Abdominal binder: Difference between revisions

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  <div class="editorbox"> '''Original Editor '''- [[User:Hayaa Yousri|Hayaa Yousri]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
  <div class="editorbox"> '''Original Editor '''- [[User:Hayaa Yousri|Hayaa Yousri]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>


=='''Introduction'''==
==Introduction==
[[File:Stock-vector-waist-training-belt-for-women-and-men-drawing-file-for-manufacturing-1805181526.jpg|thumb|abdominal binder]]
Abdominal binders (AB) are a noninvasive application in clinical practice to the reduction of postoperative pain and improve physical function.<ref name=":2">Xin Sun, MD, Qingchuan Wei, MD, Chenying Fu, PhD, Qing Zhang, MD, Zejun Liang, MD, Lihong Peng, MD, Li Chen, PhD, Chengqi He, PhD, Quan Wei, PhD, [https://pubmed.ncbi.nlm.nih.gov/33713136/ Effects of Abdominal Binders on Postoperative Pain and Functional Recovery: A Systematic Review and Meta-Analysis], Pain Medicine, Volume 22, Issue</ref>  
Abdominal binders (AB) are a noninvasive application in clinical practice to the reduction of postoperative pain and improve physical function.<ref>Xin Sun, MD, Qingchuan Wei, MD, Chenying Fu, PhD, Qing Zhang, MD, Zejun Liang, MD, Lihong Peng, MD, Li Chen, PhD, Chengqi He, PhD, Quan Wei, PhD, [https://pubmed.ncbi.nlm.nih.gov/33713136/ Effects of Abdominal Binders on Postoperative Pain and Functional Recovery: A Systematic Review and Meta-Analysis], Pain Medicine, Volume 22, Issue</ref>  


