Document Detail


Activity restrictions after gynecologic surgery: is there evidence?
MedLine Citation:
PMID:  23340879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Many surgeons recommend rest and restricting activities to their patients after surgery. The aim of this review is to summarize the literature regarding types of activities gynecologic surgeons restrict and intra-abdominal pressure during specific activities and to provide an overview of negative effects of sedentary behavior (rest). We searched PubMed and Scopus for years 1970 until present and excluded studies that described recovery of activities of daily living after surgery as well as those that assessed intra-abdominal pressure for other reasons such as abdominal compartment syndrome and hypertension. For our review of intra-abdominal pressure, we excluded studies that did not include a generally healthy population, or did not report maximal intra-abdominal pressures. We identified no randomized trial or prospective cohort study that studied the association between postoperative activity and surgical success after pelvic floor repair. The ranges of intra-abdominal pressures during specific activities are large and such pressures during activities commonly restricted and not restricted after surgery overlap considerably. There is little concordance in mean peak intra-abdominal pressures across studies. Intra-abdominal pressure depends on many factors, but not least the manner in which it is measured and reported. Given trends towards shorter hospital stays and off work intervals, which both predispose women to higher levels of physical activity, we urge research efforts towards understanding the role of physical activity on recurrence of pelvic organ prolapse and urinary incontinence after surgery.
Authors:
Ingrid E Nygaard; Nadia M Hamad; Janet M Shaw
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review     Date:  2013-01-23
Journal Detail:
Title:  International urogynecology journal     Volume:  24     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-05-07     Completed Date:  2014-02-10     Revised Date:  2014-05-07    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  719-24     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Cavity / physiology*
Evidence-Based Medicine
Exercise*
Female
Gynecologic Surgical Procedures / rehabilitation*
Humans
Pressure
Sedentary Lifestyle
Grant Support
ID/Acronym/Agency:
R01 HD057895/HD/NICHD NIH HHS; R01 HD061787/HD/NICHD NIH HHS; R01HD057895-01/HD/NICHD NIH HHS; R01HD061787-01/HD/NICHD NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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