scholarly journals Incisional hernia after upper abdominal surgery: a randomised controlled trial of midline versus transverse incision

Hernia ◽  
2009 ◽  
Vol 13 (3) ◽  
pp. 275-280 ◽  
Author(s):  
J. A. Halm ◽  
H. Lip ◽  
P. I. Schmitz ◽  
J. Jeekel
Keyword(s):  
Randomised Controlled Trial ◽  
Abdominal Surgery ◽  
Incisional Hernia ◽  
Controlled Trial ◽  
Transverse Incision ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal ◽  
Randomised Controlled

Eine einmalige Atemphysiotherapie vor geplanten Oberbauchoperationen vermindert postoperative respiratorische Komplikationen

2018 ◽  
Vol 28 (02) ◽  
pp. 71-71
Keyword(s):  
Randomised Controlled Trial ◽  
Abdominal Surgery ◽  
Controlled Trial ◽  
Respiratory Complications ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal ◽  
Randomised Controlled ◽  
Double Blinded

Referat zur Arbeit von Boden I, Skinner EH, Browning L, Reeve J, Anderson L, Hill C, Robertson IK, Story D, Denehy L. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial. BMJ 2018; 360: j5916In einer multizentrischen randomisierten, Placebo-kontrollierten Studie an 441 Patienten wurde nachgewiesen, dass eine einmalige Atemphysiotherapie vor geplanten Oberbauchoperationen die Zahl von postoperativen respiratorischen Komplikationen drastisch verringern kann. Die Untersuchung wurde an Universitätskrankenhäusern in Australien und Neuseeland im Doppelblind-Design durchgeführt.

scholarly journals Correction for vol. 365, p.

BMJ ◽  
2019 ◽  
pp. l1862
Keyword(s):  
Randomised Controlled Trial ◽  
Abdominal Surgery ◽  
Controlled Trial ◽  
Respiratory Complications ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal ◽  
Randomised Controlled ◽  
Double Blinded

Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial

scholarly journals Findings of a feasibility study of pre-operative pulmonary rehabilitation to reduce post-operative pulmonary complications in people with chronic obstructive pulmonary disease scheduled for major abdominal surgery

2019 ◽  
Author(s):  
Lucy L Marlow ◽  
Angeline HY Lee ◽  
Emma Hedley ◽  
Michael P Grocott ◽  
Michael C Steiner ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Randomised Controlled Trial ◽  
Abdominal Surgery ◽  
Pulmonary Rehabilitation ◽  
Controlled Trial ◽  
Pulmonary Complications ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Randomised Controlled ◽  
Surgical Pathway

AbstractBackgroundPatients with chronic obstructive pulmonary disease (COPD) are at increased risk of complications and death following surgery. Pulmonary complications are particularly prominent. Pulmonary rehabilitation is a course of physical exercise and education that helps people with COPD manage their condition. Although proven to improve health outcomes in patients with stable COPD, it has never been formally tested as a pre-surgical intervention in patients scheduled for non-cardiothoracic surgery. If a beneficial effect were to be demonstrated, pulmonary rehabilitation for pre-surgical patients with COPD might be rapidly implemented across the National Health Service, as pulmonary rehabilitation courses are already well established across much of the United Kingdom (UK).MethodsWe performed a feasibility study to test study procedures and barriers to identification and recruitment to a randomised controlled trial testing whether pulmonary rehabilitation, delivered before major abdominal surgery in a population of people with COPD, would reduce the incidence of post-operative pulmonary complications. This study was run in two UK centres (Oxford and Newcastle upon Tyne).ResultsWe determined that a full randomised controlled trial would not be feasible, due to failure to identify and recruit participants. We identified an unmet need to identify more effectively patients with COPD earlier in the surgical pathway. Service evaluations suggested that barriers to identification and recruitment would likely be the same across other UK hospitals.ConclusionsAlthough pulmonary rehabilitation is a potentially beneficial intervention to prevent post-operative pulmonary complications, a randomised controlled trial is unlikely to recruit sufficient participants to answer our study question conclusively at the present time, when spirometry is not automatically conducted in all patients planned for surgery. As pulmonary rehabilitation is a recommended treatment for all people with COPD, alternative study methods combined with earlier identification of candidate patients in the surgical pathway should be considered.Trial registrationISRCTN 29696295, http://www.isrctn.com/ISRCTN29696295, registered 31st August 2017

Sign in / Sign up

Export Citation Format

Share Document