exercises on pain management after gynaecological abdominal surgery. Methods This randomized controlled study was conducted with 132 participants at a public hospital between June 2017 and 2018. The Kinesio taping method was applied once, immediately after the surgery during the hospital stay and breathing exercises were performed three times a day for 30 min on the first, second and third post‐operative days. Results The median age of the women was 47 years. The mean body mass index was 27.6 ± 5.0 kg/m2. When the intervention and control groups were compared, the level of women's pain in the Kinesio taping group was significantly reduced. There was also a statistically significant difference in terms of the passage of gas and defecation time and wound healing in groups with Kinesio taping. Conclusions Kinesio taping has been shown to be an effective intervention in the management of acute pain after surgery. The results of this study suggest that future studies may be indicated to study taping in other surgical conditions.

show abstract

Section: Introductionmentioning

confidence: 99%

The effects of Kinesio taping and breathing exercises on pain management after gynaecological abdominal surgery: A randomized controlled study

Yılmaz

Terzioğlu

2022

Int J of Nursing Practice

View full text Add to dashboard Cite

show abstract

“…In current surgical practices, high incidences of PONV up to 53-72% have been reported with laparoscopic cholecystectomy. 15 Although it was widely investigated in the last two decades, but we are still unable to find effective treatment for prevention of PONV. The modern medicine is now looking for alternate ways of reducing this postoperative complication.…”

Section: Discussionmentioning

confidence: 99%

“…13,14 Laparoscopic cholecystectomy is one of the most common procedures performed worldwide in general surgery. 15 While it is a fairly simple procedure with minimal risk of infection as compared to laparotomy, there is a high risk of postoperative nausea and vomiting due to the surgical technique involved, type of anesthesia used, and prior risk factors of the patients.…”

Section: Introductionmentioning

confidence: 99%

Stimulation of acupoint P6 before induction of anesthesia to prevent postoperative nausea and vomiting; a randomized control trial

Hamid¹,

Butt²,

Rehman³

et al. 2022

Anaesth. pain intensive care

View full text Add to dashboard Cite

Background & Aims: Laparoscopic surgery has been associated with troublesome postoperative nausea and vomiting (PONV) in patients. Various regimens have been tried by the anesthesiologist to prevent PONV in laparoscopic cholecystectomy (LapChole). The primary objective of this study was to determine the role of stimulation of acupoint P6 for this purpose in patients undergoing LapChole at our institution. Methodology: A randomized clinical trial was conducted at the Aga Khan University Hospital, Karachi, Pakistan. The research setting took place at the Post Anesthesia Care Unit (PACU) of the hospital. A total of 84 participants undergoing LapChole, ASA Status I or II, were enrolled and randomly allocated into two groups: 41 in control and 43 in the intervention group. In the intervention group, a commercially available band – PressureRight™ was applied at the wrist and the beads were placed exactly at P6 point. In the control group, the band was applied at the wrist with the beads placed on the dorsal surface. In both groups, acupressure band was applied before the induction of anesthesia in the waiting area of the operating room and continued during the intraoperative period and six hours postoperatively. Measurements: Postoperatively, patients were monitored for postoperative nausea and vomiting at the time of arrival in post anesthesia care unit [PACU], after half hour, three hour and six hours postoperatively using numerical pain scale [NPS] from 1-10 [1=none, 2-5=mild, 6-7=moderate, 8-10=severe] for PONV separately. Main Results: The results of PONV in PACU, at 30 minutes, three hours and six hours postoperatively showed an insignificant difference in intervention and control group. The frequencies of mild to moderate PONV were gradually reduced in both groups but the reduction was more pronounced in the control group than in the intervention group. There were no reported events of severe PONV at three hours and six hours postoperatively in both groups. The use of rescue antiemetics was statistically insignificant between the two groups [P = 0.744]. Conclusions: Our study reports that acupressure at Neiguan P6 point starting before the induction of anesthesia till 6 hours postoperative has no significant role in preventing PONV in patients undergoing laparoscopic cholecystectomy. Rescue antiemetics were required in both groups with a similar frequency. Key words: Acupoint P6; Acupressure; PONV; Laparoscopic cholecystectomy; Antiemetics; Randomized Clinical Trial Ethical approval: AKU No. 5365-ane-ERC-18, dated July 17, 2018 Citation: Hamid S, Butt MN, Rehman A, Afshan G. Stimulation of acupoint P6 before induction of anesthesia to prevent postoperative nausea and vomiting; a randomized control trial. Anaesth. pain intensive care 2022;26(1):96-101. DOI: 10.35975/apic.v26i1.1774 Received: August 6, 2021, Reviewed: October 22, 2012, Accepted: December 15, 2021