There are 2 types of abdominal binders, elastic abdominal binder and non-elastic abdominal binder. Elastic abdominal binders are more helpful and suitable than non-elastic binders after surgeries.<ref>Zhang, H. Y., Liu, D., Tang, H., Sun, S. J., Ai, S. M., Yang, W. Q., Jiang, D. P., & Zhang, L. Y. (2016). Th[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724682/ e effect of different types of abdominal binders on intra-abdominal pressure]. Saudi medical journal, 37(1), 66–72. </ref>  
There are 2 types of abdominal binders, elastic abdominal binder and non-elastic abdominal binder. Elastic abdominal binders are more helpful and suitable than non-elastic binders after surgeries.<ref>Zhang, H. Y., Liu, D., Tang, H., Sun, S. J., Ai, S. M., Yang, W. Q., Jiang, D. P., & Zhang, L. Y. (2016). Th[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724682/ e effect of different types of abdominal binders on intra-abdominal pressure]. Saudi medical journal, 37(1), 66–72. </ref>  
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*After incisional [[hernia]] repair.
*After incisional [[hernia]] repair.
*Postoperative colonoscopy. <ref>Yu, G. Q., Huang, X. M., Li, H. Y., Tang, W., Hu, D. M., Lü, M. H., & Fu, K. I. (2018).[https://pubmed.ncbi.nlm.nih.gov/29292858/ Use of an abdominal obstetric binder in colonoscopy: A randomized, prospective trial] . Journal of gastroenterology and hepatology, 33(7), 1365–1369. </ref>
*Postoperative colonoscopy. <ref>Yu, G. Q., Huang, X. M., Li, H. Y., Tang, W., Hu, D. M., Lü, M. H., & Fu, K. I. (2018).[https://pubmed.ncbi.nlm.nih.gov/29292858/ Use of an abdominal obstetric binder in colonoscopy: A randomized, prospective trial] . Journal of gastroenterology and hepatology, 33(7), 1365–1369. </ref>
*[[Spinal Cord Injury|Spinal cord injuries.]]<ref>Julia, P. E., Sa'ari, M. Y., & Hasnan, N. (2011). [https://www.researchgate.net/publication/51131538_Benefit_of_triple-strap_abdominal_binder_on_voluntary_cough_in_patients_with_spinal_cord_injury Benefit of triple-strap abdominal binder on voluntary cough in patients with spinal cord injury.] Spinal cord, 49(11), 1138–1142. </ref>
*[[Spinal Cord Injury|Spinal cord injuries.]]<ref>Groot MD, Swartz J, Hastings J. [https://www.nature.com/articles/s41394-019-0176-x Comparison of abdominal compression devices in persons with abdominal paralysis due to spinal cord injury. Spinal cord series and cases]. 2019 Apr 16;5(1):35.</ref>
*[[Orthostatic Hypotension|Orthostatic]] hypotension.<ref>Figueroa, J. J., Singer, W., Sandroni, P., Sletten, D. M., Gehrking, T. L., Gehrking, J. A., Low, P., & Basford, J. R. (2015). [https://pubmed.ncbi.nlm.nih.gov/25448247/ Effects of patient-controlled abdominal compression on standing systolic blood pressure in adults with orthostatic hypotension.] Archives of physical medicine and rehabilitation, 96(3), 505–510. </ref>
*[[Orthostatic Hypotension|Orthostatic]] hypotension.<ref>Wahba A, Shibao CA, Muldowney JA, Peltier A, Habermann R, Biaggioni I. [https://www.sciencedirect.com/science/article/pii/S0002934321005155 Management of orthostatic hypotension in the hospitalized patient: a narrative review.] The American journal of medicine. 2022 Jan 1;135(1):24-31.</ref>
*After bariatric surgeries.<ref>Strauch B, Herman C, Rohde C, Baum T. [https://journals.lww.com/plasreconsurg/Fulltext/2006/06000/A_Technique_of_Brachioplasty.00016.aspx Mid-body contouring in the post–bariatric surgery patient. Plastic and reconstructive surgery.] 2006 Jun 1;117(7):2200-11.</ref>
*After bariatric surgeries.<ref>Saeed S, Rage KA, Memon AS, Kazi S, Samo KA, Shahid S, Ali A. [https://www.cureus.com/articles/22849-use-of-abdominal-binders-after-a-major-abdominal-surgery-a-randomized-controlled-trial.pdf Use of abdominal binders after a major abdominal surgery: a randomized controlled trial.] Cureus. 2019 Oct 3;11(10).</ref>


==Therapeutic effect==
==Therapeutic Effect==


*Encourage early mobilization after surgery.<ref name=":1">Jiang N, Hao B, Huang R, Rao F, Wu P, Li Z, Song C, Liu Z, Guo T. [https://journals.sagepub.com/doi/abs/10.1177/1553350620974825 The clinical effects of abdominal binder on abdominal surgery: a meta-analysis.] Surgical Innovation. 2021 Feb;28(1):94-102.</ref>  
*Encourage early mobilization after surgery.<ref name=":1">Jiang N, Hao B, Huang R, Rao F, Wu P, Li Z, Song C, Liu Z, Guo T. [https://journals.sagepub.com/doi/abs/10.1177/1553350620974825 The clinical effects of abdominal binder on abdominal surgery: a meta-analysis.] Surgical Innovation. 2021 Feb;28(1):94-102.</ref>  
*Reduce pain and swelling during healing. <ref name=":1" />
*Reduce pain and swelling during healing. <ref name=":1" />
*Avoid postoperative discomfort. <ref name=":1" />
*Avoid postoperative discomfort. <ref name=":1" />
*Affect abdominal pressure.<ref>Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, Jiang DP, Zhang LY. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724682/ The effect of different types of abdominal binders on intra-abdominal pressure.] Saudi Medical Journal. 2016 Jan;37(1):66.</ref>
*Affects abdominal pressure.<ref>Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, Jiang DP, Zhang LY. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724682/ The effect of different types of abdominal binders on intra-abdominal pressure.] Saudi Medical Journal. 2016 Jan;37(1):66.</ref>
*Improve pulmonary function in some individuals.<ref>Wadsworth BM, Haines TP, Cornwell PL, Rodwell LT, Paratz JD. [https://www.sciencedirect.com/science/article/pii/S0003999312004339 Abdominal binder improves lung volumes and voice in people with tetraplegic spinal cord injury.] Archives of physical medicine and rehabilitation. 2012 Dec 1;93(12):2189-97.</ref> (needs further studies)


