Evidence on postoperative abdominal binding: A systematic review with meta-analysis of randomized controlled trials

Abstract

Background: Midline laparotomy is an unavoidable approach to many surgical procedures.Many surgeons prescript the use of postoperative abdominal binder during the first mobilization after surgery. The use and the cost effective of this device is still debated by many surgeons.Methods: PubMed, EMBASE and the CENTRAL were systematically searched for randomized controlled trials (RCT) comparing patients who wore abdominal binder ("binder") and patient who did not wear any abdominal binder ("non-binder") up to March 2020. The primary outcomes measured in the comparison were postoperative pain, pulmonary functions, the entity of physical activity, the comfort. A meta-analysis of relevant studies was performed using RevMan 5.3.Results: wearing an abdominal binder after midline laparotomy seems to reduce postoperative pain on first and third postoperative day, to improve the physical activity on third postoperative day, and not affect pulmonary functions. Generally, an elastic abdominal binder is well tolerated during postoperative.Conclusions: the use of elastic abdominal binder permits a comfortable early postoperative mobilization reducing pain, increases physical activity and seems to not affect pulmonary functions.

Abdominal Binder After Surgery: A Letter to Editor

“…Despite the heterogeneity of the studies considered (the analysis, in fact, combined open, laparoscopic, abdominal and gynaecological surgery) in the Jiang et al 1 paper, the findings are similar to our previous metanalysis 4 based specifically on the use of AB after open abdominal surgery, performed in elective settings, with no gynaecological/obstetrics indications. In this sense, a possible bias of the Jiang et al 1 study could be due to the different elastic forces distribution along the abdominal wall when are performed median incision for abdominal surgery or transverse one during gynaecological or obstetrics procedures.…”

Einsatz einer stützenden Herrenunterhose bei elektiven skrotalen Eingriffen

“…Komprimierende Maßnahmen haben sich v. a. nach Brusteingriffen, abdominellen Operationen und Varizenoperationen bewährt. Obwohl sich die Studienlage heterogen zeigt, wird von einer Schmerzreduktion, verbesserter Mobilität, erhöhter Patientenzufriedenheit und reduzierter psychologischer Belastung in Verbindung mit dem postoperativen Einsatz von Bandagen oder Binden ausgegangen [ 17 ]. Paasch et al.…”

Postoperative use of abdominal binders: Bound to tradition?

“…It also significantly improved physical activity on the 3 rd post-operative day. [4] What is noteworthy is that the intended benefits of using abdominal binders differ significantly from the proven benefits. About 83% of the French surgeons considered prevention of wound dehiscence and incisional hernias to be the main expected benefit of using abdominal binder.…”