Certified Wound Care Nurse (CWCN) Practice Exam

Which device is noted for its high level of evidence in protecting against wound dehiscence post-abdominal surgery for obese patients?

1. Compression garments

2. Abdominal binders

3. Wound vacuums

4. Supportive pillows

The correct answer is: Abdominal binders

The use of abdominal binders is well-supported by clinical evidence as an effective intervention for preventing wound dehiscence, particularly in obese patients following abdominal surgery. These binders provide external support to the abdominal wall, helping to stabilize the incision site. By distributing pressure evenly across the abdomen, they reduce tension on the healing tissue which is crucial in minimizing the risk of dehiscence, especially in patients who may have a higher risk due to obesity. Research has shown that the use of abdominal binders can significantly improve outcomes in terms of wound healing and reduce complications related to surgical wounds. This is particularly relevant in obese patients who may have increased abdominal pressure and decreased tissue vascularity, both of which can contribute to the risk of wound complications. The high level of evidence supporting abdominal binders is reflected in clinical guidelines and best practice recommendations for post-operative care in this demographic.