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Recommendations on Postoperative Activities After Abdominal Operations and Incisional Hernia Repair—A National and International Survey
- Source :
- Frontiers in Surgery, Frontiers in Surgery, Vol 8 (2021)
- Publication Year :
- 2021
- Publisher :
- Frontiers Media S.A., 2021.
-
Abstract
- 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.
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
incisional hernia
RD1-811
medicine.diagnostic_test
business.industry
Incisional hernia
General surgery
medicine.medical_treatment
Incisional hernia repair
International survey
postoperative activity
medicine.disease
abdominal surgery
Hernia surgery
enhanced recovery (ER)
hernia surgery
physical strain
Medicine
Surgery
Abdominal operations
business
Laparoscopy
Abdominal surgery
Original Research
Subjects
Details
- Language :
- English
- ISSN :
- 2296875X
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Frontiers in Surgery
- Accession number :
- edsair.doi.dedup.....f36c638944a25c5a4774d32f3b2555fa