Elastic Abdominal Binder Research Articles

Evaluation of the Value of Using Simple Elastic Abdominal Binder during Colonoscopy

Evaluation of the Value of Using Simple Elastic Abdominal Binder during Colonoscopy

Evaluation of the value of using simple elastic abdominal binder during colonoscopy

Background: Colonoscopy is a well-established endoscopic procedure widely used for screening, diagnosis, and treatment. Colonoscopy is the endoscopic examination of the large bowel and the distal part of the small bowel, using some techniques that allow for more frequent cecal intubation, quicker time to cecum, or less pain. One obstacle that must be overcome during this procedure is looping of the colonoscope shaft. Objective: The aim of the work is to evaluate the use of simple elastic abdominal binder during colonoscopy and its outcome on the ease, safety, duration and success of the procedure.Successful colonoscopy means demonstration of the ileocecal valve (cecal intubation).Duration of colonoscopy means time in minutes since insertion of tip of colonoscope shaft through anus till reaching ileocecal valve. Patients and methods: This study was carried out on 120 patients undergoing elective colonoscopy ( during period from April 2018 toAugust 2019) who were enrolled from Hepatology,Gastroenterology& Tropical Medicine department in Al Azhar University Hospitals (El-Hussein and BAB El-Shaarea).

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

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.

Effect of Elastic Abdominal Binder on Post Cesarean Pain, Distress, Mobilization and Women’s Satisfaction

Background: Abdominal binder (AB) is one of the most effective non pharmacological method that decreases many adverse events after cesarean deliveries as pain and distress, it can also improve physical function and increase women's satisfaction. Aim of the study: This study aimed to assess the effect of elastic abdominal binder on post cesarean pain, distress, mobilization and women's satisfaction. Subjects and methods: Randomized Control Trial was utilized comparing two groups of intervention (AB) and control group (a routine hospital care). The study was carried out at New General Mansoura hospital specific at inpatient departments, and operative room, Egypt, from September 2019 to March 2020. Data was collected through five tools, A Structured Interview Questionnaire Schedule, the Numerical Rating Scale; Symptom Distress Scale ; 6MWT &women satisfaction likert scale. Results: This study found that there was a highly statistically significant difference about pain score in the 1st 8,24,48 hours after delivery and after one week in the binder group than control group, Also, a highly statistically significant difference in the distress symptoms in the 1st 24 hours and in 48 hours as well as after one week from delivery, the present study reported that there were a highly statistically significant different in the binder group versus the non-binder group related to 6MWT in the 1st 8 hours and on postoperative 24hrs, 48hrs&1 week. Also, women in the binder group were satisfied by using it. Conclusion: this study concluded that using AB after CS had a significantly improvement in the post cesarean pain, lowering distress symptoms & foster mobilization. Also, in early initiation of breast feeding. Recommendations: Increase awareness of women health care providers about positive effect of abdominal binder.

Evaluation of the Value of Using Simple Elastic Abdominal Binder during Colonoscopy

Background: Colonoscopy is the most sensitive and specific means for examining the colon, particularly for the diagnosis of colon cancers and polyps. Objective: The goal of our study was to evaluate the use of simple elastic abdominal binder during colonoscopy and its outcome on the ease, safety and success of the procedure. Patients and methods: This prospective study included a total of 120 patients who were scheduled to undergo elective colonoscopy for evaluating the value of application of elastic abdominal binder during colonoscopy, attending at Endoscopy Unit AL-Hussein University Hospital. This study was conducted between April 2018 to August 2019. The included subjects were randomly divided into two groups; Group 1 consisted of 60 patients underwent colonoscopy with use of abdominal binder (AB), Group 2 consisted of 60 patients underwent colonoscopy without use of AB. Results: showed that the commonest indication for colonoscopy was chronic constipation in 32 cases (26.6%) then bleeding per rectum in 30 cases (25%) with no significant differences between the studied groups. Hypertension (HTN) was the commonest co-morbidities of all 103 studied patients with no significant differences between the studied groups. Duration of procedure (cecal intubation) was less with use of abdominal binder. Patient repositioning was less frequent with use of abdominal binder during colonoscopy. Conclusion: It could be concluded that abdominal binder provides some benefits and help endoscopist to achieve high quality colonoscopy in shorter duration with higher rates of cecal intubation and lower rates of repositioning of patients.

