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

Authors

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

DOI:

https://doi.org/10.61919/jhrr.v3i2.1733

Keywords:

Exploratory Laparotomy, Post-Operative Weight Loss, Acute Abdomen, Nutritional Interventions, Peritonitis, Body Mass Index (BMI)

Abstract

Background: Exploratory laparotomy is a critical surgical procedure performed to evaluate and address intra-abdominal conditions when diagnostic methods are insufficient. While it is life-saving, post-operative weight loss is a commonly observed yet underexplored complication, primarily attributed to prolonged fasting and insufficient nutritional support.

Objective: To assess the mean change in body weight in patients undergoing exploratory laparotomy at Combined Military Hospital (CMH), Quetta.

Methods: This quasi-experimental study was conducted at CMH Quetta over six months, including 60 patients aged 18–70 years who underwent exploratory laparotomy for conditions such as duodenal perforation, tuberculosis, and typhoid enteric perforations. Body weight was recorded preoperatively and on the seventh post-operative day using a standardized scale. Data were analyzed using SPSS version 25. Paired t-tests assessed weight changes, while subgroup analyses were performed for age, gender, BMI, and surgical indications. Ethical approval was obtained, and the study adhered to the Declaration of Helsinki.

Results: The mean preoperative weight was 70.88 ± 9.02 kg, which decreased to 67.97 ± 9.03 kg postoperatively, with a mean weight loss of 2.90 ± 0.97 kg (p < 0.001). Weight changes showed no significant differences across subgroups, including age (p = 0.602), gender (p = 0.918), and BMI categories (p = 0.251).

Conclusion: Patients undergoing exploratory laparotomy exhibited significant post-operative weight loss, emphasizing the need for timely nutritional interventions to mitigate this complication and enhance recovery.

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Published

2023-12-30

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.v3i2.1733

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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