"Diagnostic laparoscopy - day surgery"

I had a diagnostic laparoscopy, I felt very cared for throughout the process. The nurses and anaesthetist were kind and reassuring. They provided me ample time to ask any questions or share concerns so I was comfortable. The staff were friendly. I was nervous and the nurses gave me kind calming words and held my hand. I asked for them to communicate with me before the general anaesthetic was given, which they did so I felt reassured knowing what was happening. After surgery I reacted to the anaesthetic with dizziness and nausea which is normal for me. I was able to receive prompt medication to help me, and another nurse brought me a fan to keep cool which was so kind. I really appreciated this a lot and it really made my day. My recovery nurse was very understanding about my anxiety and reactions to anaesthetic, she provided lots of information and reassurance which was lovely. I was able to be given privacy and space to manage my reactions to the medication, and I was not rushed out of recovery. I had plenty of time to rest and recover until I felt okay to leave. It really meant a lot to me on how I was treated in recovery afterwards, it was excellent. 

I have a few suggestions that may help improve communication and overall patient experience. I understand that day surgeries are fast-paced environments with many priorities, so I’m sharing this feedback in the hope it may be helpful for future patients.

Some areas that could be considered for improvement include:

•Professional boundaries: During my pre-operative appointment, I was asked by my nurse if they could contact my personal number regarding work services at their home. While I understand this may not have been intended inappropriately, it made me feel a very uncomfortable given the clinical setting.

•Emotional support and guidance: Before my surgery, I was advised not to feel upset if nothing was found. I understand the importance of managing expectations, though I feel it’s important to also acknowledge that patients can experience a sense of grief after long periods of symptoms without clear answers.

•Information about medications: I personally find it helpful to understand what medications are being administered to me. For example, I was given fentanyl prior to anaesthesia, which I had not experienced before and found quite disorienting, and I panicked. Having a brief explanation beforehand would help me feel more at ease.

•Communication of results: I was informed shortly after waking that nothing was found during my procedure, while still feeling quite drowsy. Later, I received different information from another nurse which in fact provided me a diagnosis. Which I understand means something was found. Receiving results at a more appropriate time, and in a clear and consistent way would have helped reduce my confusion and emotional distress. It would also be helpful to have clear guidance on next steps, such as follow-up with a GP or specialist.

•Post-surgery contact options: The discharge instructions advised contacting Healthdirect for questions. While this is understandable, a dedicated contact number for the hospital or care team would be helpful for more specific queries. Healthdirect was very helpful, however, I also had to see a GP twice in the first 7 days after.  

•Discharge information: Some information was provided in writing, while other details were given verbally. As patients are still recovering from anaesthesia, I think that having more comprehensive written instructions (e.g., wound care, medications, use of TED stockings) would be beneficial. It would also help to ensure carers are informed of key aftercare points when collecting patients, as this didn’t happen in my case. 

Thank you very much to all staff involved. I have such a sense of relief at receiving my diagnosis after years of struggling.