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. 2020 Oct 30;117(44):737–744. doi: 10.3238/arztebl.2020.0737

Table 3. Recommendations on the duration of postoperative exertion avoidance to protect the abdominal wall*.

Recommendation Laparoscopy Combined procedures Laparotomy
Bed rest None None None
Level of exertion
Physical activites of daily life Immediately Immediately Immediately
Rehabilitative exercises and other rehabilitation measures As soon as the wound is healed As soon as the wound is healed As soon as the woundis healed
Sports
– Endurance sports
– Ball sports, weight training, athletics


1 week
2 weeks


3 weeks
4 weeks


4 weeks
4 weeks
Resumption of work
Sitting/standing 1–2 weeks 2–3 weeks 4 weeks
Hard physical labor 2–3 weeks 3–4 weeks 4 weeks

*These recommendations apply in the setting of normal primary wound healing and should be adapted to the pain experienced by the patient.