Laparoscopy Clinical Trial
Official title:
Effect of Abdominal Binder aftEr Laparoscopic Treatment on Postoperative Recovery (BELT): a Randomized Controlled Trial
There have been no studies exploring the efficacy of incision support using an elastic abdominal binder after laparoscopy to date. The investigators performed therefore a randomized controlled trial to determine the effect of post-laparoscopic abdominal binder use on enhanced recovery after surgery (ERAS) in patients with gynecologic disease.
An abdominal elastic binder (girdles, trusses, abdominal belts, longuette, etc.) is a wide
belt that surrounds the abdomen and supports the incision . Abdominal binder is routinely
used after open surgery and Cesarean section, because it has been reported, according to a
recent systematic review, to facilitate enhanced recovery after surgery (ERAS) such as pain
relief, reduced risk of seroma formation, improved respiratory function, and assisted
physical function using additional support to the lower abdominal musculature.
However, the routine use of abdominal binder after laparoscopy has been challenged due to a
potential risk of postoperative pulmonary complications and deep venous thrombosis due to
increased intra-abdominal pressure. Also, abdominal binders after laparoscopy have been
criticized for being uncomfortable and hot to wear and for impinging the breast line in
females. Therefore, some laparoscopists prefer the use of abdominal binder in patients
undergoing laparoscopy, while other laparoscopists did not. However, there have been no
studies exploring the efficacy of incision support using an elastic abdominal binder after
laparoscopy to date. The investigators performed therefore a randomized controlled trial to
determine the effect of post-laparoscopic abdominal binder use on ERAS in patients with
gynecologic disease.
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