ABSTRACT

Objective: The aim of this study is to compare the outcome of binder use versus no abdominal binder use after ventral abdominal wall hernia repair

Material and methods: Hundred patients were included and underwent ventral hernia repair under general anesthesia. Then patients were randomly divided in two groups. Group A for Abdominal Binder and Group B for without Abdominal Binder by using lottery method. During 8 weeks, patients were followed-up in OPD fortnightly. Patient were evaluated for pain, Pulmonary Function Assessment on spirometer, Physical Function Assessment by 6 minutes’ walk test, Seroma formation assessment, wound infection, wound dehiscence and patients’ satisfaction. Data was analyzed in SPSS version 22

Results: In this study, the mean age of patients was 43.63±7.25years in binder group while 44.24±09.23 years in non-binder group. There were 23 males and 27 females in binder group while 25 males and 25 females in non-binder group. At the end of study, the mean pain score was 0.0±0.0 in binder group while 0.9±0.06 in non-binder group (p<0.05), the mean FEV1 was 91.12±5.93 in binder group while 90.19±14.22 in non-binder group (p>0.05) and the mean 6MWT was 548.94±41.09m in binder group while 508.79±38.93m in non-binder group (p<0.05). Seroma formation occur in 4 (8%) cases in binder group while in 12 (24%) in non-binder group (p<0.05). Wound infection occurred in 2 (4%) in binder group while in 8 (16%) cases of non-binder group (p<0.05) While wound dehiscence was not observed in any case in binder group (0%) but in 3 (6%) cases in non-binder group (p>0.05).

Conclusion: Therefore, the findings of this study have shown that abdominal binder can strengthen the physical condition and treat the wound.

Key words: Ventral hernia, laparotomy, abdominal binder, pain, abdominal wall