It is unclear whether IS offers any benefit compared with DBE for performing SMIM postoperatively. The physical presence of the IS has been suggested as a stimulus to foster compliance with SMIM since hospital staff are generally not available to remind Pts to perform SMIM on an hourly basis. We evaluated compliance with IS vs DBE in Pts undergoing LAS for non-malignant gynecologic disorders (N-MGD).
Pts ≥18 yrs were randomized to IS (Coach 2, DHD Healthcare, Wampsville, NY) or DBE and taught the maneuvers in the preop holding area. Postoperatively, Pts were asked to perform IS or DBE 10 times hourly while awake. They received logs to record the numbers of repetitions performed on an hourly basis. The exercise index (EI) was defined as the actual number of SMIM performed divided by the maximal number possible during the postop hospitalization.
There were no differences in baseline characteristics (age, race, BMI, comorbidities, smoking history) in the 61 Pts in the IS group and the 56 Pts in the DBE group. EI was 18.7% in the IS group and 18.8% in the DBE group.CONCLUSIONS: Compliance with SMIM was similar in Pts performing IS and DBE postoperatively after LAS for N-MGD.
Given appropriate instruction, Pts will perform SMIM with the same compliance using IS or DBE.
V. Brito, None.