title: The effect of different types of abdominal binders on intra-abdominal pressure.
abstract: OBJECTIVE
  To investigate the effect of non-elastic/elastic abdominal binders on intra-vesical pressure (IVP), physiological functions, and clinical outcomes in laparotomy patients at the perioperative stage.
  
  
  METHODS
  This prospective study was conducted from May to October 2014 at the Trauma Surgery Department, Daping Hospital, Chongqing, China. Laparotomy patients were randomly divided into non-elastic abdominal binder group (28 patients), and elastic abdominal binder group (29 patients). Binders were applied for 14 days following the operation, or until discharge. Demographic information, Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation  II (APACHE-II) scores (prior to the operation, on the first day after operation, the day IVP measurement was stopped, and one day before discharge), and outcomes were recorded. The IVP was measured before the operation to postoperative day 7.
  
  
  RESULTS
  There were no significant differences in the demographic information, outcomes, SOFA or APACHE-II scores between the 2 groups. Initial out-of-bed mobilization occurred earlier in the elastic binder group (3.2 ± 2.0 versus 5.0 ± 3.7 days, p=0.028). A greater increase in IVP was observed in the non-elastic binder group than in the elastic binder group (2.9 ± 1.1 versus 1.1 ± 0.7 mm Hg, p=0.000).
  
  
  CONCLUSIONS
  Elastic binders have relatively little effect on IVP and are more helpful at promoting postoperative recovery than non-elastic binders. Therefore, elastic binders are more suitable for clinical use.
authors.affiliation: Trauma Center, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University. E-mail. dpzhangly@163.com.
authors.forename: Hua-Yu
authors.initials: HY
authors.lastname: Zhang
authors.forename: Dong
authors.initials: D
authors.lastname: Liu
authors.forename: Hao
authors.initials: H
authors.lastname: Tang
authors.forename: Shi-Jin
authors.initials: SJ
authors.lastname: Sun
authors.forename: Shan-Mu
authors.initials: SM
authors.lastname: Ai
authors.forename: Wen-Qun
authors.initials: WQ
authors.lastname: Yang
authors.forename: Dong-Po
authors.initials: DP
authors.lastname: Jiang
authors.forename: Lian-Yang
authors.initials: LY
authors.lastname: Zhang
mesh_terms: D000005:Abdomen; D000328:Adult; D000368:Aged; D001458:Bandages; D002408:Catheters, Indwelling; D058128:Compression Bandages; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011312:Pressure; D001743:Urinary Bladder; D062885:Urinary Catheters