A Randomized Controlled Trial for Abdominal Binder Use after Laparoendoscopic Single-Site Surgery

摘要

Study ObjectiveTo compare postoperative pain in patients using an abdominal binder with a control group after laparoendoscopic single-site (LESS) surgery. DesignA randomized controlled trial (Canadian Task Force classification level 1). SettingAn academic gynecologic surgeon's practice. PatientsPrivate patients undergoing surgery performed by a fellowship-trained minimally invasive gynecologic surgeon between April 2016 and April 2017. InterventionsNinety total patients were selected for this study, with 60 randomized to receive an abdominal binder after surgery and 30 patients randomized to the control group without a binder. Measurements and Main ResultsUsing a 10-point verbal analog scale, patients recorded pain levels for 3 weeks postoperatively on a variety of measures, including overall and incisional pain. They recorded results on postoperative days 0, 1, 2, 3, 4, 7, 14, and 21. On average, the association between time and the overall pain score did not differ with binder use (p?=?.37). The overall pain decreases significantly over time (p?