Post-operative Use of Abdominal Binders: Bound to Tradition?

Ibtissam Bin Khalid, Mahzaib Babar, Irfan Ahmed
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Abstract

Introduction: An abdominal binder is an elastic or non-elastic belt applied to the abdomen in post-operative patients with abdominal surgery. These provide support and splintage to the operative wound, reducing incision site pain. The present work aims to investigate the institutional practices regarding the use of abdominal binders, gain insight into the expected benefits that these practices are targeted to achieve, and determine if current practices are in accordance with the available evidence.

Materials and methods: It is a survey-based questionnaire study conducted at the Department of Surgical Oncology at Shaukat Khanum Memorial Cancer Hospital and Research Centre. Respondents were inquired about designation, frequency of binder usage, reasons for prescribing/not prescribing binders, duration of the prescription, clinical factors that influence the decision to use binders and the estimated cost of the device.

Results: The questionnaire was emailed to 85 surgeons working in the department of surgical oncology. Out of these, 34 responded, resulting in an overall response rate of 40%. Twenty-two (64.7%) of the respondents used abdominal binders regularly in post-operative patients. Eight (22.5%) reported using it occasionally, while 4 (11.7%) did not use abdominal binders in their clinical practice. About 67.8% and 50% of the respondents believed that it helped early mobilisation and better pain control, respectively. About 60.7% of the respondents believed that binders prevent incisional hernia formation, while 46.4% were of the view that these prevented wound dehiscence. Up to 60% of the respondents reported using an abdominal binder for 1 week-1 month after discharge, whereas 23.3% preferred using it only till discharge.

Conclusion: This survey demonstrates a gap between the evidence and actual practice. These gaps are often overlooked because of busy clinical practice. Equally important is the issue of surgical conservatism and the intrinsic desire to resist change by continuing old practices.

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术后腹部粘合剂的使用:与传统相结合?
简介:腹束带是一种用于腹部手术后患者腹部的弹性或非弹性带。这些为手术伤口提供支撑和夹板,减少切口疼痛。目前的工作旨在调查有关使用腹部粘合剂的机构实践,深入了解这些实践的预期效益,并确定当前的实践是否符合现有的证据。材料和方法:这是在Shaukat Khanum纪念肿瘤医院和研究中心外科肿瘤科进行的一项基于调查的问卷研究。调查对象被问及名称、使用粘合剂的频率、开/不开粘合剂的原因、处方的持续时间、影响决定使用粘合剂的临床因素以及设备的估计成本。结果:问卷通过电子邮件发送给肿瘤外科85名外科医生。其中34人回复,总体回复率为40%。22名(64.7%)受访者在术后患者中定期使用腹部粘合剂。8例(22.5%)报告偶尔使用,而4例(11.7%)在临床实践中未使用腹部粘合剂。约67.8%和50%的受访者分别认为它有助于早期活动和更好地控制疼痛。60.7%的人认为粘接剂可以预防切口疝的形成,46.4%的人认为粘接剂可以预防切口疝的形成。多达60%的受访者报告在出院后1周-1个月使用腹部粘合剂,而23.3%的人倾向于只使用它直到出院。结论:该调查显示了证据与实际之间的差距。这些差距往往被忽视,因为繁忙的临床实践。同样重要的是手术保守性问题,以及通过继续旧做法来抵制变化的内在愿望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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