1.Can I eat and drink in the morning of the surgery?
Please start fasting after dinner the night before surgery and stop drinking after 12:00 pm. Do not eat or drink after waking up in the morning of the surgery. Please go to the bathroom to urinate once more before the operating room staff picks you up from the ward to the operating room.
2.What do I need to do before entering the operating room?
In the morning of the day of surgery, the patient should wake up and wash up routinely, without eating or drinking. Take off or remove all clothes other than hospital gowns, jewelry, dentures, etc. Then rest in the hospital bed and adjust your mental state. Someone from the operating room will come to the ward to pick up the patient to enter the operating room. Have a bowel movement before entering the operating room.
3.When do I go into the operating room?
Patients undergoing elective surgery should generally enter the operating room at the scheduled time after all examinations are completed and the competent physician delivers the operation notice to the operating room; patients undergoing emergency surgery should generally enter the operating room after the necessary examination results are returned and the competent physician delivers the operation notice to the operating room and wait for the operating room nurse to make the necessary preparations.
4.What do I need to do after entering the operating room?
After entering the operating room, you should keep your mind calm and try to avoid negative emotions such as nervousness and fear. At the same time, you should follow the instructions of the anesthesiologists and nurses in the operating room, try to assist them in making some preparations before the surgery, and answer some of the questions they ask as detailed and serious as possible.
5.What people will I meet in the operating room?
After entering the operating room, the nurses in the operating room will check some of your basic information and make some preoperative preparations with their assistance. The anesthesiologist in charge of you will explain some precautions to you and carry out the anesthesia operation with your cooperation, while your surgeon will also be at your side to relieve your tension.
6.Do I feel pain during the surgery?
The surgery is performed under anesthesia, and the anesthesiologist will formulate a corresponding anesthesia plan for your condition and the proposed surgery before the surgery, and make appropriate adjustments during the surgery to ensure that you do not feel pain during the surgery, so that the surgery can proceed smoothly. Therefore, you don’t need to worry about the pain during the surgery before the operation.
7.How is minimally invasive laparoscopic cholecystectomy performed?
A special catheter is inserted into the peritoneal cavity and about 2-5 liters of carbon dioxide is injected to create a space for the operation. After reaching a certain pressure, 3-4 tiny incisions of 0.5 to 1 cm are made in your abdomen and then the gallbladder is carefully removed under laparoscopic operation. The procedure takes about 30 minutes to an hour and a half and is simple and safe. If the gallbladder is chronically inflamed and has adhesions to the surrounding stomach, duodenum, large intestine or large omentum, a longer operation may be required, or a traditional cesarean cholecystectomy may be performed instead.
Minimally invasive laparoscopic cholecystectomy has a success rate of 99.99%. About one in 10,000 patients are in critical condition or even die due to poor physical condition before surgery (such as acute cholecystitis, sepsis, etc.) or complications after surgery, such as pneumonia, heart attack, stroke attack, etc.
8.Why do people call minimally invasive laparoscopic surgery as “eye” surgery?
Laparoscopic cholecystectomy is performed in the abdominal cavity through small pokes in the abdominal wall with special instruments under the direct view of a television laparoscope. It combines modern high technology with traditional surgical techniques, and is a surgery without dissection, with small incisions, little pain and quick recovery. There are four small incisions on the abdominal wall after the operation, all of which can be recovered with band-aids and can be discharged from the hospital in 2-3 days after the operation.
9.Can family members observe the surgery?
Family members are generally not allowed to observe the surgery. The operating room is a strictly sterilized room, and there are strict requirements for all operations in the operating room. However, minimally invasive laparoscopic surgery is characterized by the fact that the images from the surgery can be recorded and saved in real time. Therefore, if the patient or family wants to keep the video of the surgery, they can consult with the ward nurse or the doctor in charge.
10.Can I keep my surgical images?
If you are a patient undergoing laparoscopic surgery, you can keep the images of the surgery for reference in future visits. This can be done by explaining your wishes to your supervising physician or ward nurse prior to the surgery, and if so, you will have access to the edited surgical images after the surgery.
11.How long will the surgery last?
Laparoscopic cholecystectomy usually lasts from 30 minutes to about 1 hour. However, the operation time should generally depend on the type of surgery, the patient’s condition and the intraoperative situation, because our surgery is performed in the abdominal cavity, and some preoperative imaging may not fully reflect the situation in the abdominal cavity, and its specific situation can only be clarified during the surgery, so it is difficult to estimate the exact duration of the surgery before the surgery.
