Cholecystectomy, laparoscopic

This study tests whether a standardized care pathway called RICA helps people recover faster after emergency keyhole surgery for moderate gallbladder inflammation (Grade II acute cholecystitis). The pathway includes steps like ultrasound before surgery, limited fasting, blood sug…

This study looks at whether measuring the collapsibility of the internal jugular vein in the neck using ultrasound can predict low blood pressure after general anesthesia. Researchers will measure the vein in 42 adults before gallbladder surgery and track blood pressure changes r…

This trial tests whether a TAP block, an injection of local anesthetic into the abdominal wall, can reduce pain after laparoscopic gallbladder surgery. Researchers will compare 200 patients who receive the block with those who do not, measuring pain scores, painkiller use, and ho…

This trial tests whether adding a second nerve block to the standard one improves pain control after laparoscopic gallbladder removal. Adults scheduled for this surgery will be randomly assigned to receive either one block or two blocks, both using the local anesthetic bupivacain…

This study tests whether a virtual reality (VR) session the day before gallbladder surgery can lower patients' anxiety and uncertainty about general anesthesia. Two hundred adults who have never had anesthesia will either watch a VR video showing the operating room and anesthesia…

This study compares three common pain relief methods for people having laparoscopic gallbladder surgery: numbing the surgical area with bupivacaine, a nerve block in the back (ESP block), or a small dose of morphine into the spinal fluid. The goal is to see which method reduces p…

This study looks at whether being afraid of pain before gallbladder surgery leads to more pain afterward. About 106 adults scheduled for surgery will answer questions about their fears before the operation and rate their pain at several points after. The goal is to help nurses an…