ABSTRACT
Background: Surgeons are regularly not involved in the post discharge care of patients after uncomplicated laparoscopic cholecystectomy. The purpose of the current study was to document the symptomatic recovery of patients following laparoscopic cholecystectomy, because this has a bearing on the planning of a postoperative care package
Methods: The study was designed as a postoperative telephone questionnaire survey and was carried out prospectively between June2016 and February2017 in King Abdulaziz Hospital, KSA
Results: The study cohort comprised 51 patients who all completed the study. Postoperatively, only 3% of the patients had postoperative nausea/vomiting lasting >/=2 days. Pain was symptomatic in 12% of patients. Port-site wounds were a source of significant symptoms in 69% of the patients. Postoperative reviews by a nurse and primary-care doctor were necessary in 76% and 34% patients, respectively, with a combined average of 3.1 reviews per patient. Less than 4% of patients believed that they would benefit from a surgeon's review 6 weeks after LC. Median time taken to return to routine preoperative activity after surgery was 21 days [IQR, 16 to 33], which was affected by the degree of activity undertaken, wound-related symptoms persisting for >/=3 weeks, planned follow-up clinic appointment, and discharge as an outpatient
Conclusion: Wound-related symptoms are common after LC, require substantial input from the community health service in their management, and may delay return to preoperative routine
ABSTRACT
Diabetes mellitus is a prevalent endocrinal disorder in Saudi Arabia. Diabetic foot ulceration occurs in about one fifth of diabetics, and significantly increases the risk of gangrene and amputation. Early and proper foot care is essential to prevent such deleterious complication
Objectives: the aim of this review is to study the knowledge and attitude about foot care among diabetics in Saudi Arabia and its impact on prevention of amputation
Methods: to achieve this aim, online database was searched for articles reporting knowledge and/or attitude of Saudi patients about foot care. Results yielded from this search were quickly inspected; the titles and abstract were quickly read to select related studies
Results: up to one fifth of diabetic patients had poor knowledge about their foot care, and in spite of regular checkups, they lacked awareness of signs and symptoms of diabetic foot infection. However, when educational programs were implemented, complications rate has significantly declined
Discussion: previous literature studies indicated that Saudi diabetic patients had moderate to poor knowledge about their illness in general. Most of them are not adequately educated about the complications of their illness, and how to deal with them. However, when engaged in systematic educational programs, they were highly responsive and compliant and their new adopted attitude and knowledge about the illness decreased their amputation as well as other complications rate