Effect of an elastic girdle on lung function, intra-abdominal pressure, and pain after midline laparotomy: a randomized controlled trial

Clay, Leonard; Gunnarsson, Ulf; Franklin, Karl A.; Strigård, Karin

doi:10.1007/s00384-014-1834-x

Cited by 27 publications

(26 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No negative side effects on pulmonary function have been observed when using a girdle following laparotomy . Significant pain relief was seen in a recent randomized trial.…”

Section: Resultsmentioning

confidence: 97%

“…Reasons for using a post‐operative girdle are pain relief, prevention of seroma formation and improved in‐growth of the synthetic mesh . The hypothesis that abdominal binders increase the risk for pulmonary insufficiency has been disproved, forced vital capacity and expiratory volume being independent of whether patients use a post‐operative girdle or not.…”

Section: Introductionmentioning

confidence: 99%

“…A randomized controlled trial revealed that post‐operative pain was significantly reduced when a girdle was used . No impact of girdle use on pulmonary function or intra‐abdominal pressure could be demonstrated after midline laparotomy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ventral hernia and patient experience of an elastic girdle

Strigård

Stark

Bogren

et al. 2014

ANZ Journal of Surgery

View full text Add to dashboard Cite

In this first study on patient experience, nearly all patients used it as prescribed and subjective benefit was achieved even though side effects were present in most cases. Individual fitting and improved information about when and how to use the girdle is important for patient comfort and optimal function. This study attended patient experience of negative side effects from wearing a girdle. Improvement may be reached concerning comfort from the patients' perspective. The importance of both written and oral information has been revealed.

show abstract

“…No negative side effects on pulmonary function have been observed when using a girdle following laparotomy . Significant pain relief was seen in a recent randomized trial.…”

Section: Resultsmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ventral hernia and patient experience of an elastic girdle

Strigård

Stark

Bogren

et al. 2014

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…The review included four RCT's [99][100][101][102] and a national survey by questionnaire on the use of abdominal binders in French surgical practice [87]. One additional recent RCT was identified [103]. The French survey reported that postoperative support of the wound with an abdominal binder is common practice after major laparotomies in many surgical departments (94 % use them in some patients).…”

Section: Subcutaneous Drains In Laparotomy Incisionsmentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

510

406

View full text Add to dashboard Cite

show abstract

“…Despite this, the VHPQ has been used as a preoperative questionnaire, 18 and the results indicate that it is proper to use it even in this situation. To be able to evaluate postoperative pain, the degree of preoperative pain must be known.…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors in the Outcome of Surgical Repair of Abdominal Rectus Diastasis

Strigård

Clay

Stark

et al. 2016

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background:The aim of this study was to define the indicators predicting improved abdominal wall function after surgical repair of abdominal rectus diastasis (ARD). Preoperative subjective assessment quantified by the validated Ventral Hernia Pain Questionnaire (VHPQ) was related to relative postoperative functional improvement in abdominal muscle strength.Methods:Fifty-seven patients undergoing surgery for ARD completed the VHPQ before surgery. Preoperative pain assessment results were compared with the relative improvement in muscle strength measured with the BioDex system 4.Results:There was a correlation between the relative improvement in muscle strength measured by the BioDex System 4 for flexion at 30 degrees (P = 0.046) and 60 degrees per second (P = 0.004) and the preoperative question, “Do you find it painful to sit for more than 30 minutes?” There was also a correlation between BioDex improvement for flexion at 30 degrees (P = 0.022) and for isometric work load (P = 0.038) and the preoperative question, “Has abdominal pain limited your ability to perform sports activities?” The VHPQ responses also formed a pattern with a fairly good correlation between other BioDex modalities (with the exception of extension at 60 degrees per second) and the response to the question regarding complaints when performing sports. Postoperative visual analog scale ratings of abdominal wall stability correlated to the questions regarding complaints when sitting (P = 0.040) and standing (P = 0.047). No other correlation was seen.Conclusion:VHPQ ratings concerning pain while being seated for more than 30 minutes and pain limiting the ability to perform sports are promising indicators in the identification of patients likely to benefit from surgical correction of their ARD.

show abstract

Effect of an elastic girdle on lung function, intra-abdominal pressure, and pain after midline laparotomy: a randomized controlled trial

Cited by 27 publications

References 55 publications

Ventral hernia and patient experience of an elastic girdle

Ventral hernia and patient experience of an elastic girdle

European Hernia Society guidelines on the closure of abdominal wall incisions

Predictive Factors in the Outcome of Surgical Repair of Abdominal Rectus Diastasis

Contact Info

Product

Resources

About