Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure

Ahmed Siddique Ammar; Syed Asghar Naqi; Shehrbano Khattak; Ahmed Raza Noumani

doi:10.12669/pjms.37.4.3671

Ahmed Siddique Ammar Senior Registrar General Surgery MAYO Hospital Lahore
Syed Asghar Naqi Professor And Head of Surgical Department,MAYO Hospital Lahore
Shehrbano Khattak Biochemistry department,king Edward Medical University Lahore
Ahmed Raza Noumani Senior Registrar General Surgery MAYO Hospital Lahore

DOI: https://doi.org/10.12669/pjms.37.4.3671

Keywords: Abdominal binder, burst abdomen, Dehiscence, Pain, Wound

Abstract

Objective: To assess the role of abdominal binder in patients with midline wound dehiscence after elective or emergency laparotomy in terms of pain, psychological satisfaction and need for reclosure.

Methods: It was a comparative study done at EAST Surgical Ward of Mayo Hospital, Lahore from 1st January 2018 to 31st December 2019. One hundred and sixty-two (162) patients were included in this study with post-operative midline abdominal wound dehiscence and after informed consent by consecutive non probability sampling technique. Patients were divided into two groups by lottery method into eighty-one patients each. Group-A included patients where abdominal binder was applied and Group-B included patients without abdominal binder. In both groups pain score, psychological satisfaction and need for reclosure was assessed and compared.

Results: Patients with abdominal binder shows significantly less pain (P value =0.000) and more psychological satisfaction (P value = 0.000) as compared to the patients where abdominal binder was not used. However, there was no difference in reducing the need for reclosure in patients who use abdominal binder (P value = 0.063).

Conclusion: Although abdominal binder helps in reducing the pain and improving the psychological satisfaction in patients with midline abdominal wound dehiscence yet it doesn’t help in healing of wound and reclosure of the dehisced abdominal wound is needed.

doi: https://doi.org/10.12669/pjms.37.4.3671

How to cite this:
Ammar AS, Naqi SA, Khattak S, Noumani AR. Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure. Pak J Med Sci. 2021;37(4):1118-1121. doi: https://doi.org/10.12669/pjms.37.4.3671

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.