Supervised exercise therapy in patients treated with midline incision laparotomy: a clinical trial

The main purpose of our study was to evaluate the effect of postoperative exercise monitoring therapy in midline laparotomy patients and to evaluate the short-term complications of midline laparotomy.

Study on 40 patients, 20 of whom are in the control group. Randomization will be performed with a simple randomization method with parallel, double-blinded.

For patients in the exercise therapy intervention group, exercise will be taught twice daily for 15 minutes under supervision. Duration of hospitalization, the time of gas excretion by the patient during the hospitalization period will be recorded by informing the nursing staff. For this evaluation, the end time of surgery will be considered zero minutes. To evaluate patients' performance, patients will be instructed and measured in a 30-second stand-up test. All measurements will be taken the day after surgery as the pre-intervention point and the day of discharge. The patients will be discharged when the pain is controlled with oral medication, the patient is able to tolerate solid food, and the patient is no longer nauseous and had defecation.

Patients aged 20 to 70 years who are literate and have undergone elective or emergency surgery by midline laparotomy incision in the general surgery ward of Loghman Hakim Hospital.

For patients in the exercise therapy intervention group, stretching exercises, progressive strength, and functional exercises will be performed twice a day for 15 minutes under supervision. While patients are still in the hospital recovering from surgery.

The duration of hospitalization, the duration of gas excretion during hospitalization at the time of discharge, and to evaluate patients' performance, a 30-second post-surgery and 30-day post-surgery test will be measured.

Random allocation of patients will be based on simple randomization and with the help of accepted methods to generate a random sequence on the web. The site randomizer.org will be used by filling in the information of the number of patients, and two target groups, assigning an equal number in each group and selecting non-duplicate numbers in this plan. Based on the numbers with random sequences generated on the site, patients will be divided into two groups. The intervention group will be the exercise therapy intervention group and group B, which is the group of routine postoperative interventions will be the control group.

The allocation will be concealed by using opaque, sealed envelopes that were consecutively numbered. Apart from the project coordinator, the patients, attending physician of supervised exercise therapy will be blinded to the intervention allocation.

The study will continue in later phases and with follow-up in subsequent clinical trial studies with other exercise methods