The effect of different types of abdominal binders on intra-abdominal pressure

Abstract

Objectives:To investigate the effect of non-elastic/elastic abdominal binders on intra-vesical pressure (IVP), physiological functions, and clinical outcomes in laparotomy patients at the perioperative stage.Methods:This prospective study was conducted from May to October 2014 at the Trauma Surgery Department, Daping Hospital, Chongqing, China. Laparotomy patients were randomly divided into non-elastic abdominal binder group (28 patients), and elastic abdominal binder group (29 patients). Binders were applied for 14 days following the operation, or until discharge. Demographic information, Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores (prior to the operation, on the first day after operation, the day IVP measurement was stopped, and one day before discharge), and outcomes were recorded. The IVP was measured before the operation to postoperative day 7.Results:There were no significant differences in the demographic information, outcomes, SOFA or APACHE-II scores between the 2 groups. Initial out-of-bed mobilization occurred earlier in the elastic binder group (3.2 ± 2.0 versus 5.0 ± 3.7 days, p=0.028). A greater increase in IVP was observed in the non-elastic binder group than in the elastic binder group (2.9 ± 1.1 versus 1.1 ± 0.7 mm Hg, p=0.000).Conclusion:Elastic binders have relatively little effect on IVP and are more helpful at promoting postoperative recovery than non-elastic binders. Therefore, elastic binders are more suitable for clinical use.

The Effects of Abdominal Binder on Wound Healing and Consumed Pain Medications After Cesarean Section: A Randomized Control Trial

“…A few studies have examined the effects of abdominal binders on CS complications (21,23,27). Some have addressed how abdominal binders impact wound healing (20,22,24) and pain medication consumption (21, 30) post-surgery.…”

“…No significant difference was observed between the 2 groups in terms of other REEDA scale components. Zhang et al (2016) demonstrated that elastic and non-elastic abdominal binders proved ineffective in preventing wound infection or dehiscence during the immediate postoperative period and up to 14 days post-abdominal surgery (24). Bouvier et al (2014), in their review study, showed that abdominal binders prevent wound dehiscence in 83% of patients post-laparotomy (20).…”

“…Abdominal binders are a complementary therapy for major abdominal surgery, such as laparotomy, CS, cardiac surgery, etc. (20)(21)(22)(23)(24). Abdominal binders reduce pain by compressing the abdomen post-CS.…”

The effect of different types of abdominal binders on intra-abdominal pressure

“…I have read with interest the article by Zhang et al 1 Scientifically, abdominal binders though frequently used following laparotomy by many surgeons all over the world, with French surgeons specifically being very fond of them in the false belief that they protect the laparotomy wound from wound dehiscence, incisional hernia formation, seromas, and hematomas; there in no past or current scientific evidence to support this belief. 2 Regarding the effect of abdominal binders following laparotomy on post-operative abdominal pain; the paper of rothman et al, 3 concluded that this is unclear and is still largely uninvestigated.…”

“…There are no data supporting the false belief that the use of abdominal binders following laparotomy prevent abdominal wall complications. 2 In addition to the lack of scientific evidence of any significant benefit of abdominal binders following laparotomy except for psychological support; they carry many significant adverse effects listed in the article of Zhang et al: 1 1) limitation of abdominal compliance, which may lead to increased intra-abdominal pressure (IAP), thus increasing the risk of intra-abdominal hypertension (IAH), and even abdominal compartment syndrome. 4 If this happens, the condition of the patient will deteriorate, and the prognosis will worsen.…”