== Clinical Evidence ==
== Clinical Evidence ==
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Some researchers concluded no significant difference between both groups in the surgical outcome and no difference in the number of days staying in the hospital but only a difference in the degree of comfort.<ref>Choi, H. U., Park, S. H., Lee, E. J. S., Jung, K. U., Shin, J. H., & Lee, S. R. (2021). [https://pubmed.ncbi.nlm.nih.gov/35600784/ Effect of abdominal binder after laparoscopic cholecystectomy on enhanced recovery: a randomized controlled trial]. Journal of minimally invasive surgery, 24(2), 91–97. </ref>
Some researchers concluded no significant difference between both groups in the surgical outcome and no difference in the number of days staying in the hospital but only a difference in the degree of comfort.<ref>Choi, H. U., Park, S. H., Lee, E. J. S., Jung, K. U., Shin, J. H., & Lee, S. R. (2021). [https://pubmed.ncbi.nlm.nih.gov/35600784/ Effect of abdominal binder after laparoscopic cholecystectomy on enhanced recovery: a randomized controlled trial]. Journal of minimally invasive surgery, 24(2), 91–97. </ref>
==Risks and Side Effects==
==Risks and Side Effects==
Some abdominal binders may cause an allergic reaction with symptoms such as itching, redness, or irritation so it's better to use binders with hypoallergic materials.<ref name=":2" />
Some abdominal binders may cause an allergic reaction with symptoms such as itching, redness, or irritation so it's better to use binders with hypoallergic materials.


The question of whether abdominal binders raise the risk of [[Deep Vein Thrombosis|deep vein thrombosis]] (DVT) is up for dispute. According to this research<ref>Huang GJ, Bajaj AK, Gupta S, Petersen F, Miles DA. [https://journals.lww.com/plasreconsurg/Fulltext/2007/04010/Abdominal_Compartment_Syndrome.00025.aspx Increased intraabdominal pressure in abdominoplasty: delineation of risk factors.] Plastic and reconstructive surgery. 2007 Apr 1;119(4):1319-25.</ref>, they can increase intra-abdominal pressure which may contribute to DVT. But, at the same time, abdominal binders contribute to a rapid return to function and mobility post-surgery which reduces the risk of DVT. <ref name=":2" />
The question of whether abdominal binders raise the risk of [[Deep Vein Thrombosis|deep vein thrombosis]] (DVT) is up for dispute. They can increase intra-abdominal pressure which may contribute to DVT. But, at the same time, abdominal binders contribute to a rapid return to function and mobility post-surgery<ref name=":2" /> which reduces the risk of DVT.


==Physiotherapy ==
==Physiotherapy ==
D. MacLean adds an abdominal binder in the [[Chest Physiotherapy|chest physical therapy]] for intubated patients in [[ICU Mobility Scale|the ICU]] who are unable to cough. Voluntary cough is correlated with high expiratory airflow with contraction of the [[Thoracic Anatomy|rib cage]] and [[Abdominal Muscles|abdominal muscles]] when adding abdominal binder as [[splinting]] for abdominal muscle. simultaneous compression of the abdomen and chest increases the intrapleural pressure and then increases expiratory airflow than produced by chest compression alone.<ref>MacLean, D., Drummond, G., Macpherson, C., McLaren, G., & Prescott, R. (1989). [https://pubmed.ncbi.nlm.nih.gov/2808898/ Maximum expiratory airflow during chest physiotherapy on ventilated patients before and after the application of an abdominal binder. Intensive care medicine, 15(6), 396–399.] </ref>
In this study<ref name=":2" />, abdominal binders are proven to likely reduce postoperative discomfort and promote early return to physical function particularly on the fourth day or longer after abdominal surgery.


