BACKGROUND: The aim of this study was to evaluate postoperative morbidity and return to daily activities after laparoscopic cholecystectomy. METHODS: Thirty-five patients were asked to keep daily detailed structured diaries for 1 week. RESULTS: Half of the patients were discharged from hospital on the 1st postoperative day (POD1); another third were released on POD2. Distressing pain subsided on POD2, but disturbing pain occurred in 10% of the patients on POD5-7. On POD7, mild pain at rest appeared in 30% of the patients and when moving in 60% of them. Although pain was the most common complaint, the mean consumption of analgesics was low. Even though one-fifth of the patients felt nauseated on POD2-3, and one-seventh again as late as POD7, drinking and eating did not pose problems. At the end of the week, one-third of the subjects experienced slight disorders in night rest and vigilance. Moving and walking were disturbed in one-third of the patients, and bending over and lifting objects were relatively difficult for 60% of the patients on POD7. Thirty percent of the 21 patients who were employed reported that they were capable of returning to work on POD7. CONCLUSION: To account for the variability in the rate of convalescence, the length of sick leave after laparoscopic cholecystectomy should be individualized.
BACKGROUND: The aim of this study was to evaluate postoperative morbidity and return to daily activities after laparoscopic cholecystectomy. METHODS: Thirty-five patients were asked to keep daily detailed structured diaries for 1 week. RESULTS: Half of the patients were discharged from hospital on the 1st postoperative day (POD1); another third were released on POD2. Distressing pain subsided on POD2, but disturbing pain occurred in 10% of the patients on POD5-7. On POD7, mild pain at rest appeared in 30% of the patients and when moving in 60% of them. Although pain was the most common complaint, the mean consumption of analgesics was low. Even though one-fifth of the patients felt nauseated on POD2-3, and one-seventh again as late as POD7, drinking and eating did not pose problems. At the end of the week, one-third of the subjects experienced slight disorders in night rest and vigilance. Moving and walking were disturbed in one-third of the patients, and bending over and lifting objects were relatively difficult for 60% of the patients on POD7. Thirty percent of the 21 patients who were employed reported that they were capable of returning to work on POD7. CONCLUSION: To account for the variability in the rate of convalescence, the length of sick leave after laparoscopic cholecystectomy should be individualized.
Authors: A W Majeed; G Troy; J P Nicholl; A Smythe; M W Reed; C J Stoddard; J Peacock; A G Johnson Journal: Lancet Date: 1996-04-13 Impact factor: 79.321
Authors: J H Peters; E C Ellison; J T Innes; J L Liss; K E Nichols; J M Lomano; S R Roby; M E Front; L C Carey Journal: Ann Surg Date: 1991-01 Impact factor: 12.969
Authors: Daria K Wasowicz-Kemps; Sander M Slootmaker; Hareld M C Kemps; Inne H M Borel-Rinkes; Douwe H Biesma; Bert van Ramshorst Journal: Surg Endosc Date: 2008-04-25 Impact factor: 4.584