Rosenberg Jacob, Christoffersen M W, Krogsgaard M, Henriksen N A, Andresen K, Christensen M K, Dorfelt A, Pejtersen L, Sommer T, Wensel N, Zinther N B, Helgstrand F
Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev, Denmark.
Department of Surgery, Zealand University Hospital, University of Copenhagen, Koege, Denmark.
Hernia. 2025 May 26;29(1):186. doi: 10.1007/s10029-025-03377-w.
While operative technique is central to hernia repair, non-operative factors such as postoperative activity guidance and the use of abdominal binders significantly influence recovery, quality of life, and long-term outcomes. These considerations are variably addressed in clinical practice and are underrepresented in the literature.
This narrative review examines key non-operative aspects of hernia surgery, focusing on groin and ventral hernias. For each type, we discuss postoperative physical activity recommendations, the use and effectiveness of abdominal binders or support binders, and other relevant factors that typically concern the patient during the preoperative visit. As this is a non-systematic review, the recommendations are based on the available literature and consensus discussions within the steering committee of the Danish Hernia Database.
Groin hernia repair typically allows for early mobilization and rarely warrants binder use, although anecdotal evidence supports the use of inguinal binders to prevent seromas in large inguinoscrotal hernias. Some patients may feel subjective comfort wearing such binders for a few weeks after surgery. In ventral hernia repair, individualized guidance and use of support binders may be more effective than in groin hernia repair; decreasing postoperative pain and possibly seroma formation. Despite widespread clinical practices, evidence supporting specific activity restriction recommendations remains limited, and considerable variation exists between surgeons and institutions. After consensus discussions, we recommend the immediate resumption of normal daily activities, whereas sports and heavy lifting should wait 2-4 weeks after the operation.
Non-operative considerations are important for the patient and often serve as central discussion points during the preoperative visit. A stronger evidence base, improved standardization, and broader implementation of patient-centered tools could enhance recovery, reduce complications, and better align surgical success with patient well-being and satisfaction.
虽然手术技术是疝气修补术的核心，但术后活动指导和使用腹带等非手术因素对恢复、生活质量和长期预后有显著影响。这些因素在临床实践中的处理方式各不相同，且在文献中提及较少。
本叙述性综述探讨疝气手术的关键非手术方面，重点关注腹股沟疝和腹疝。对于每种类型，我们讨论术后体育活动建议、腹带或支撑带的使用及效果，以及术前访视期间患者通常关心的其他相关因素。由于这是一项非系统性综述，这些建议基于现有文献以及丹麦疝气数据库指导委员会的共识讨论。
腹股沟疝修补术通常允许早期活动，很少需要使用腹带，尽管有轶事证据支持使用腹股沟腹带预防大型腹股沟阴囊疝中的血清肿。一些患者术后几周佩戴此类腹带可能会感觉主观上更舒适。在腹疝修补术中，个性化指导和使用支撑带可能比腹股沟疝修补术更有效；可减轻术后疼痛并可能减少血清肿形成。尽管临床实践普遍存在，但支持特定活动限制建议的证据仍然有限，外科医生和机构之间存在很大差异。经过共识讨论，我们建议术后立即恢复正常日常活动，而运动和重物搬运应在术后等待2至4周。
非手术因素对患者很重要，通常是术前访视期间的核心讨论点。更有力的证据基础、改进的标准化以及更广泛地实施以患者为中心的工具可以促进恢复、减少并发症，并使手术成功与患者的健康和满意度更好地契合。
