Laparoscopic Cholecystectomy-Same Day Surgery-Smaller Incisions-Less Pain After Surgery-Faster RecoveryLaparoscopic cholecystectomy is the removal of the gallbladder. This is a less invasive way to remove the gallbladder. This surgery uses a laparoscope, which is a camera used to view the inside of the body, and three other small incisions are made. With open surgery, incisions are made in the upper right part of the abdomen in incisions five to eight inches long. Most laparoscopic cholecystectomies are surgical on the same day, have smaller incisions, and patients feel less pain after surgery and have a faster recovery. SLIDE 2Problems Related to Laparoscopic Cholecystectomy in the Postoperative Phase Pain Nausea/Vomiting Length of Stay Patient DissatisfactionWhen patients undergo laparoscopic cholecystectomy in an outpatient setting, patients experience postoperative pain and nausea in the postoperative phase. “Pain is the most common symptom after laparoscopic cholecystectomy (LC) and can delay hospital discharge after day surgery” (Barthelsson, Nordstrom, & Norberg, 2011, p. 143). At Kaiser Permanente, we began hearing more reports of postoperative pain, nausea, and vomiting after this procedure. Due to these symptoms, the length of outpatient stay took longer than expected and therefore patients and their families felt dissatisfied with the care. SLIDE 3 PICOT QUESTIONFor adult patients undergoing laparoscopic cholecystectomy, do patients experience less pain and nausea during the postoperative phase if given analgesics in the preoperative phase and anti-nausea medications in the intraoperative phase? To help me gather information for a presentation to the CEO and senior management, I would ask middle of paper... ...the first 24 hours, because of the anesthesia and painkillers. No strenuous activity or lifting for two weeks is considered imperative for recovery. Keeping dressings clean and dry for 48 hours and monitoring for signs of infection and bleeding helps promote a quick recovery. When reviewing discharge instructions, it is very important to let the patient and family know who they can call with questions or concerns. At Kaiser Permanente, we have a 24-hour nurse advice line and call center that is able to contact the surgeon with any concerns. The patient can also contact the surgeon's clinic or email the surgeon for non-urgent questions. Follow-up appointments are scheduled at that time. If the patient experiences chest pain, shortness of breath or feeling faint, they are asked to go to the nearest emergency department or call. 911.