The application of abdominal binders is a common practice in postoperative care following ventral hernia repair, with the purported goals of reducing pain and seroma formation. However, there is a lack of conclusive evidence regarding the clinical efcacy of abdominal binders. This study aimed to investigate the impact of abdominal binder on postoperative pain and seroma formation in ventral hernia repair. Methods: A minimum of 56 patients undergoing ventral hernia repair were included in the study based on randomized controlled trial. . Patients were randomly assigned to either the abdominal binder group or the no binder group during the rst postoperative week. The study employed standardized surgical techniques, anaesthesia , and analgesic regimens, with blinded observers assessing the outcomes. The primary outcome measure was postoperative pain on day 1, assessed using a visual analogue score. Additional assessments included ultrasonographic evaluation of seroma formation and subjective patient-reported parameters. Patients in the abdominal binder group provided feedback on the benets or discomforts associated with wearing the binder. Results: Data from 56 patients (28 in the abdominal binder group and 28 in the no binder group) were analyzed. No signicant differences were observed between the two groups in terms of postoperative pain or other surgical outcomes, including seroma formation. However, 86% of patients in the abdominal binder group reported a subjective benecial effect of wearing the binder. No adverse effects related to the use of abdominal binders were identied. Conclusions: The study found no signicant effects of abdominal binders on postoperative pain, movement limitation, fatigue, seroma formation, general well-being, or quality of life in patients undergoing ventral hernia repair. Despite the lack of objective clinical benets, the majority of patients perceived a subjective benecial effect from using abdominal binders.
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Giduturi et al. (2024) studied this question.