Effect of Abdominal Binder after Laparoscopic Treatment on Postoperative Recovery (BELT): A Randomized Controlled Trial

Yang, Haeree; Song, Taejong

doi:10.1016/j.jmig.2019.06.021

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…The impact of using an AB after laparoscopic surgery on pain and recovery remains controversial. A previous study in gynecologic surgery showed that using an AB did not improve postoperative pain or respiratory function [20] ; however, another study showed reduced postoperative pain with an AB in the first week. [21] In a study of patients undergoing incisional hernia repair surgery, AB use reduced postoperative pain, [22] but similar findings were not observed in patients undergoing umbilical or epigastric hernia repair surgery.…”

Section: Discussionmentioning

confidence: 99%

Effect of abdominal binder on shoulder pain after laparoscopic gynecologic surgery: A randomized, controlled trial

2023

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Background: To evaluate the impact of abdominal binder (AB) use on postoperative shoulder pain in patients recovering from laparoscopic gynecologic surgery. Methods: This was a prospective randomized study conducted in a tertiary teaching hospital. Overall, 144 patients underwent laparoscopic gynecologic surgery. The postoperative use of an AB for 24 hours was added to the pulmonary recruitment maneuver. Results: Of 144 consenting patients, 72 patients each were allocated to the AB and control groups, respectively, and 14 patients were excluded. Finally, 130 patients were analyzed, with 68 in the AB group and 62 in the control group. There was no difference in the incidence of postoperative shoulder pain between the 2 groups (55.9% vs 56.5%, P = 1.000). The severity of the worst shoulder pain, measured using a numerical rating scale, did not differ between the 2 groups (Median [interquartile range] 2 [0–5] vs 2 [0–5]; P = .865). The severity of surgical site pain, pain and nausea medications, and the ambulation time were not different in the 2 groups. Conclusion: The use of an AB was not beneficial for postoperative shoulder pain following laparoscopic gynecologic surgery. Surgical site pain, ambulation time, and postoperative nausea and vomiting were not improved with the use of an AB.

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Section: Discussionmentioning

confidence: 99%

Effect of abdominal binder on shoulder pain after laparoscopic gynecologic surgery: A randomized, controlled trial

2023

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“…There might be a beneficial effect in reducing pain and facilitating mobilization after open abdominal or hernia surgery ( 35 – 37 ). For laparoscopic procedures, the data shows conflicting results ( 38 , 39 ).…”

Section: Discussionmentioning

confidence: 99%

“…There might be a beneficial effect in reducing pain and facilitating mobilization after open abdominal or hernia surgery (35)(36)(37). For laparoscopic procedures, the data shows conflicting results (38,39). Dietz et al (40) recommended a review on incisional hernia techniques postoperative reduced activity or weight-lifting restrictions for 3-6 weeks, though they also stated there is not enough evidence to substantiate any binding recommendation.…”

Section: Implications For the Clinical Routinementioning

confidence: 99%

Recommendations on Postoperative Activities After Abdominal Operations and Incisional Hernia Repair—A National and International Survey

et al. 2021

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Background: There is no conclusive data on postoperative recommendations after abdominal and hernia surgery, and there is significant variation in the literature on that question. Thus, this study evaluates the status quo of recommendations of postoperative activity restriction after abdominal surgery.Materials and Methods: A national (German) and international survey of general surgeons on postoperative recommendations after abdominal and hernia surgery was pooled and analyzed.Results: A total of 74.6% recommended postoperative reduced activity for 2 weeks or less after laparoscopy. For midline laparotomy, 48.8% considered a reduced activity of 4 weeks or less to be sufficient. A majority from the national survey recommended more than 4 weeks instead (60.2%), whereas only 31.5% from the international survey did so (p = 0.000). In the pooled analysis, 258 of 450 (57.3%) rated 4 weeks or less suitable. However, the recommendations differed significantly between the surveys (4 weeks or less: a national survey, 47.1% vs. international survey, 64.6%; p = 0.000).Conclusion: There was substantial variation in the given recommendations. However, we found no evidence against immediate mobilization, reduced physical activity, and lifting for up to 2 weeks after laparoscopic surgery and for up to 4 weeks after open abdominal surgery and open incisional/ventral hernia repair in uncomplicated and standard cases. There might be individual and socioeconomic benefits to allow patients to return to their whole personal level of activity and work without putting them at risk of complications. Due to lack of evidence, both retrospective and prospective, controlled studies are in need to develop reliable recommendations.

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“…We have interestingly read the research by Jiang et al 1 on the clinical effect of wearing an abdominal binder (AB) after surgery. This study involved 10 RCTs on 968 patients: 562 (58.1%) underwent caesarean sections, 66 (6.8%) gynaecological laparoscopic procedures, 2 56 (5.8%) laparoscopic hernia repair. 3…”

Section: To the Editormentioning

confidence: 99%

Abdominal Binder After Surgery: A Letter to Editor

2023

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Effect of Abdominal Binder after Laparoscopic Treatment on Postoperative Recovery (BELT): A Randomized Controlled Trial

Cited by 6 publications

References 9 publications

Effect of abdominal binder on shoulder pain after laparoscopic gynecologic surgery: A randomized, controlled trial

Effect of abdominal binder on shoulder pain after laparoscopic gynecologic surgery: A randomized, controlled trial

Recommendations on Postoperative Activities After Abdominal Operations and Incisional Hernia Repair—A National and International Survey

Abdominal Binder After Surgery: A Letter to Editor

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