Original Articles
A prospective study of factors impacting the return of bowel activity following exploratory laparotomy | |
Dr. Himanshu Lambora, Dr. Avi Gupta, Dr. Ajay Kumar Choudhary, Karan Singh Virdi, Dr. Money Gupta | |
Background: Normal abdominal functions are momentarily stopped after abdominal surgery. Postoperative ileus (POI), defined by slowing of gastrointestinal motility, has a negative influence on patients' recovery by delaying hospital release and causing discomfort and agony. The objective of this prospective research is to determine the prevalence of POI and evaluate the risk factors that contribute to its development. Methods: Patients who had surgery at NIMS, Jaipur were included in this hospital-based prospective research. A consistent proforma was used to gather data, which included pertinent clinical history, pre-operative tests, and post-operative examinations. Descriptive statistics, t-tests, nonparametric tests, chi-square tests, and multivariate logistic regression analysis were all used in the statistical study. Results: In this research, men (59.03%) outnumbered women (40.96%). In comparison to men (89.79%), ladies (91.17%) had earlier onset of bowel motility. Stoma (p=0.001), peritoneal contamination (p=0.001), higher preoperative hemoglobin (p=0.009), duration of surgery (p=0.005), and postoperative chloride (p=0.001) were factors that were substantially linked with POI in the univariate analysis. The research revealed no statistically significant differences in the restoration of bowel function after taking into account a number of variables, including age, sex, history of prior surgery, history of comorbidity and blood transfusions. Conclusion: This research advises patients after laparotomies to start oral intake rather than listen for bowel sounds, since the latter may be helpful even in the local resumption of bowel movement. |
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