mostly after abdominal surgery patients wake up from anesthesia wearing an abdominal binder. Very important to get the right size of the binder. To detect your size, measure the widest part of your body. Usually for women widest part is the hips. For men,  usually the waist. <ref name=":2">https://www.healthline.com/health/abdominal-binder</ref>
mostly after abdominal surgery patients wake up from anesthesia wearing an abdominal binder. Very important to get the right size of the binder. To detect your size, measure the widest part of your body. Usually for women widest part is the hips. For men,  usually the waist.  


== Application==
== Application==
To ensure that you are using abdominal binders correctly, check the manufacturer's instructions on how to tie them as some binders have straps or different parts that are wrapped together, and in some types, the binder just wraps around itself with no additional straps. But, generally make sure that the binder is appropriately snug and not too firm or taut. Also, ensure proper binder hygiene to prevent inflammation or any dermatological problems.
Here are a couple of videos that can guide you on the proper application of abdominal binders.  
Here are a couple of videos that can guide you on the proper application of abdominal binders.  


Latest revision as of 12:54, 5 December 2023

Original Editor - Hayaa Yousri Top Contributors - Hayaa Yousri, Hagar Ashraf Abdul-Raziq, Naomi O'Reilly and Kim Jackson

Introduction[edit | edit source]

Abdominal binders (AB) are a noninvasive application in clinical practice to the reduction of postoperative pain and improve physical function.[1]

There are 2 types of abdominal binders, elastic abdominal binder and non-elastic abdominal binder. Elastic abdominal binders are more helpful and suitable than non-elastic binders after surgeries.[2]

The Elastic abdominal binder is used by clinicians to relieve pain, improve pulmonary function (After upper abdominal surgeries patients suffer from restriction of respiratory function), and stabilize an incision to enhance wound healing.

Indications[edit | edit source]

Therapeutic Effect[edit | edit source]

  • Encourage early mobilization after surgery.[9]
  • Reduce pain and swelling during healing. [9]
  • Avoid postoperative discomfort. [9]
  • Affects abdominal pressure.[10]

Clinical Evidence[edit | edit source]

Some evidence presented that abdominal binders promote coughing and deep breathing after surgery and mobility. The elastic abdominal binder has a positive effect on abdominal postoperative pain and recovery.[4]

Clinicians assigned randomly one hundred and nine women diagnosed with cervical, endometrial, or ovarian cancer, who had done abdominal surgery into two groups: the intervention (56 patients) used the abdominal binder from day 1, and the control (53 patients) did not wear the binder. The primary outcomes were pain and functional recovery. The Researcher observed the intervention group significantly lower pain score than the control group.[4]

Some researchers concluded no significant difference between both groups in the surgical outcome and no difference in the number of days staying in the hospital but only a difference in the degree of comfort.[11]

Risks and Side Effects[edit | edit source]

Some abdominal binders may cause an allergic reaction with symptoms such as itching, redness, or irritation so it's better to use binders with hypoallergic materials.

The question of whether abdominal binders raise the risk of deep vein thrombosis (DVT) is up for dispute. They can increase intra-abdominal pressure which may contribute to DVT. But, at the same time, abdominal binders contribute to a rapid return to function and mobility post-surgery[1] which reduces the risk of DVT.

Physiotherapy[edit | edit source]

In this study[1], abdominal binders are proven to likely reduce postoperative discomfort and promote early return to physical function particularly on the fourth day or longer after abdominal surgery.

mostly after abdominal surgery patients wake up from anesthesia wearing an abdominal binder. Very important to get the right size of the binder. To detect your size, measure the widest part of your body. Usually for women widest part is the hips. For men, usually the waist.

