Abstract:

Cholecystitis is a common disorder in Pakistani population which affects the life of individual, pre and post operatively. Repeated pain episodes cause frequent visit to the emergency reception and repeated hospital admissions for symptomatic treatment, until individual decides for the gall bladder surgery. Cholecystectomy is the most common surgical treatments for cholecystitis and cholelithiasis. This phenomenological study was conducted to get a deep understanding of patients’ perceptions and experiences about the disease and treatment. Ten women and 6 men were scheduled for collecting data. All were explained about the purpose of study and an interview guide was developed containing only two questions. Same questions were sent to health care professionals as an opinionnaire. The answers and responses were categorized in four main themes by using qualitative software NVIVO. These four themes describe the patient’s feelings toward their cholecystitis, Cholelithiasis and cholecystectomy experiences. The patient’s themes indicated they were consumed with feelings of: (a) Fear of large scar vs Blind holes over entire abdomen (b) Pain Perception & Pain Experiences (c) Certainty vs Uncertainty (d) Yearning for speedy recovery. The mentioned findings revealed that individuals with gallstone disease experience, expressed their feelings of fear of large scar at gall bladder area, or afraid of making four holes over entire abdomen. The perception of pain was found equal in both surgeries, fewer reported less pain in Kocher incision and fewer reported infection in one or two of the four holes on the abdomen. Uncertainty was found more health care professionals vs laymen and women. Some participants responded that laparoscopic surgery was opted due to less length of stay in the hospital.

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