Weight reduction among females undergoing laparoscopic ventral hernia repair: The role of Calcium and Vitamin D3 | [Pakistan Journal of Medical Sciences • 2024]

Author(s):

1. Saleh Abdulrahman AlMulhim: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

2. Mounther Mohammed AlNaim: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

3. Abdul Sattar Khan: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

4. Abdul Qadeer Memon: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

5. Haytham Mohammed AlArfaj: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

6. Ahmad A. Al Abdulqader: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

7. Abdulrahman Saleh AlMulhim: King Faisal University College of Medicine, P.O. Box 400, AlAhsa 31982, Saudi Arabia.

Abstract:

Objective: To evaluate the role of Vitamin-D and calcium supplementation on preoperative weight reduction in obese women before laparoscopic ventral hernia repair. Methods: This double-blind clinical trial was conducted at the afiliated health centers of King Faisal University, AlAhsa, Saudi Arabia from January 2021 to December 2021. It included forty-five obese women aged 24-56 years, with body mass index (BMI) of 34.0-48.0kg/m2. They were randomly allocated into two groups; the Group-A (N=22) included obese women who received supplementation of 5000IU cholecalciferol (Vitamin-D3), and 1000mg calcium daily for 12 months, while the Group-B (N=23) received no treatment. Measurement of change in weight and BMI and comparison of their pre-operative weight reduction, laparoscopic operative time, and length of hospital stay was done. Results: There were no diferences in patients' biographic data between the two groups. During the study, Vitamin-D level in the patients increased and there was a significant positive association with weight loss. In group-A, the mean weight loss was 11.8±3.5 kg. At the end of first year, their BMI decreased from 36.1±1.6kg/m 2 at baseline to 29.7±2.6 kg/m2, whereas in-group-B, the mean weight loss was 6.8±3.1 kg and their BMI decreased from 36.9±2.69kg/m2 at baseline to 32.7±0.93kg/m2. The operation time and the length of hospital stay were shorter in group-A (107 vs.128. min) and (3 vs. 5 days) respectively as compared to Group-B. Conclusion: Vitamin-D and calcium supplementation contributes to a remarkable weight reduction of preoperative obese female patients, which in turn is associated with significantly better outcome of laparoscopic repair of ventral hernia.

Page(s): 922-926

DOI: 10.12669/pjms.40.5.9047

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 40, Issue: 5, Year: 2024

Keywords:

VitaminD , Ventral Hernia Repair , BMI , Calcium Supplements

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