Gynecologic Disease Clinical Trial
Official title:
Effect of Elastic Abdominal Binder on Pain and Functional Recovery After Open Abdominal Surgery for Benign Gynecologic Conditions: a Randomized Controlled Trial
Surgery remains the backbone of modern management of benign gynecologic conditions. Some
common surgical procedures include hysterectomy for uterine leiomyoma or adenomyosis,
adnexectomy for ovarian and tubal pathology, and other conservative surgeries. These
procedures can be accomplished by different surgical approaches comprising abdominal,
vaginal, and laparoscopic routes. Although the use of vaginal and laparoscopic approach has
increased in recent years, the open abdominal route is still the most commonly employed
approach. This is especially the case in developing countries where resources to support the
more expensive approach such as laparoscopy are quite limited. However, the procedure can be
associated with significant morbidity. Delayed functional recovery influenced by pain and
immobilization are important contributing factors for increased morbidity. Elastic abdominal
binder, a wide elastic belt that is wore around the patient's abdomen to support surgical
incision after surgery, has been employed by clinicians for pain relief, wound complications
prevention, improved pulmonary function, and stabilization. Benefits of the abdominal binder
use in this patient population have not been properly examined.
The aim of this study is to examine the effect of postoperative elastic abdominal binder use
on recovery by comparing pain scores and mobility function (through the 6-minute walk test
[6MWT]) in postoperative gynecologic patients who use versus do not use the elastic abdominal
binder to support incisional site.
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