Is human fibrin sealant a possible choice for the fixation of laparoscopic inguinal hernia repair? A single center experience and the analysis of the results after 326 TAPP in two years

Groin hernioplasty is most intervention performed in the worldwide. The present study aimed to evaluate a combination between ultralight mesh and fibrin human sealant in the laparoscopic treatment of inguinal hernia. This retrospective study included consecutive patients who underwent laparoscopic t...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2018-09, Vol.34 (5), p.309
Main Authors: Sartori, A, De Luca, Marco, Clemente, N, De Luca, Alberto, Scaffidi, G, Vendramin, E, Campagnaro, C
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Drug Evaluation
Female
Fibrin Tissue Adhesive - therapeutic use
Follow-Up Studies
Hematoma - etiology
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Humans
Laparoscopy - methods
Male
Middle Aged
Pain, Postoperative - etiology
Recurrence
Retrospective Studies
Surgical Mesh
Tissue Adhesives - therapeutic use
Young Adult
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Summary:Groin hernioplasty is most intervention performed in the worldwide. The present study aimed to evaluate a combination between ultralight mesh and fibrin human sealant in the laparoscopic treatment of inguinal hernia. This retrospective study included consecutive patients who underwent laparoscopic transabdominal preperitoneal hernioplasty (TAPP) from 1st of January 2015 to 31st of December 2016. Demographics, surgical data and postoperative outcomes were entered in an anonymized prospective database. Prospective longterm follow-up carried out in all patients. One hundred eighty-four patients with a median age 57.5 (range 19-84) and median BMI (Body Mass Index) of 28.5 (range 18.5-31.5) were included. A median follow-up of 25 months (median 13-35) was carried out. Five recurrences (1.5%) and two cases of missed lipoma were observed and operated. Chronic pain (CP) was observed in eleven (9%) patients but in 9 patients it decreased spontaneously. Combination of ultralight mesh and Evicel® in TAPP operation is a safe solution for the treatment of groin hernia. Recurrences and chronic pain are similar to other combination of fibrin sealant and meshes. Moreover action of Evicel® may provide to improve the hemostasis and consequently hematoma of the cord.
ISSN:0391-9005