The Impact of Preoperative Physical and Respiratory Therapy on Postoperative Complications and Lung Function in Obese Patients Undergoing Laparoscopic Upper Abdominal Surgery
Keywords:
Laparoscopic Procedure, Obesity, Respiratory Therapy, Abdominal SurgeryAbstract
Background: It has been seen that obese patients experience respiratory muscle dysfunction and inactivity, after laparoscopic upper abdomen surgery. Objective: To look at how preoperative respiratory and physical therapy affects pulmonary functions and problems following elective laparoscopic upper abdomen surgery in patients who are obese. Methodology: The present study was conducted in Bacha Khan MedicalComplex/Gajju Khan Medical College, Swabi from April 2021 to September 2021. Incontrast to the non-engaged group (group II; n = 26), patients were randomlyassigned to undergo respiratory and general exercise for two weeks prior tooperation (group I; n = 28) and two physical and specialized respiratory treatmentsessions per week, each lasting forty minutes. Day two, five, and one month aftersurgery were recorded as baselines, followed by two weeks of exercise, slow vitalcapacity (SVC), inspiratory capacity (IC), maximal inspiratory and expiratorypressures (MEP and MEP), and a six-minute walk test. Any pulmonary problemsfollowing surgery were noted.Results: Patients in the intervention group (group I) had higher pulmonary function inall measures than patients in group II (P <.05) during all post-operative periods, withstatistically significant differences between the groups. Six patients in theintervention group (group I) and 14 patients in the control group (group II)experienced postoperative pulmonary problems (P <.05).Conclusion: In obese patients receiving laparoscopic upper abdomen surgery,preoperative physical and respiratory treatment improved pulmonary functioningand reduced the frequency of postoperative pulmonary problems.se patients were divided into 2 groups, case (GI) and control (GII). Both groups comprise 50 study cases. The GI group comprised 50 patients with pleural effusion, whereas the GII group comprised 50 patients without pleural effusion. In both groups, diaphragmatic functions were also assessed through ultrasound. Results: Significant changes in diaphragm function, such as end-inspiratory thickness, fractional diaphragm thickening, and a shift in the amount of pleural effusion during deep breathing and quiet breathing, were observed during gastrointestinal thoracic ultrasound. When ultrasounds from GI and GII groups were assessed, significant changes were observed in end-inspiratory thickness, end-expiratory thickness, fractional diaphragm thickening, excursion during quiet breathing, and excursion during deep breathing. The amount of pleural fluid is directly related to these changes. Conclusion: Thoracic ultrasonography has shown that various amounts of pleural effusion have a negative impact on diaphragmatic functioning. ÂReferences
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