Muzaffar Aziz, Tariq Jamil Choudhary, Muhammad Shafiq, Khalid Hussain Qureshi.
Nutrition In Surgical Patients; Role Of Partial Parenteral Nutrition And Total Parenteral Nutrition In Immediate Post Operative Period.
Professional Med J Jan ;24(3):441-4.

Objectives: The objective of this study was to compare the frequency of complications in postoperative patients with partial parenteral nutrition and total parenteral nutrition in surgical wards. Study design: Randomized Controlled Trial. Setting: Department of General Surgery of Nishtar Hospital Multan. Subjects & Methodology: In this study, sixty patients of either gender with any abdominal surgery like primary repair of enteric perforation and repair of duodenal ulcer perforation were eligible for this study. In PPN group patients were given dextrose 10% in Ringer lactate solution just for 4 days. In TPN group patients got TPN solution that has 25 kcal/kg consistently for 4 days. All supplement preparations were prepared day by day under aseptic conditions. Infusion was performed through a central venous catheter using an injection micro pump. Information was gathered with respect to expanded hospital stay (> 7 days) and wound infection. Results: Age range in this study was from 20 to 40 years with mean age of 31.333± 3.67 years in PPN group while 32.200± 3.87 years in TPN group. Wound Infection was seen 50% in PPN group as compare to 10% in TPN group (P=0.000) while Increased Hospital Stay was seen 26.7 % in PPN group as compare to 6.7% in TPN group (P=0.037). Conclusion: PN feeding does not appear to offer beneficial advantage in rates of complications and it doesn’t seem to diminish the length of hospital stay. TPN instantly taking after major surgery is a reasonable parenteral feeding.

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