Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Medicina (Kaunas). 2021 May 12;57(5):481. doi: 10.3390/medicina57050481.
: Clinicians have been using elastic abdominal binder for stabilizing incision site after major abdominal surgery. However, the benefits of that practice have never been formally assessed. The aim of this study was to examine the effects of the use of elastic abdominal binder on postoperative pain and recovery of gynecologic cancer patients. : One-hundred and nine women diagnosed with cervical, endometrial, or ovarian cancer, who underwent open abdominal surgery were assigned randomly into two groups: intervention (56 patients) and control (53 patients). The women in the intervention group applied abdominal binder from postoperative day 1. For the control group, the women did not wear the binder or similar devices. The primary outcomes were pain and functional recovery. Subgroup analysis on participants age ≥ 50 was also performed. : For the entire study cohort, the baseline, postoperative day 1, and postoperative day 2 pain scores in the intervention group were significantly lower than the control group. However, there was no significant difference between the groups for postoperative day 3 pain score and for the change in pain scores from the baseline value. Of note, the age ≥ 50 subgroup represented a more balanced cohort with comparable baseline pain scores between the study groups. For this population, the pain scores for postoperative day 1-3 were significantly lower in the intervention group. The intervention group had a longer six-minute walking distance on postoperative day 3 with a trend toward a smaller difference in the day 3 distance from the baseline. : The potential benefits of abdominal binder use in reducing postoperative pain and improving functional recovery after open gynecologic cancer surgery could be demonstrated only in those age ≥ 50.
: 临床医生一直在使用弹性腹部束带稳定腹部大手术后的切口部位。然而，这种做法的好处从未得到过正式评估。本研究旨在检查使用弹性腹部束带对妇科癌症患者术后疼痛和恢复的影响。: 109 名被诊断为宫颈癌、子宫内膜癌或卵巢癌并接受开腹手术的女性被随机分为两组：干预组（56 名患者）和对照组（53 名患者）。干预组的女性从术后第 1 天开始使用腹部束带。对于对照组，女性不穿束带或类似装置。主要结局是疼痛和功能恢复。还对年龄≥50 岁的参与者进行了亚组分析。: 对于整个研究队列，干预组的基线、术后第 1 天和第 2 天的疼痛评分明显低于对照组。然而，两组在术后第 3 天的疼痛评分和从基线值变化的疼痛评分方面没有显著差异。值得注意的是，年龄≥50 岁的亚组是一个更平衡的队列，研究组之间的基线疼痛评分相当。对于这一人群，术后第 1-3 天的疼痛评分在干预组明显较低。干预组在术后第 3 天的 6 分钟步行距离更长，并且第 3 天与基线的距离差异有缩小的趋势。: 腹部束带的使用在减少妇科癌症手术后的术后疼痛和改善功能恢复方面的潜在益处仅在年龄≥50 岁的患者中得到证实。
