Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair

Novik, Bengt; Hagedorn, Susanne; Mörk, U.-B.; Dahlin, K.; Skullman, S.; Dalenbäck, Jan

doi:10.1007/s00464-005-0391-3

Cited by 76 publications

(63 citation statements)

References 18 publications

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“…Second, several studies have demonstrated the safety (recurrence rate) of nonfixation of mesh in laparoscopic total extraperitoneal repair. Studies with a large number of patients with a long follow-up period 3 and meta-analysis 4 have confirmed this. What could be the possible explanation for this?…”

supporting

confidence: 51%

See 1 more Smart Citation

Fixing the Mesh in Inguinal Hernia Repair: Where Do We Stand?—Reply

Novik¹

2011

Arch Surg

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supporting

confidence: 51%

“…3 Since 2003, I routinely glue the mesh in the majority of my laparoscopic groin and ventral/incisional hernia operations, sometimes in combination with sutures and/or tacks.…”

mentioning

confidence: 99%

Fixing the Mesh in Inguinal Hernia Repair: Where Do We Stand?—Reply

Novik¹

2011

Arch Surg

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“…In a meta-analysis by Sajid et al, the authors reported that the incidence of chronic groin pain is significantly reduced after light-weight implantation [35]. Moreover, several studies reported that the risk of acute and chronic pain after stapled mesh fixation is higher compared with fibrin fixation or non-fixation [36,37]. These studies add more evidence in favors of the anatomical configuration of Parietex® anatomical mesh which doesn't need fixation.…”

Section: Discussionmentioning

confidence: 77%

Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation

Abdalla¹

2017

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Abstract:Background: Totally extraperitoneal (TEP) repair of groin hernia can be performed with or without mesh fixation.Fixation can result in postoperative pain or paresthesia due to nerve entrapment. Compared to polypropylene mesh, polyester anatomical mesh (Parietex ® , Covidien, Mansfield, MA, USA) has a special configuration to fit the posterior inguinal anatomy. Also, the polyester-based chemistry and the rapidly absorbable biological coating increase the hydrophilicity of the mesh, which is thought to result in a fast and intimate tissue ingrowth that may obviate the need for fixation. Patients and Methods: Laparoscopic TEP repair using Parietex ® anatomical mesh without fixation was performed for 60 patients presenting with 63 uncomplicated groin hernias. Results: All patients were males with a mean age of 44.7±14.75 years. There were 60 (95.3%) primary, 3 (5%) bilateral inguinal and 2 (3.3%) femoral hernias. The mean operative time was 64.8±22.6 minutes. There were no major operative complications or conversions to transabdominal preperitoneal or open repair. In the early postoperative period, 54 patients (90%) had mild or no pain. Nine patients (15%) developed minor postoperative complications. The mean length of hospital stay was 1.1±0.3 days and the mean time of return to normal daily activities and to work was 2.6±0.64 and 7.15±1.13 days respectively. No patient developed chronic groin pain, mesh-related complications or recurrences during the study period. Ninety one percent of patients described their satisfaction with surgery as good or excellent. Conclusion: laparoscopic TEP repair of uncomplicated groin hernia using Parietex ® anatomical mesh without fixation is safe and does not increase the risk of hernia recurrence.

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“…These authors were able to show that fi xation with fi brin sealant is mechanically equivalent to stapler fi xation. In a number of clinical studies, both its effi ciency and also a reduction in postoperative complication have been shown in inguinal hernia repair [20,21]. The use of fi brin sealant is now also being described for hiatus hernia repair.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of large hiatus hernia with mesh cruroplasty

Chowbey

Mittal²,

Dey³

et al. 2008

Indian J Surg

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Purpose Laparoscopy has become the standard surgical approach to surgery for gastrooesophageal refl ux disease (GERD) and hiatal hernia repair with excellent long-term results and high patient satisfaction. However several studies have shown that hiatal hernia repair, especially large hiatus are associated with high recurrence rate. Mesh reinforcement has been proposed for repair of large hiatus hernia. The objective of this study was to evaluate the role of mesh cruroplasty in management of large hiatus hernia (> 5 cm).Methods Between February 2002 to December 2007, 73 patients (28 men and 45 women) who underwent laparoscopic hiatal hernia repair with mesh cruroplasty were included in our study. Mesh reinforcement (cruroplasty) was used for repair of large hiatus hernia (>5 cms hernial defect). Mean age was 50.4 years (range 30-72 years). Follow up included barium swallow of patients at 3 months and yearly thereafter.Results Seventy-three patients underwent mesh cruroplasty for large hiatus hernia. We were able to adequately mobilise the oesophagus to achieve an intra-abdominal length of at least 3 cm in all patients. Intraoperative complication rate was 8.21% (6/73), intraoperative complications included pleural tear, bleeding from splenic capsule laceration and short gastric vessels. Postoperative complication rate was 4.1% (3/73), which included complete dyspahgia, atelactasis and pneumonia. Mean duration of hospitalisation was 3.5 days (range 3-9 days). Five patients (5/73) were lost to follow up. Four patients (5.8%) developed recurrence on routine follow up. No mesh related complications were noted on long-term follow up period. Mean follow up period was 3.2 years (range 5 months-6 years). ConclusionOur data supports the use of mesh in hiatal hernia repair, especially in large hiatus hernia as it leads to low recurrence rates. Longer follow up and more randomised controlled trials are needed to establish laparoscopic mesh cruroplasty as standard technique for large hiatal hernia repair.

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Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair

Abstract: 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.

Cited by 76 publications

References 18 publications

Fixing the Mesh in Inguinal Hernia Repair: Where Do We Stand?—Reply

Fixing the Mesh in Inguinal Hernia Repair: Where Do We Stand?—Reply

Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation

Laparoscopic management of large hiatus hernia with mesh cruroplasty

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