Effect of preoperative physical and respiratory therapy on postoperative pulmonary functions and complications after laparoscopic upper abdominal surgery in obese patients

Aim of the study: To investigate the effects of preoperative physical and respiratory therapy on pulmonary functions and complications after elective laparoscopic upper abdominal surgery in obese patients. Methodology: Patients were randomly assigned to receive respiratory and general exercise for 2...

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Bibliographic Details
Published in:	The Egyptian journal of chest diseases and tuberculosis Vol. 66; no. 4; pp. 735 - 738
Main Authors:	Gehan A. Abdelaal, Sami S. Eldahdouh, Moharram Abdelsamie, Alaa Labeeb
Format:	Journal Article
Language:	English
Published:	Wolters Kluwer Medknow Publications 01-10-2017
Subjects:	Laparoscopic abdominal surgery Pulmonary function tests
Online Access:	Get full text
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Summary:	Aim of the study: To investigate the effects of preoperative physical and respiratory therapy on pulmonary functions and complications after elective laparoscopic upper abdominal surgery in obese patients. Methodology: Patients were randomly assigned to receive respiratory and general exercise for 2 weeks before operation (group I; n = 26) two physical and specialized respiratory therapy sessions per week (each one 40 min) in comparison to non-engaged group in any exercise (group II; n = 24) Pulmonary functions outcome variables including slow vital capacity(SVC), inspiratory capacity(IC), maximum inspiratory and expiratory pressures (MIP and MEP and 6-min walk test were recorded as a baseline, after two weeks of exercise day two, five and one month post-operative. Any postoperative pulmonary complications were recorded. Results: There were statistically significant difference between groups, patients in the intervention group (group I) had higher pulmonary function in all parameters than (group II) P < .05) in all the post-operative periods. Postoperative pulmonary complications occurred in 15 patients (62%) in the control group (group II) and in 7 patients (27%) in the intervention group (group I) (P < .05). Conclusion: Preoperative physical and respiratory therapy improved pulmonary functions and decreased the incidence of post-operative pulmonary complications in obese patients undergoing to laparoscopic upper abdominal surgery.
ISSN:	0422-7638
DOI:	10.1016/j.ejcdt.2017.10.012