Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair
| Autor: | S. Hagedorn, Jan Dalenbäck, B. Novik, K. Dahlin, S. Skullman, U.-B. Mörk |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Hernia Inguinal Fibrin Tissue Adhesive Fibrin Recurrence medicine Humans Endoscopy Digestive System Prospective Studies Fibrin glue Laparoscopy Aged medicine.diagnostic_test biology Groin business.industry General surgery Length of Stay Middle Aged Surgical Mesh medicine.disease Hernia repair Endoscopy Surgery Inguinal hernia surgical procedures operative medicine.anatomical_structure biology.protein Tissue Adhesives business Follow-Up Studies |
| Zdroj: | Surgical Endoscopy And Other Interventional Techniques. 20:462-467 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-005-0391-3 |
| Popis: | Anchoring the mesh in laparoscopic totally extraperitoneal groin hernia repair (TEP) with human fibrin glue has theoretical advantages. However, these have been supported and reported previously only in animal studies. Before the initiation of large patient trials, the authors wanted to confirm the feasibility, assess the costs, and rule out any flagrant short- and long-term adverse effects of fibrin glue usage in a small series of patients.Nine consecutive TEP repairs with fibrin glue mesh fixation were performed. The perioperative and postoperative outcomes at 1, 16, and 40 months were compared with those for a control group of 96 stapled repairs.Gluing was easy and is less expensive than stapling. No fibrin glue-related adverse effects were found. The overall outcome was similar to that for stapled repairs, with no indication that the glued repairs were inferior.Fibrin glue seems to be a reasonable, feasible, and maybe even competitive alternative to the standard tissue-penetrating mesh fixation. The results of this study justify launching larger trials. |
| Databáze: | OpenAIRE |
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