1.What are the complications of surgery?
Roughly speaking, complications after surgery can be divided into two categories: medical and surgical. The occurrence of medical complications is not much different from that of general cesarean surgery. Due to the shortened operative time and small wounds during laparoscopic cholecystectomy, underdilation of the respiratory tract is less common. In addition, urinary tract infections and phlebitis are also rare.
Surgical complications commonly include (1) bile leakage; (2) bile duct obstruction; (3) residual common bile duct stones; (4) wound infection; (5) shoulder soreness; (6) bleeding, etc. Generally speaking, the chance of these occurrence is not high, about 0-1%, and most of them can be cured under the careful care of medical staff.
2.Can I get out of bed?
You can get out of bed for light activities on the night after surgery, but you should avoid exerting too much force to avoid pain and discomfort of the incision. On the first day after surgery, you can increase your activities in a moderate amount, and then you can achieve complete self-care without the need for family members to accompany you. After the 3rd to 6th postoperative day, you can fully resume normal activities without restrictions and you can resume normal work.
3.What should I eat during the post-operative recovery period?
On the day of postoperative period, generally no food can be eaten. If the medical staff does not inform you of special restrictions, you can eat liquid food such as rice milk and porridge on the next day, but avoid whole milk and greasy diet; you can eat semi-liquid and vegetables and fruits on the second day after surgery; you can resume solid diet on the third day after surgery; you can gradually transition to normal diet about 1 week after surgery.
4.Do I still need infusion?
Patients cannot eat on the day of surgery, and generally need to input antibacterial and nutritional support drugs to prevent infection and maintain the necessary nutrients; on the first day after surgery, patients can eat liquid, the amount of infusion will be gradually reduced; generally, only 1-2 days of antibiotic infusion after surgery can be cured and discharged, and no longer need oral antibiotics after discharge.
5.When should I change the incision?
The largest incision as long as 1cm, as long as 0.5cm, the incision does not have any stitches, only need to use the Band-Aid external paste can be; generally in 2-3 days after surgery to replace a Band-Aid can be, do not need multiple changes and removal of stitches; surgery 5-6 days you can tear off the Band-Aid, 7-8 days after surgery, the incision is completely healed, you can take a bath.
6.Why do some patients feel some pain in their shoulders?
Because the patient needs to stay in supine position for a long time during the surgery, the symptoms will disappear after 1-2 days of surgery due to diaphragmatic stimulation.
7.What about some pain in the incision?
Patients may experience pain in the incision after surgery. The pain in the surgical wound is mostly not serious and will be relieved on its own without any treatment; if the pain is more severe, pain medication can be given by injection, and the pain symptoms usually exist on the day after surgery.
8.Why is there a slight fever after surgery?
Patients with heavy inflammation will usually have a mild fever (body temperature between 37 and 38 degrees Celsius) after surgery, which is caused by local inflammatory factors entering the bloodstream. The fever will not reappear after the inflammation is absorbed.
9.When will I be able to pass gas and defecate?
The gallbladder itself is a digestive organ of the human body, and the intestinal function of the patient needs a period of recovery after surgery. As the intestinal function recovers after surgery, defecation will naturally occur. The recovery of intestinal function is usually 1-2 days after surgery, and most patients can recover on their own. For a few patients with slow recovery of intestinal function, oral Chinese medicine can be given to promote the recovery of intestinal function.
10.I feel some chest tightness and breathlessness, what is it?
Minimally invasive laparoscopic surgery is performed under general anesthesia, so the patient’s voluntary respiratory function is suppressed to a certain extent due to the effect of anesthetic drugs in the short term after surgery; the absorption of CO2 by the patient during surgery may also make the patient feel chest tightness and breathlessness; in addition, the patient is afraid to breathe deeply due to the abdominal incision. These factors are short-term factors, with the metabolism of postoperative anesthetic drugs clean, as well as, the gradual return of respiratory function, while oxygen, intravenous application of relevant drugs, in 1 to 2 days will return to normal.
11.When can the abdominal drainage tube be removed?
Abdominal drainage tube is only used for surgery with heavy local inflammation or large surgical trauma, for some acute cholecystitis surgery it is necessary to place drainage tube. The purpose of placing a laparoscopic drain is to ensure the smooth drainage of local inflammatory exudate and to speed up the healing of the disease. Generally, the abdominal drainage tube of cholecystectomy can be removed 1-2 days after surgery, and the drainage tube can be removed in 3-4 days for more traumatic surgery according to the drainage fluid.
12.Why do a few patients develop skin jaundice after surgery?
In a very small number of patients, due to heavy inflammation of the gallbladder, long operation time, and long local irritation of the gallbladder and common bile duct during the operation, a transient yellowing of the skin and sclera may occur after the operation, which is usually a normal development of the disease. In a few cases, stones in the gallbladder enter the common bile duct before or during surgery, forming bile duct stones and blocking the bile duct, resulting in jaundice after surgery. In this case, duodenal endoscopic stone extraction is required after surgery. If jaundice appears, you should inform the nurse and the physician in charge in time.
13.Why is the color of urine green in some patients?
Some patients may find that their urine is green after surgery. There is no need to be alarmed because this is usually due to the metabolism of anesthetic drugs by the kidneys, which is a normal metabolic process of the human body, and the urine will return to normal color after 1-2 days of metabolism by the kidneys. The above situation you should promptly reflect to the competent physician and nurse to exclude other diseases may occur.
14.What if the wound is affected by sweating in summer?
Minimally invasive surgery incisions are small and do not require sutures. The surgical incision will heal in 1-2 days after surgery and will not be affected by sweating. Less than 1% of patients may suffer from local redness, swelling, pain and discomfort due to sweating, which will gradually return to normal with a small amount of antibiotics and active local dressing changes.
15.Why does my throat hurt a little after surgery?
Minimally invasive surgery requires general anesthesia. After general anesthesia, the body loses the ability to breathe on its own and needs a ventilator to assist breathing, which requires tracheal intubation, which may cause mild damage to the tracheal mucosa and a sore throat. The sore throat does not require special treatment except for intravenous antibiotics, and the symptoms will disappear 1-2 days after surgery.