Abdominal binders after abdominal surgery: A systematic review and meta-analysis - 11/08/25
, Naoya Kasahara a, Yoshiyuki Kiyasu c, Hironori Yamaguchi a, Naohiro Sata aAbstract |
Background |
Abdominal binders are widely used to manage postoperative pain and improve mobility, but their clinical efficacy remains uncertain. Despite potential benefits, current guidelines do not recommend routine use due to insufficient high-quality evidence. The aim was to assess the efficacy and safety of abdominal binder after abdominal surgery.
Methods |
We performed a random-effect meta-analysis to compare patients’ clinical outcomes including postoperative pain, 6-min walk test, and surgical site infection in patients with or without abdominal binder after abdominal surgery. MEDLINE, Embase, CENTRAL, WHO-ICTRP, and ClinicalTrials.gov databases were searched from inception to December 2024. We used GRADE to evaluate the certainty.
Results |
A total of 27 RCTs with 2741 participants. On postoperative day 1, abdominal binder reduced postoperative pain (21 RCTs: standard mean difference [SMD] = −0.66 [-1.12 to −0.19], moderate evidential certainty) and improved 6-min walk (5 RCTs: MD = 8.9 m [4.72–13.01], high evidential certainty). On postoperative day 7, abdominal binder reduced postoperative pain (4 RCTs: SMD = −0.95 [-1.20 to −0.70], moderate evidential certainty) and increased 6-min walk (2 RCTs: MD = 41.8m [27.1–56.5], moderate evidential certainty). Patients with abdominal binder had less surgical site infection (7 RCTs: risk difference = −0.08 [-0.12 to −0.04], moderate evidential certainty).
Conclusions |
This systematic review and meta-analysis suggested that abdominal binders improved postoperative pain, physical activities, and surgical site infection compared to non-abdominal binders. Based on these findings, patients, surgeons, and healthcare providers should consider recommending use of abdominal binders for patients recovering from abdominal surgery.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Abdominal binders relieve post-surgical pain and aid mobility but guidelines advise against routine use on limited evidence. |
• | 27 RCTs found abdominal binders reduce post-op pain (high certainty), improve mobility, lower SSI rates (moderate certainty). |
• | Abdominal binders should be considered as part of postoperative care following abdominal surgery. |
Keywords : Abdominal binder, Abdominal surgery, Mobility, Pain, Surgical site infection
Plan
Vol 247
Article 116451- septembre 2025 Retour au numéro
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