International Journal For Multidisciplinary Research

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Volume 8 Issue 2
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Preoperative Chest physiotherapy For Prevention of Post-Operative Pulmonary Complications (PPCs) in Adults Undergoing Elective Exploratory Laparotomy : A Experimental Study

Author(s) Ms. Akanksha Arjun Sonawane, Dr. Sadaf Patel, Dr. Richa Kashyap, Dr. Nishant Singh
Country India
Abstract Introduction: Exploratory laparotomy is a major surgical procedure that significantly alters respiratory mechanics due to anesthesia, postoperative pain, and diaphragmatic dysfunction, predisposing patients to Post-Operative Pulmonary Complications (PPCs).
Objectives: The study aimed to determine whether preoperative chest physiotherapy improves lung function, enhances quality of life, and reduces the length of hospital stay in adults undergoing elective exploratory laparotomy.
Methods: A comparative experimental study was conducted with 40 participants (aged 18–55) divided into Group A (advanced regimen including incentive spirometry, Balloon blowing, and breath stacking) and Group B (standard protocol including diaphragmatic and pursed-lip breathing). Outcomes were measured using a 15-item Quality of Life (QoL) scale and length of hospital stay.
Results: The study involved 40 participants divided into two groups to evaluate the impact of preoperative chest physiotherapy on recovery after elective exploratory laparotomy. In Group A, which received an advanced regimen (incentive spirometry, Balloon blowing, and breath stacking), participants showed a highly significant improvement in their quality of life scores. Statistical analysis revealed that the mean QoL score in Group A improved from 65.35 ± 4.452 pre-intervention to 61.55 ± 4.925 post-intervention, with a t-value of 19.00 and a p-value of <0.0001, indicating an extremely significant clinical improvement. Furthermore, Group A demonstrated enhanced lung function and a notable reduction in the length of hospital stay compared to the standard care provided in Group B.
Conclusion: Structured, multi-modal preoperative chest physiotherapy is highly effective in preventing PPCs and accelerating recovery.
Keywords Keywords: Preoperative Chest Physiotherapy, Post-Operative Pulmonary Complication (PPCs), Elective Exploratory Laparotomy
Field Medical / Pharmacy
Published In Volume 8, Issue 2, March-April 2026
Published On 2026-03-29
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