Pietro Valdoni, Department of Surgery, Sapienza University of Rome, Rome, Italy.
Pietro Valdoni, Department of Surgery, Sapienza University of Rome, Rome, Italy.
Surgeon. 2021 Aug;19(4):244-251. doi: 10.1016/j.surge.2020.07.003. Epub 2020 Aug 6.
Midline laparotomy is an unavoidable approach to many surgical procedures. Many surgeons prescript the use of postoperative abdominal binder during the first mobilization after surgery. The use and the cost effective of this device is still debated by many surgeons.
PubMed, EMBASE and the CENTRAL were systematically searched for randomized controlled trials (RCT) comparing patients who wore abdominal binder ("binder") and patient who did not wear any abdominal binder ("non-binder") up to March 2020. The primary outcomes measured in the comparison were postoperative pain, pulmonary functions, the entity of physical activity, the comfort. A meta-analysis of relevant studies was performed using RevMan 5.3.
wearing an abdominal binder after midline laparotomy seems to reduce postoperative pain on first and third postoperative day, to improve the physical activity on third postoperative day, and not affect pulmonary functions. Generally, an elastic abdominal binder is well tolerated during postoperative.
the use of elastic abdominal binder permits a comfortable early postoperative mobilization reducing pain, increases physical activity and seems to not affect pulmonary functions.
中线切口是许多外科手术不可避免的入路。许多外科医生建议在手术后第一次活动时使用术后腹部束带。许多外科医生仍在争论这种设备的使用和成本效益。
我们系统地检索了 PubMed、EMBASE 和 CENTRAL 数据库，以寻找截至 2020 年 3 月比较使用腹部束带（“束带”）和未使用任何腹部束带（“无束带”）的患者的随机对照试验（RCT）。比较的主要结果测量为术后疼痛、肺功能、体力活动量和舒适度。使用 RevMan 5.3 对相关研究进行了荟萃分析。
中线剖腹术后使用腹部束带似乎可以减轻术后第 1 天和第 3 天的疼痛，增加术后第 3 天的体力活动，并且不影响肺功能。一般来说，弹性腹部束带在术后可以很好地耐受。
弹性腹部束带的使用可以促进舒适的术后早期活动，减轻疼痛，增加体力活动，并且似乎不影响肺功能。
