Comparison of sub-bandage pressures achieved by 3 abdominal bandaging techniques in horses.
Abstract: Clinicians frequently place post operative abdominal bandages on horses undergoing laparotomies. Presently, no information exists on the amount of incisional support provided by these bandages. Determination of sub-bandage pressure provides a means of comparing the ability of different bandages to support incisions. Objective: Determination of sub-bandage pressure over a 24 h period using 3 bandaging techniques. Methods: A randomised, crossover design using 9 healthy horses. Methods: Horses were randomly assigned to a treatment regimen consisting of placement of 3 abdominal bandage types, namely an elastic bandage (ELA), the CM(TM) Hernia Heal Belt (CM) or a nylon binder (NYL). The sub-bandage pressures for each bandage were measured with the Picopress® compression-measuring system at 0, 2, 4, 6, 8, 12, 16, 20 and 24 h after application. Results: No time and treatment interactions were observed, and bandage pressures were maintained within each treatment group over the 24 h period. Mean sub-bandage pressures were different between all treatment groups (P < 0.001) at 39 (95% confidence interval, 36.7-40.5 mmHg), 25 (95% confidence interval, 23.9-27.7 mmHg) and 5 mmHg (95% confidence interval, 4.1-7.8 mmHg) for CM, ELA and NYL bandages, respectively. Horses were more likely to lie down with the CM (P = 0.02) and ELA treatments (P = 0.0002) when compared with the NYL treatment. The ELA bandages were more likely to displace caudally compared with both CM and NYL bandages. Conclusions: The CM bandage was superior to both ELA and NYL bandages with regard to measured sub-bandage pressure over the 24 h period. The clinical significance of the differences in sub-bandage pressure between treatments cannot be determined by this study.
Published 2014. This article is a U.S. Government work and is in the public domain in the USA.
Publication Date: 2014-09-29 PubMed ID: 25124529DOI: 10.1111/evj.12329Google Scholar: Lookup
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- Journal Article
- Randomized Controlled Trial
- Research Support
- Non-U.S. Gov't
Summary
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The research study is about comparing the effectiveness of three types of bandages (an elastic bandage (ELA), the CM(TM) Hernia Heal Belt (CM), and a nylon binder (NYL)) used after surgery in horses, by measuring the pressure under the bandage. The study found that the CM bandage maintained the highest average pressure over a 24 hour period.
Research Objective and Methods
- The goal of the research was to determine the pressure maintained under three different types of abdominal bandages used on horses after surgery. These data would provide a means for clinicians to compare the support provided by these different types of bandages. The bandages tested were an elastic bandage (ELA), the CM Hernia Heal Belt (CM), and a nylon binder (NYL).
- The study was carried out using a randomized, crossover design on nine healthy horses. Each horse was randomly assigned to a treatment regimen in which one of the three types of bandages was applied.
- The pressure under the bandage, also known as ‘sub-bandage pressure’, was measured at various time intervals (0, 2, 4, 6, 8, 12, 16, 20, and 24 hours after application) using the Picopress compression-measuring system.
Research Findings
- The pressure under the bandage remained steady over the 24-hour period for all three types of bandages. There were no interactions observed between bandage type and time.
- The average sub-bandage pressures were significantly different among the three types of bandages (P < 0.001). The CM bandage had the highest mean pressure (39 mmHg), followed by ELA (25 mmHg), and NYL (5 mmHg).
- It was observed that the horses were more prone to lie down when either the CM or ELA bandages were applied as compared to the NYL bandage. This likely indicates that these bandages provided more comfort.
- The ELA bandage had a tendency to slip or displace towards the rear (caudally), as compared to the other two bandages.
Conclusions
- Among the three types of bandages, the CM bandage demonstrated the highest sub-bandage pressure over the 24-hour period, suggesting it provided the most support.
- However, the authors of the study caution that they cannot definitively conclude the clinical significance of their findings due to the limitations of their study.
Cite This Article
APA
Canada NC, Beard WL, Guyan ME, White BJ.
(2014).
Comparison of sub-bandage pressures achieved by 3 abdominal bandaging techniques in horses.
Equine Vet J, 47(5), 599-602.
https://doi.org/10.1111/evj.12329 Publication
Researcher Affiliations
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, USA.
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, USA.
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, USA.
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, USA.
MeSH Terms
- Animals
- Bandages
- Female
- Horses
- Male
- Materials Testing
- Pressure
Citations
This article has been cited 1 times.- Thibodaux B, Eginton K, Gordon-Evans W. Sub-bandage pressure changes in canine hindlimbs after re-application of custom rigid fiberglass splints. BMC Vet Res 2024 Dec 23;20(1):574.
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