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

The Elastic abdominal binder has been widely employed by clinicians for pain relief, wound complications prevention, improved pulmonary function, and stabilisation. However, these proposed benefits have not been properly examined in women following caesarean delivery. We aimed to examine the effects of post-caesarean elastic abdominal binder use on recovery by comparing post-operative pain, mobility and quality of life. Pregnant women undergoing caesarean delivery were randomly assigned into two groups: abdominal binder (90 patients) and control (90 patients). The primary outcomes included the daily visual analogue scale pain scores and the distance from the six-minute walk test. Baseline characteristics were similar between the groups. There was no significant difference in pain scores and six-minute walking distance between the study groups. There was no significant between-group difference in quality-of-life dimensions, overall health status, and post-operative complication. The positive effects of elastic abdominal binder use following caesarean delivery could not be demonstrated in this study.Impact statementWhat is already known on this subject? Elastic abdominal binder is commonly used after laparotomy to support incision. There was evidence to support the benefit of abdominal binder in reducing psychological distress during the first five days following laparotomy for other indications. From limited number of studies addressing caesarean section, the evidence for the benefits of the binder on pain, symptom distress, and change in haemoglobin level is conflicting.What do the results of this study add? In contrast to the results of the previous study, the beneficial effects of abdominal binder on pain reduction, functional recovery, and quality of life following caesarean delivery could not be demonstrated in this study.What are the implications of these findings for clinical practice and/or further research? The use of elastic abdominal binder after caesarean delivery is not associated with reduction of postoperative pain, faster functional recovery, and improved quality of life in our population. Further studies in other population with different characteristics may be worthwhile.

External Abdominal Compression for Refractory Ascites: A Pilot Study

Introduction: Cirrhotic ascites may persist despite a daily 2 g dietary salt restriction and diuretics. Large volume paracentesis (LVP) is the mainstay of treatment for patients with refractory ascites. Limited data exists on typical intra-abdominal pressures (IAP) in patients with refractory ascites. We investigated IAP in such patients before and following LVP as well as immediately after placement of an elastic, external abdominal binder. The study was a feasibility and proof of concept trial in anticipation of a future studies which aim to assess if wearing a quantified compressive binder for a period of days will slow the rate of ascites accumulation and reduce the frequency that LVP is required for treatment of refractory ascites.Figure 1Figure 2Figure 3Methods: We consented and prospectively studied cirrhotic patients who regularly require LVP for refractory ascites. Investigators assisted the primary operator in attaching a standard disposable lumbar puncture manometer to the paracentesis catheter, in order to measure IAP. IAP was obtained upon placement of the paracentesis catheter (opening pressure) and again upon completion of LVP (closing pressure). A final pressure measurement was obtained after placement of an elastic abdominal binder, adjusted for a target IAP of 16 cm H20. The abdominal binder remained in place for several minutes to allow for appropriately zeroed pressure readings and was then removed. Results: Analysis was performed on 8 patients (5 males and 3 females) with refractory ascites. The mean frequency of scheduled LVP for patients was every 2.6 weeks. The mean volume of ascites removed was 9.4 L. The mean opening IAP was 13.2 cm H2O and mean closing pressure was 3.8 cm H2O, resulting in a mean reduction of IAP 9.4 cm H2O (p=0.012). Applying the binder increased mean pressure to 9.1 cm H20 (p=0.011). Conclusion: This is the first study to report post-paracentesis IAP after application of an external elastic abdominal binder. Our results show that IAP is higher in patients with tense ascites preceding paracentesis and decreases after LVP. We also demonstrated that application of an external elastic binder would significantly elevate the IAP. The application of the binder worn without complications. We anticipate obtaining further qualitative data, designing a binder with a quantifiable external compressive force, as well as methods to non-invasively estimate IAP all of which will allow us to study the efficacy of long term use of external abdominal compression in refractory ascites.

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

[No Abstract Available].