Application[edit | edit source]

To ensure that you are using abdominal binders correctly, check the manufacturer's instructions on how to tie them as some binders have straps or different parts that are wrapped together, and in some types, the binder just wraps around itself with no additional straps. But, generally make sure that the binder is appropriately snug and not too firm or taut. Also, ensure proper binder hygiene to prevent inflammation or any dermatological problems.

Here are a couple of videos that can guide you on the proper application of abdominal binders.

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 Xin Sun, MD, Qingchuan Wei, MD, Chenying Fu, PhD, Qing Zhang, MD, Zejun Liang, MD, Lihong Peng, MD, Li Chen, PhD, Chengqi He, PhD, Quan Wei, PhD, Effects of Abdominal Binders on Postoperative Pain and Functional Recovery: A Systematic Review and Meta-Analysis, Pain Medicine, Volume 22, Issue
  2. ↑ Zhang, H. Y., Liu, D., Tang, H., Sun, S. J., Ai, S. M., Yang, W. Q., Jiang, D. P., & Zhang, L. Y. (2016). The effect of different types of abdominal binders on intra-abdominal pressure. Saudi medical journal, 37(1), 66–72.
  3. ↑ Paasch, C., Santo, G., Aljedani, N., Ortiz, P., Bruckert, L., Hünerbein, M., Lorenz, E., & Croner, R. (2021). The Effect of an Abdominal Binder on Postoperative Pain After Laparoscopic Incisional Hernia Repair–A Multicenter, Randomized Pilot Trial (ABIHR-I) of the Intraperitoneal Onlay-Mesh Technique. Deutsches Arzteblatt international, 118(37), 607–613.
  4. ↑ 4.0 4.1 4.2 Chantawong, N., & Charoenkwan, K. (2021). Effect of Elastic Abdominal Binder on Pain and Functional Recovery Following Gynecologic Cancer Surgery: A Randomized Controlled Trial. Medicina (Kaunas, Lithuania), 57(5), 481.
  5. ↑ Yu, G. Q., Huang, X. M., Li, H. Y., Tang, W., Hu, D. M., Lü, M. H., & Fu, K. I. (2018).Use of an abdominal obstetric binder in colonoscopy: A randomized, prospective trial . Journal of gastroenterology and hepatology, 33(7), 1365–1369.
  6. ↑ Groot MD, Swartz J, Hastings J. Comparison of abdominal compression devices in persons with abdominal paralysis due to spinal cord injury. Spinal cord series and cases. 2019 Apr 16;5(1):35.
  7. ↑ Wahba A, Shibao CA, Muldowney JA, Peltier A, Habermann R, Biaggioni I. Management of orthostatic hypotension in the hospitalized patient: a narrative review. The American journal of medicine. 2022 Jan 1;135(1):24-31.
  8. ↑ Saeed S, Rage KA, Memon AS, Kazi S, Samo KA, Shahid S, Ali A. Use of abdominal binders after a major abdominal surgery: a randomized controlled trial. Cureus. 2019 Oct 3;11(10).
  9. ↑ 9.0 9.1 9.2 Jiang N, Hao B, Huang R, Rao F, Wu P, Li Z, Song C, Liu Z, Guo T. The clinical effects of abdominal binder on abdominal surgery: a meta-analysis. Surgical Innovation. 2021 Feb;28(1):94-102.
  10. ↑ Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, Jiang DP, Zhang LY. The effect of different types of abdominal binders on intra-abdominal pressure. Saudi Medical Journal. 2016 Jan;37(1):66.
  11. ↑ Choi, H. U., Park, S. H., Lee, E. J. S., Jung, K. U., Shin, J. H., & Lee, S. R. (2021). Effect of abdominal binder after laparoscopic cholecystectomy on enhanced recovery: a randomized controlled trial. Journal of minimally invasive surgery, 24(2), 91–97.
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