Comparative study of effect of deep breathing exercises and spirometry on pulmonary functions in patient undergoing laparoscopic cholecystectomy.

Introduction: Respiratory exercise and flow breathing spirometer is an exercise of importance for patients with upper abdominal surgery. The incentive spirometry technique was used to encourage the patient to take maximum and long inspiration, and slow deep breathing using a device to measure flow or sound. With this background the present study aim is to compare the effect of deep breathing exercise, flow and volume incentive spirometry, on pulmonary function and diaphragm excursion, following laparoscopic surgery. Method and Method: We compare methods perform deep Breathing Exercise with methods to Perform Incentive Spirometry making three groups A 40 patients, B 40 patients, C control 40 patients. Pulmonary function tests, Forced Vital Capacity, Forced Expiratory Volume in the first second, Peak Expiratory Flow Rate. These were taken on the preoperative day Day1, 1st and the 2nd postoperative day, for all groups, day 2 and 3 respectively. Results: There was a statistically significant decrease in Forced Vital Capacity (FVC) in the 1st and 2nd postoperative day when compared with the preoperative period in all groups. In all groups there was a statistically significant decrease in Forced Expiratory Volume at the end of the first second (FEV1) on the 1st and 2nd post-operative day when compared to the preoperative period. Conclusions: The main purpose of this study is to compare deep breathing exercise, Flow incentive spirometry. In our study we found that deep breathing exercise and incentive spirometry improve lung function in patients undergoing laparoscopic cholecystectomy surgery. [ABSTRACT FROM AUTHOR]