12.How to remove the gallbladder outside the body after cholecystectomy?
At present, cholecystectomy can be generally divided into open surgery and laparoscopic surgery. After cholecystectomy, the gallbladder is removed by incision, which is well understood in open surgery, while the incision in laparoscopic cholecystectomy is 3-4 small incisions of only 0.5cm and 1cm long, and we usually remove it by the 1cm incision in the upper abdomen.
13.Can all the stones in the gallbladder be removed?
Some gallbladder stone patients are hesitant to have their gallbladder surgically removed and want to remove all the stones by cutting the gallbladder open. Therefore, the only way to solve the problem of gallbladder stones and cholecystitis is to remove the gallbladder and remove all the stones at the same time.
14.What happens to the surgically removed gallbladder?
After the surgery, the gallbladder removed during the surgery will be handled by the patient’s surgeon. Generally, the operating room will be asked to take pictures of the gallbladder, including images of the intact gallbladder and the dissected gallbladder, and the stones in the gallbladder will be given to the patient’s family.
15.Does minimally invasive surgery require stitches and stitch removal?
The incision of minimally invasive surgery is very small, only 1cm or 0.5cm long, so the skin is usually not sutured, only the common band-aid can cover the incision. At this time, the band-aid can be removed. So minimally invasive surgery also does not need to remove the stitches.
16.Why do some patients need to place abdominal drainage tubes?
After laparotomy, due to the existence of surgical trauma, the trauma will exude a certain amount of exudate, and the amount of exudate depends on the size of the trauma and the surrounding inflammation, etc. If too much exudate accumulates in the abdominal cavity, abdominal pain, fever and other symptoms will occur, which seriously affects the patient’s postoperative recovery. The main function of the abdominal drain is to drain out the intra-abdominal fluid, thus promoting the patient’s recovery as soon as possible.
17.Can I go back to the ward directly after the surgery?
After surgery, the patient is usually still under anesthesia and unconscious. At this time, the patient needs to go through the process from anesthesia to resuscitation to regain consciousness, which is very important and must be done under the supervision of anesthesiologists.
18.How long do I need to stay in the resuscitation room?
The length of stay in the resuscitation room after surgery depends on the specific situation, because the patient’s physique varies from person to person, so the sensitivity to anesthetic drugs is also different, and the time of resuscitation varies.
19.Why do some patients need to be admitted to the intensive care unit (ICU)?
The intensive care unit (ICU) is a department for close monitoring and treatment of patients in critical condition, with excellent equipment and experience in rescuing critically ill patients. Treatment. Therefore, some patients need to be admitted to the ICU after surgery.
20.What should I do when I return to the ward?
Patients should rest quietly in a flat position after surgery, while receiving oxygen and intravenous fluid input treatment.
21.How long will it take before I can get out of bed?
Early postoperative bed activity can reduce the adhesions of abdominal organs and decrease the chance of postoperative adhesive intestinal obstruction, and also promote the early recovery of gastrointestinal function, which is very beneficial to your postoperative recovery.
22.Why do I need to infuse a lot of fluids?
The human body is an organic whole and is in the process of metabolism every moment. Since you need to fast from water before surgery and cannot eat by mouth after surgery due to the influence of anesthesia, you need a lot of fluids from intravenous infusion after surgery to replenish the metabolic loss on the one hand, and to replenish the loss of bleeding and exudate during surgery on the other hand to maintain the balance of the body. In addition, some therapeutic drugs, such as antibiotics, drugs to improve circulation, drugs to protect liver and kidney function, etc., also need to be administered intravenously because the post-operative period is a high-risk period.
23.Why do I need oxygen inhalation?
The anesthetic drugs used by the anesthesiologist during the surgery inhibit the respiratory function of the body, so oxygen inhalation is needed to promote the recovery of respiratory function and the metabolism of anesthetic drugs after the surgery. recovery is very helpful.
24.Why do some people vomit after waking up after surgery?
This is a normal reaction to the temporary nausea or vomiting that may occur within 1 to 2 days after surgery due to the anesthetic drugs. This is a normal reaction. If vomiting is severe, vomiting-only medication may be given.