Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Hernia. 2022 Aug;26(4):1009-1021. doi: 10.1007/s10029-022-02629-3. Epub 2022 Jun 29.
The most recent international guideline on inguinal hernia management recommends a short convalescence after repair. However, surgeons' recommendations may vary. The objective of this study was to give an overview of the current convalescence recommendations in the literature subdivided on the Lichtenstein and laparoscopic inguinal hernia repairs.
In this systematic review, three databases were searched in August 2021 to identify studies on inguinal hernia repairs with a statement about postoperative convalescence recommendations. The outcome was convalescence recommendations subdivided on daily activities, light work, heavy lifting, and sport.
In total, 91 studies fulfilled the eligibility criteria, and 50 and 58 studies reported about convalescence recommendations after Lichtenstein and laparoscopic repairs, respectively. Patients were instructed with a wide range of convalescence recommendations. A total of 34 Lichtenstein studies and 35 laparoscopic studies recommended resumption of daily activities as soon as possible. Following Lichtenstein repairs, the patients were instructed to resume light work after median 0 days (interquartile range (IQR) 0-0), heavy lifting after 42 days (IQR 14-42), and sport after 7 days (IQR 0-29). Following laparoscopic procedures, the patients were instructed to resume light work after median 0 days (IQR 0-0), heavy lifting after 14 days (IQR 10-28), and sport after 12 days (IQR 7-23).
This study revealed a broad spectrum of convalescence recommendations depending on activity level following inguinal hernia repair, which likely reflects a lack of high-quality evidence within this field.
最近的国际腹股沟疝管理指南建议在修复后进行短暂的恢复期。然而，外科医生的建议可能会有所不同。本研究的目的是综述文献中关于腹股沟疝修复术后恢复期建议的概述，分为 Lichtenstein 和腹腔镜腹股沟疝修复术。
在这项系统评价中，于 2021 年 8 月在三个数据库中搜索了关于腹股沟疝修复术并陈述术后恢复期建议的研究。结果是根据日常活动、轻工作、重体力劳动和运动对恢复期建议进行细分。
共有 91 项研究符合入选标准，其中 50 项和 58 项研究分别报告了 Lichtenstein 和腹腔镜修复术后的恢复期建议。患者接受了各种恢复期建议。共有 34 项 Lichtenstein 研究和 35 项腹腔镜研究建议尽快恢复日常活动。行 Lichtenstein 修复术后，患者被指示在中位数 0 天（四分位距（IQR）0-0）后恢复轻工作，在中位数 42 天（IQR 14-42）后恢复重体力劳动，在中位数 7 天（IQR 0-29）后恢复运动。行腹腔镜手术后，患者被指示在中位数 0 天（IQR 0-0）后恢复轻工作，在中位数 14 天（IQR 10-28）后恢复重体力劳动，在中位数 12 天（IQR 7-23）后恢复运动。
本研究揭示了腹股沟疝修复术后根据活动水平的恢复期建议范围广泛，这可能反映了该领域缺乏高质量证据。