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

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 effect of elastic abdominal binder use on respiratory function on persons with high spinal cord injury at orthostatic position.

Introduction: Spinal cord injury causes respiratory muscles paralysis, especially in high thoracic paraplegia and tetraplegia with injury above or right on the sixth thoracic segment, and also biomechanics, volumes, capacities and respiratory pressures changes in affected people. The elastic abdominal binder provides a mechanical support for respiratory function treatment, assisting with abdominal restraint and abdominal compliance reduction while at orthostatic position. Objective: To verify the elastic abdominal binder effect on the respiratory function of people with spinal cord injuries during standing position with the help of orthostatic table, from vertical angle position of 60° and 90°. Method: The study included 56 people suffering from spinal cord injury with motor level above or right on the sixth thoracic segment. They were randomly divided into four distinct groups regarding the use or not of the binder and different inclinations of the orthostatic table during the evaluation procedure. The measured outcomes were vital capacity, tidal volume, inspiratory and expiratory pressure and oxygen saturation. The descriptive analysis presented according to average and standard deviation or median and interquartile. For the outcomes analysis of the five evaluations, the Analysis of Variance (ANOVA) of two factors with repeated measures was used. Statistical significance was set at 5%. Results: The values obtained from respiratory parameters showed no statistical significance regarding the elastic abdominal binder intervention nor on the angle of the standing position. Conclusion: There was no contrasting effect regarding the use of the binder among the evaluated people, therefore it should not be nominated as a standard procedure in the treatment of spinal cord injury at orthostatic position. However, this procedure should not be absolute contraindicated, thus its effect has not demonstrated any harm to participants.

Elastic Abdominal Binders Attenuate Orthostatic Hypotension in Parkinson's Disease.

To investigate the possible efficacy of an elastic abdominal binder to control orthostatic hypotension (OH) associated with Parkinson's disease (PD), 15 patients with PD and OH were enrolled in a single-blind crossover study with elastic abdominal versus placebo binder on two different days, separated by a 1-day interval, followed by a 4-week open-label follow-up. Intervention significantly reduced blood pressure fall upon tilting. The mean difference (standard deviation; 95% confidence intervals) between abdominal binder versus placebo was +10 mm Hg (10.2; +3.5, +16.5; P = 0.006). No significant effect on supine mean blood pressure values was observed compared to placebo (P = 0.3). Symptoms of OH decreased significantly during follow-up (P = 0.003), as assessed by means of the Orthostatic Hypotension Questionnaire. Our findings suggest that elastic abdominal binders may be a simple complementary tool to alleviate OH in PD.

Evaluation of abdominal binder after major upper gastrointestinal surgery

The aim of the study was to evaluate the use of an elastic abdominal binder after open major upper abdominal surgery. In the trial, 50 patients undergoing major upper abdominal surgery were include...

Improving abdominoplasty results: Reconstruction of the linea alba sulcus by direct fat excision

A shallow vertical midline epigastric sulcus between rectus abdominis muscles is an attractive element of abdominal surface anatomy in slender, youthful women. Many patients presenting for abdominoplasty do not have this feature, and for those who do have it preoperatively, suture plication of anterior rectus sheath during the procedure can obliterate it. This article describes a technique to improve patient satisfaction with epigastric contour following abdominoplasty by establishing a visible linea alba sulcus. After elevation of the abdominoplasty skin flap, a precisely marked thin vertical strip of fat deep to Scarpa's fascia is carefully excised from the neoumbilical location on the flap to the deep fascia superficial to the xiphoid process. Postoperatively, the epigastrium is drained to prevent seroma, and a vertical soft bandage roll is applied on the skin over the sulcus beneath an elastic abdominal binder for gentle compression. The technique has been applied in 25 abdominoplasty procedures with good patient satisfaction. Complications included 1 epigastric seroma, 1 over-resection resulting in an unnatural appearing vertical epigastric crease, and 2 under-resections that did not achieve a visible epigastric sulcus postoperatively. When carefully performed in selected patients, creation of a linea alba sulcus by direct excision of deep fat from the abdominoplasty flap can enhance aesthetic results of abdominoplasty without increased morbidity.