A randomized-clinical trial examining a neoprene abdominal binder in gynecologic surgery patients

Pain control and early ambulation are two important postoperative goals. Strategies that decrease morphine use while increasing ambulation have the potential to decrease postoperative complications. In this study the authors sought to determine the effect of an abdominopelvic binder on postoperative...

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Bibliographic Details
Published in:	Clinical and experimental obstetrics & gynecology Vol. 41; no. 5; pp. 525 - 529
Main Authors:	Szender, J B, Hall, K L, Kost, E R
Format:	Journal Article
Language:	English
Published:	Canada 01-01-2014
Subjects:	Abdominal Wall - surgery Abdominal Wound Closure Techniques Adult Female Follow-Up Studies Gynecologic Surgical Procedures - methods Humans Middle Aged Morbidity - trends Neoprene - pharmacology Pain Measurement Pain, Postoperative - diagnosis Pain, Postoperative - epidemiology Pain, Postoperative - prevention & control Postoperative Care - methods Retrospective Studies Texas - epidemiology Treatment Outcome Texas
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Summary:	Pain control and early ambulation are two important postoperative goals. Strategies that decrease morphine use while increasing ambulation have the potential to decrease postoperative complications. In this study the authors sought to determine the effect of an abdominopelvic binder on postoperative morphine use, pain, and ambulation in the first day after surgery. The authors randomly assigned 75 patients undergoing abdominal gynecologic surgery to either binder or not after surgery. Demographic data and surgical characteristics were collected. Outcome variables included morphine use, pain score, time to ambulation, and number of ambulations. A group at high risk for decreased mobility was identified and the binder increased the number of ambulatory events by 300%, 260%, and 240% in patients with vertical incisions, age over 50 years, and complex surgeries, respectively. Morphine use and pain scores were not significantly different. The binder increased ambulations in the subset of patients at the highest risk for postoperative complications: elderly, cancer patients, and vertical incisions. Routine use of the binder may benefit particularly high-risk gynecologic surgical patients.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0390-6663
DOI:	10.12891/ceog17552014