کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4281237 | 1611583 | 2008 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Are postoperative activity restrictions evidence-based? Are postoperative activity restrictions evidence-based?](/preview/png/4281237.png)
BackgroundMany surgeons restrict activities postoperatively. Intra-abdominal pressure during some activities is known; however, many everyday activities have not been studied. Our aim was to compare the intra-abdominal pressures created during unavoidable physical activities with activities that commonly are restricted after surgery.MethodsNine healthy subjects (2 men, 7 women; age, 28 ± 7 y) performed 5 repetitions of various activities while their intravesicular pressures was measured.ResultsThe resting intravesicular pressure was 17 ± 5 mm Hg, increasing to a maximum of 112 ± 35 mm Hg during forceful coughing. The intravesicular pressure increase was greatest with forceful coughing, followed by the Valsalva maneuver.ConclusionsThe results suggest that the greatest increase in intra-abdominal pressure occurs during some unavoidable activities. Based on this study, postoperative restrictions may be unnecessary. Further experience based on a larger study is needed to answer this important clinical question.
Journal: The American Journal of Surgery - Volume 195, Issue 3, March 2008, Pages 401–404