show abstract

“…The database search on the efficacy of laparoscopic cholecystectomy in acute episodes of cholecystitis yielded 47 articles. Upon further analysis, only five articles focused on the efficacy of tube cholecystostomy in high-risk groups as an emergency procedure for settling acute cholecystitis (11,12). While laparoscopic cholecystectomy remains the gold standard for treating acute cholecystitis, its application in high-risk elderly patients with multiple comorbidities classified as ASA 3 or 4 should be carefully considered.…”

Section: Introductionmentioning

confidence: 99%

Perioperative Outcomes after Elective Laparoscopic Cholecystectomy in High Risk Patients

Rehman,

Ali,

Zafar

et al. 2024

JHRR

View full text Add to dashboard Cite

Background: The global population is aging, leading to an increased incidence of acute cholecystitis and associated complications in the elderly. While laparoscopic cholecystectomy is the gold standard for treating acute cholecystitis, its safety and outcomes in high-risk, elderly patients with comorbidities are not well-documented. Objective: To compare postoperative complications, hospital stay duration, and nursing care requirements between high-risk elderly patients undergoing tube cholecystostomy versus early elective laparoscopic cholecystectomy for acute cholecystitis. Methods: This cross-sectional comparative study was conducted at Combined Military Hospital Rawalpindi from July 2021 to January 2022. A total of 70 patients aged 40-80 years and classified as ASA 3 or 4 were included. Patients were divided into two groups: Group 1 (n=35) underwent tube cholecystostomy followed by interval cholecystectomy after six weeks; Group 2 (n=35) underwent early elective laparoscopic cholecystectomy within 72 hours of admission. Data on hospital stay, postoperative complications, and nursing care were collected and analyzed using SPSS version 25.0. Quantitative data were presented as mean ± standard deviation (SD), and qualitative data as frequency and percentage. Independent t-tests were applied, with a p-value of less than 0.05 considered statistically significant. Results: In Group 1, 91% of patients had a hospital stay of less than 5 days compared to 11% in Group 2 (p=0.000). Group 1 had 94% of patients nursed in the ward/HDU, while 94% of Group 2 required ICU care (p=0.000). Postoperative complications were significantly lower in Group 1, with 97% having no complications compared to 34% in Group 2 (p=0.000). Only 3% of Group 1 required multidisciplinary team management versus 66% in Group 2. Conclusion: Tube cholecystostomy is a safer and more effective initial management strategy for high-risk elderly patients with acute cholecystitis, leading to shorter hospital stays, less intensive postoperative care, and fewer complications compared to early elective laparoscopic cholecystectomy.

show abstract

Postoperative Care of Patients Undergoing Same‐Day Laparoscopic Cholecystectomy

Cited by 9 publications

References 25 publications

The effects of Kinesio taping and breathing exercises on pain management after gynaecological abdominal surgery: A randomized controlled study

The effects of Kinesio taping and breathing exercises on pain management after gynaecological abdominal surgery: A randomized controlled study

Stimulation of acupoint P6 before induction of anesthesia to prevent postoperative nausea and vomiting; a randomized control trial

Perioperative Outcomes after Elective Laparoscopic Cholecystectomy in High Risk Patients

Contact Info

Product

Resources

About