Main Article Content
Objectives: To compare physical functions by six-minute walk test (6MWT) between participants using postoperative abdominal binder versus routine postoperative care.
Materials and Methods: Sixty participants undergoing benign gynecologic abdominal surgery were enrolled in a randomized controlled trial. The participants were randomized by a 1:1 ratio by computer-generated randomization using blocks of four to receive abdominal binder 2 hours after operation or received routine postoperative care, then 6MWT was performed on postoperative day 1 and day 2 in both groups. The primary outcome included improving walking distance. Visual analog scale (VAS) was used to measure pain levels at 6, 24 and 48 hours after surgery. Participants’ characteristics, postoperative diagnosis and blood loss were assessed by medical record review.
Results: 6MWT following surgery of both groups was statistically significant on day 1 with mean difference of 27.53 meters (95%CI: 0.95 – 54.11), p=0.043 and day 2 with a mean difference of 71.77 meters (95%CI: 43.11 – 100.42) p<0.001. In terms of walking distance, the experimental group could walk farther than control group. VAS scores at different time points (p<0.001) and time of first postoperative ambulation were significant lower (p<0.001) in abdominal binder group. There was no adverse event reported.
Conclusion: Using postoperative abdominal binder can improve postoperative ambulation.
2. Izveren OA, Dal U. The early period complications in the patients who were performed abdominal surgery intervention and the nursing practice for these complications. J Nurs Health Sci 2011;18:36-46.
3. Havey R, Herriman E, O’Brien D. Guarding the gut: early mobility after abdominal surgery. Crit Care Nurs Q 2013;36:63-72.
4. Cheifetz O, Lucy SD, Overend TJ, Crowe J. The effect of abdominal support on functional outcomes in patients following major abdominal surgery: a randomized controlled trial. Physiother Can 2010;62:243-53.
5. Larson CM, Ratzer ER, Davis-Merritt D, Clark JR. The effect of abdominal binder on postoperative pulmonary function. Am Surg 2009;75:169-71.
6. Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, et al. The effect of abdominal binders on intra-abdominal pressure. Saudi J Med Med Sci 2016;37:66-72.
7. Leblanc KA. Laparoscopic incisional and ventral hernia repair: complications-how to avoid and handle. Hernia 2004;8:323-31.
8. Mustafa G, Al Mamun A, Ahmad N, Alam S, Khan M, Alam K. Percutaneous liver biopsy: technique and safety. Hepatogastroenterology 2011;58:529-31.
9. Barber EL, Van Le L. Enhanced recovery pathways in gynecology and gynecologic oncology. Obstet Gynecol Surv 2015;70:780-921.
10. Solway S, Brooks D, Lacasse Y, Thomas S. A Qualitative Systematic Overview of the Measurement Properties of Functional Walk Tests Used in the Cardiorespiratory Domain. Chest 2001;119:256-70.
11. American Thoracic Society, ATS committee on Proficiency Standard for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-7.
12. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36BPS),and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63:240-52.
13. Arici E, Tastan S, Can MF. The effect of using an abdominal binder on postoperative gastrointestinal function, mobilization, pulmonary function and pain in patients undergoing major abdominal surgery: A randomized controlled trial. Int J Nurs Stud 2016;62:108-17.
14. Szender JB, Hall KL, Kost ER. A randomized clinical trial examining a neoprene abdominal binder in gynecologic surgery patient. Clin Exp Obstet Gynecol 2014;41:525-9.
15. Ghana S, Hakimi S, MirghafourvandM , Abbasalizadeh F, Behnampour N. Randomized controlled trial of abdominal binders for postoperative pain, distress and blood loss after cesarean delivery. Int J Gynaecol Obstet 2017;137:271-6.
16. Giller CM, Sparks JR, Kriner R, Anasti JN. A randomized controlled trial of abdominal binders for management of postoperative pain and distress after cesarean delivery. Int J Gynaecol Obstet 2016;133:188-91.
17. Pearse EO, Caldwell BF, Lockwood RJ, Hollard J. Early mobilization after conventional knee replacement may reduce the risk of postoperative venous thromboembolism. J Bone Joint Surg Br 2007;89:316-22.