Muhammad Haroon, Muhammad Tahir, Hammad Raza Bokhari.
Comparison of mean time of postoperative return of bowel movements with or without Nasogastric Tube in elective abdominal surgeries.
Pak J Med Health Sci Jan ;12(1):312-4.

Aim : To compare the mean time of postoperative return of bowel movements with or without Nasogastric Tube in elective abdominal surgeries. Methods: This present randomized controlled trial was conducted at the department of Surgery at Shaikh Zayed Hospital, Lahore. The study was conducted for six months from 26 th January 2016 to 26 th July 2016. The Non probability consecutive sampling technique was used in this study. Informed written consent was taken after explaining each patient about the purpose and the procedure of the study. Patients were divided into t wo groups, Group A (with Nasogastric Tube) and Group B (without Nasogastric Tube). Nasogastric Tube was passed during surgery in all patients of group-A. Mean Time (hours) was noted for passage of first flatus by the patient after surgery in each group. Results: In this study, there were total 180 patients, 90 in each group. The mean age of the patients was 45.17+/-11.94. 86(47.8%) patients were males and 94(52.2%) patients were females. 30(16.7%) patients of Bilroth-I gastrectomy, 25(13.9) of Bilroth-II gastrectomy, 72(40%) of small bowel anastomosis and 53(29.4%) of large bowel anastomosis were included in this study. 103(57.2%) surgeries were done in less than 3 hours time and 77(42.8%) in more than 3 hours . Mean time to pass the flatus in patients without Nasogastric tubes was less (46.19 +/-9.48 hours) as compared to patients with Nasogastric Tubes (49.20+/-7.90 hours) with P-Value of 0.02 which is statistically significant and supports the hypothesis . Conclusion: This study has demonstrated that the mean time of postoperative return of bowel movements without Nasogastric Tube in elective abdominal surgeries is less as compared to those who were passed Nasogastric Tubes.

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