Open tension-free Lichtenstein repair of inguinal hernia: use of fibrin glue versus sutures for mesh fixation

Purpose To investigate pain and other complications following inguinal hernioplasty performed by the Lichtenstein technique with mesh fixation by fibrin glue or sutures. Methods Five hundred and twenty patients were enrolled in this 12-month observational multicenter study and received either suture...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2011-02, Vol.15 (1), p.7-14
Main Authors: Negro, P., Basile, F., Brescia, A., Buonanno, G. M., Campanelli, G., Canonico, S., Cavalli, M., Corrado, G., Coscarella, G., Di Lorenzo, N., Falletto, E., Fei, L., Francucci, M., Fronticelli Baldelli, C., Gaspari, A. L., Gianetta, E., Marvaso, A., Palumbo, P., Pellegrino, N., Piazzai, R., Salvi, P. F., Stabilini, C., Zanghì, G.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adolescent
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Female
Fibrin Tissue Adhesive - adverse effects
Fibrin Tissue Adhesive - therapeutic use
Hernia, Inguinal - surgery
Humans
Hypesthesia - etiology
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pain Measurement
Pain, Postoperative - etiology
Prospective Studies
Recurrence
Statistics, Nonparametric
Surgical Mesh
Sutures - adverse effects
Young Adult
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Summary:Purpose To investigate pain and other complications following inguinal hernioplasty performed by the Lichtenstein technique with mesh fixation by fibrin glue or sutures. Methods Five hundred and twenty patients were enrolled in this 12-month observational multicenter study and received either sutures or fibrin glue (Tissucol ® /Tisseel ® ) based on the preference of the surgeon. Pain, numbness, discomfort, recurrence, and other complications were assessed postoperatively and at 1, 3, 6, and 12 months. Pain intensity was assessed by a visual analog scale (VAS; 0 [no pain] to 10 [worst pain]). Results One hundred and seventy-one patients received sutures and 349 received fibrin glue. During the early postoperative phase, 87.4% of patients in the fibrin glue group and 76.6% of patients in the sutures group were complication-free ( P  = 0.001). Patients who received fibrin glue were also less likely to experience hematoma/ecchymosis than those in the suture group (both P  = 0.001). The mean pain score was significantly lower in the fibrin group than the sutures group (2.5 vs. 3.2, P  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-010-0706-8