Assessment of Mean Change in Body Weight in Patients After Exploratory Laparotomy at CMH Quetta

Authors

  • Bibi Zehra Department of Surgery, Combined Military Hospital, Quetta, Pakistan
  • Muhammad Saeed Awan Department of Surgery, Combined Military Hospital, Quetta, Pakistan
  • Sohail Ilyas Department of Surgery, Combined Military Hospital, Quetta, Pakistan
  • Rukhsar Anwar Department of Surgery, Combined Military Hospital, Quetta, Pakistan
  • Muhammad Abdullah Department of Surgery, Combined Military Hospital, Quetta, Pakistan
  • Zeeshan Shoukat Department of Surgery, Combined Military Hospital, Quetta, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v3i2.1732

Keywords:

Exploratory laparotomy, Postoperative weight loss, Perforation peritonitis, Nutritional intervention, Acute abdomen, Catabolic stress, Postoperative care

Abstract

Background: Exploratory laparotomy is a surgical intervention often indicated for acute abdominal conditions such as perforation peritonitis and abdominal trauma. Despite its life-saving potential, postoperative weight loss is a frequently observed but under-researched phenomenon that may impact recovery and overall outcomes.

Objective: To assess the mean change in body weight among patients undergoing exploratory laparotomy at Combined Military Hospital, Quetta, and identify associated factors.

Methods: This quasi-experimental study included 60 patients, aged 18–70 years, who underwent exploratory laparotomy for acute abdominal conditions, such as duodenal perforation, intestinal tuberculosis, and typhoid enteric perforations, from January 31, 2022, to July 31, 2022. Patients kept NPO for more than one day postoperatively were included. Preoperative and postoperative weights (recorded on the seventh postoperative day) were measured using a calibrated scale. Data were analyzed using SPSS version 25. Paired t-tests, ANOVA, and independent t-tests were employed to assess weight change, with statistical significance set at p < 0.05.

Results: The mean preoperative weight was 70.88 ± 9.02 kg, decreasing to 67.97 ± 9.03 kg postoperatively (mean weight loss: 2.90 ± 0.97 kg, p < 0.001). Weight loss was not significantly different across age (p = 0.602), gender (p = 0.918), or BMI categories (p = 0.251).

Conclusion: Significant postoperative weight loss occurred in patients undergoing exploratory laparotomy. Early nutritional support is essential to enhance recovery and minimize complications.

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Published

2023-11-24

How to Cite

Bibi Zehra, Muhammad Saeed Awan, Sohail Ilyas, Rukhsar Anwar, Muhammad Abdullah, & Zeeshan Shoukat. (2023). Assessment of Mean Change in Body Weight in Patients After Exploratory Laparotomy at CMH Quetta. Journal of Health and Rehabilitation Research, 3(2), 1–5. https://doi.org/10.61919/jhrr.v3i2.1732

Issue

Vol. 3 No. 2 (2023): Volume 3, Issue 2 - July to December 2023

Section

Articles

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Copyright (c) 2023 Bibi Zehra, Muhammad Saeed Awan, Sohail Ilyas, Rukhsar Anwar, Muhammad Abdullah, Zeeshan Shoukat

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