Effect of elastic abdominal binder on pain and functional recovery after caesarean delivery: a randomised controlled trial

Chankhunaphas, Wisit; Charoenkwan, Kittipat

doi:10.1080/01443615.2019.1631768

Cited by 11 publications

(4 citation statements)

References 15 publications

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“…[5,6] While studies have shown the effectiveness of abdominal binders in providing effective pain control, on closer look, it is hard to ignore the fact that this better pain control is not demonstrated by studies in which patients underwent epidural anaesthesia. [7,8] Clay et al reported a significant difference in pain between the binder and nonbinder group only at post-operative day 5, by which time epidural analgesia is usually stopped. [8] These observations question the utility of prescribing abdominal binders in centres with the widespread use of epidural analgesia for pain control.…”

Section: Discussionmentioning

confidence: 99%

Postoperative use of abdominal binders: Bound to tradition?

Khalid

Babar

Ahmed

2022

J Cancer Allied Spec

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Introduction: An abdominal binder is an elastic or non-elastic belt applied to the abdomen in postoperative patients with abdominal surgery. These provide support and splintage to the operative wound, reducing incision site pain. The present work aims to investigate the institutional practices regarding the use of abdominal binders, gain insight into the expected benefits that these practices are targeted to achieve, and determine if current practices are in accordance with the available evidence. Materials and Methods: It is a survey-based questionnaire study conducted at the Department of Surgical Oncology at Shaukat Khanum Memorial Cancer Hospital & Research Center. Respondents were inquired about: designation, frequency of binder usage, reasons for prescribing/ not prescribing binders, duration of the prescription, clinical factors that influence the decision to use binders, and the estimated cost of the device. Results: The questionnaire was emailed to 85 surgeons working in the department of surgical oncology. Out of these, 34 responded, resulting in an overall response rate of 40%. 22 (64.7%) of the respondents used abdominal binders regularly in postoperative patients. 8 (22.5%) reported using it occasionally, while 4 (11.7%) did not use abdominal binders in their clinical practice. 67.8% and 50% of the respondents believed that it helped early mobilization and better pain control, respectively. About 60.7% of the respondents believed that binders prevent incisional hernia formation, while 46.4% were of the view that these prevented wound dehiscence. Up to 60% of the respondents reported using an abdominal binder for 1 week to 1 month after discharge, whereas 23.3% preferred using it only till discharge. Conclusion: This survey demonstrates a gap between the evidence and actual practice. These gaps are often overlooked because of busy clinical practice. Equally important is the issue of surgical conservatism and the intrinsic desire to resist change by continuing old practices.

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Section: Discussionmentioning

confidence: 99%

Postoperative use of abdominal binders: Bound to tradition?

Khalid

Babar

Ahmed

2022

J Cancer Allied Spec

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“…This could explain the inconsistency in the effect of the binder on pain among previous studies. ( Table S1 ) For younger and healthier women who had less complex procedure such as cesarean section, the benefit of the binder use on pain was less noticeable and conflicting [ 9 , 10 , 11 , 12 ]. However, with more extensive and complicated procedures performed for gastrointestinal malignancies, the more consistent pain-relieving effect of the binder was observed [ 5 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, none of these advantages were demonstrated in a similar study by Olsen et al [ 8 ]. Likewise, data from randomized controlled trials on benefits of the binder use following cesarean delivery were conflicting [ 9 , 10 , 11 , 12 ]. In the only study that assessed the role of abdominal binder use after gynecologic surgery [ 13 ], the authors observed increased number of ambulatory events in the first 24 h associated with the binder use but only in those who had vertical incision and age ≥ 50.…”

Section: Introductionmentioning

confidence: 99%

Effect of Elastic Abdominal Binder on Pain and Functional Recovery Following Gynecologic Cancer Surgery: A Randomized Controlled Trial

Chantawong

Charoenkwan

2021

Medicina

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Background and Objectives: Clinicians have been using elastic abdominal binder for stabilizing incision site after major abdominal surgery. However, the benefits of that practice have never been formally assessed. The aim of this study was to examine the effects of the use of elastic abdominal binder on postoperative pain and recovery of gynecologic cancer patients. Materials and Methods: One-hundred and nine women diagnosed with cervical, endometrial, or ovarian cancer, who underwent open abdominal surgery were assigned randomly into two groups: intervention (56 patients) and control (53 patients). The women in the intervention group applied abdominal binder from postoperative day 1. For the control group, the women did not wear the binder or similar devices. The primary outcomes were pain and functional recovery. Subgroup analysis on participants age ≥ 50 was also performed. Results: For the entire study cohort, the baseline, postoperative day 1, and postoperative day 2 pain scores in the intervention group were significantly lower than the control group. However, there was no significant difference between the groups for postoperative day 3 pain score and for the change in pain scores from the baseline value. Of note, the age ≥ 50 subgroup represented a more balanced cohort with comparable baseline pain scores between the study groups. For this population, the pain scores for postoperative day 1–3 were significantly lower in the intervention group. The intervention group had a longer six-minute walking distance on postoperative day 3 with a trend toward a smaller difference in the day 3 distance from the baseline. Conclusions: The potential benefits of abdominal binder use in reducing postoperative pain and improving functional recovery after open gynecologic cancer surgery could be demonstrated only in those age ≥ 50.

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“… 2 There are many factors which cause wound dehiscence like rupture of suture, knot failure, slack suture and suture cutting through the fascia but the most common cause of burst abdomen is the poor surgical technique of the surgeon closing the abdomen. 3 Midline wound dehiscence may be partial or complete. Partial wound dehiscence may be easily overlooked and it is small separation of fascia detected only by radiological intervention.…”

Section: Introductionmentioning

confidence: 99%

Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure

Ammar¹,

Naqi²,

Khattak

et al. 2021

Pak J Med Sci

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Objective: To assess the role of abdominal binder in patients with midline wound dehiscence after elective or emergency laparotomy in terms of pain, psychological satisfaction and need for reclosure. Methods: It was a comparative study done at EAST Surgical Ward of Mayo Hospital, Lahore from 1st January 2018 to 31st December 2019. One hundred and sixty-two (162) patients were included in this study with post-operative midline abdominal wound dehiscence and after informed consent by consecutive non probability sampling technique. Patients were divided into two groups by lottery method into eighty-one patients each. Group-A included patients where abdominal binder was applied and Group-B included patients without abdominal binder. In both groups pain score, psychological satisfaction and need for reclosure was assessed and compared. Results: Patients with abdominal binder shows significantly less pain (P value =0.000) and more psychological satisfaction (P value = 0.000) as compared to the patients where abdominal binder was not used. However, there was no difference in reducing the need for reclosure in patients who use abdominal binder (P value = 0.063). Conclusion: Although abdominal binder helps in reducing the pain and improving the psychological satisfaction in patients with midline abdominal wound dehiscence yet it doesn’t help in healing of wound and reclosure of the dehisced abdominal wound is needed. doi: https://doi.org/10.12669/pjms.37.4.3671 How to cite this:Ammar AS, Naqi SA, Khattak S, Noumani AR. Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure. Pak J Med Sci. 2021;37(4):1118-1121. doi: https://doi.org/10.12669/pjms.37.4.3671 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Effect of elastic abdominal binder on pain and functional recovery after caesarean delivery: a randomised controlled trial

Cited by 11 publications

References 15 publications

Postoperative use of abdominal binders: Bound to tradition?

Postoperative use of abdominal binders: Bound to tradition?

Effect of Elastic Abdominal Binder on Pain and Functional Recovery Following Gynecologic Cancer Surgery: A Randomized Controlled Trial

Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure

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