Effect of an abdominal binder on postoperative outcomes after ventral hernia repair: a systematic review and meta-analysis of randomized controlled trials
- 01.12.2025
- Review
Erschienen in:
- Verfasst von
- Augusto Graziani e Sousa
- Enrico Prajiante Bertolino
- Amanda Godoi
- Cynthia Florêncio de Mesquita
- Stalin Isaias Canizares Quisiguina
- Sergio Mazzola Poli de Figueiredo
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Introduction
Abdominal binders consist of a wide compression belt that encircles the abdomen, theoretically supporting the abdominal wall. However, their use after ventral hernia repair is debated. Therefore, this meta-analysis evaluates their efficacy.
Methods
We searched PubMed, Embase, and Cochrane Central for randomized controlled trials (RCTs) comparing the effects of abdominal binders after ventral hernia repair. Outcomes included postoperative pain using the visual analog scale (VAS), surgical site infection (SSI), seroma formation and size, general well-being, activity limitation, forced expiratory volume in the first second (FEV1), and a 6-min walk test. Statistical analysis was performed with Review Manager 5.4.1 using a random-effects model.
Results
We included five RCTs encompassing 297 patients. Overall analysis showed decreased SSI rates (RR 0.21; 95% CI 0.07 to 0.59; p = 0.003; I2 = 0%) and reduced pain two weeks after surgery (MD −0.89; 95% CI −1.41 to −0.37; p = 0.0008; I2 = 0%) using abdominal binders. For patients undergoing open ventral hernia repair, it also demonstrated reduced SSI, pain four weeks after surgery (MD −0.60; 95% CI −0.88 to −0.32; p < 0.0001; I2 = 66%) and increased 6-min walk test performance four weeks after the procedure (MD 32.78 m; 95% CI 15.28 to 50.29 m; p = 0.0002; I2 = 0%).
Conclusion
Abdominal binders may decrease SSI, postoperative pain, and increase physical condition, particularly in open ventral hernia repair. Further studies are still required to evaluate the role of abdominal binders in minimally invasive techniques.
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- Titel
- Effect of an abdominal binder on postoperative outcomes after ventral hernia repair: a systematic review and meta-analysis of randomized controlled trials
- Verfasst von
-
Augusto Graziani e Sousa
Enrico Prajiante Bertolino
Amanda Godoi
Cynthia Florêncio de Mesquita
Stalin Isaias Canizares Quisiguina
Sergio Mazzola Poli de Figueiredo
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03193-8
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