Randomized clinical trial of fibrin glue versus tacked fixation in laparoscopic groin hernia repair

Tolver, Mette Astrup; Rosenberg, Jacob; Juul, Per; Bisgaard, Thue

doi:10.1007/s00464-012-2766-6

Cited by 50 publications

(53 citation statements)

References 31 publications

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“…In our experience, the TAPP procedure operating time has progressively improved accordingly to surgeon's and staff experience with an average operative time of 40min in bilateral hernias. Fibrin glue has proven to be both efficient and secure in mesh fixation and currently is recommended by Several International guidelines (15)(16)(17)(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

“…Despite the previous non-absorbable tacks which were associated to a high incidence of nerve or muscular entrapment causing pain, para-esthesia and other chronic complications, the new U-shaped absorbable device may reduce pain or not result in it at all (15)(16)(17)(19)(20)(21)(22)(23)(24). Conversely, the tacks can be used to close the peritoneum reducing operating times and technical difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…Fibrin glue seems to achieve both efficiency and security of mesh fixation, without the potential complication caused by stapling the mesh (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).In recent years, it has become possible to use absorbable tacks to fix the mesh and close the peritoneum (25). Shape of the new tack with its absorbable features together aimed to improve the early and late postoperative outcome after TAPP.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Agresta

Marzetti

Verza

et al. 2016

J Minim Invasive Surg Sci

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Background: Preliminary studies have indicated advantages of mesh fixation using fibrin glue in TAPP compared with tack fixation. Objectives: We report the results of a prospective experience in fixing mesh during TAPP with absorbable tacks. Patients and Methods: 50 consecutive men (who had bilateral inguinal hernia) were enrolled and followed up for at least 1 year. The primary measured outcome was pain experienced in day 1 of post-op. The secondary outcomes measured were postoperative scores of pain at rest, discomfort, and fatigue, foreign-body sensation, and hernia recurrence after 12 months. The outcomes were measured using a visual analogue scale, a verbal rating scale and numerical rating scales. A comparison was done within a historical group with the same demographic and hernia characteristics where the meshes have been fixed with fibrin glue. Results: The group of tacks 'TAPP' showed good results concerning the level of pain, fatigue and foreign body sensation comparable with those of the historical group. There were significant differences concerning the length of surgery where absorbable tacks performed better. Regarding cost of surgery, the fibrin glue showed effective results. Conclusions: The use of absorbable tacks during TAPP confers significant benefit regarding the operating time, however it is a disadvantage due to the cost when compared with fibrin glue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Agresta

Marzetti

Verza

et al. 2016

J Minim Invasive Surg Sci

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“…The exclusion criteria are as follows: Sample size of 50 was calculated for each group [14,15]. All 100 patients were divided into 50 blocks (block randomisation).…”

Section: Exclusion Criteriamentioning

confidence: 99%

“…Bansal et al [11] have compared the operating time in mesh fixation with tacker (52.6 min) and suturing (77.5 min). Tolver et al [15] conducted a study in which TAPP was done for 100 patient using fibrin glue for 50 and tack for rest of the 50 patients. Mean operating time was 27 min for the tacker group and 30 min for the fibrin glue group.…”

Section: Operating Timementioning

confidence: 99%

Comparison of the Clinical Outcome and Complications in Laparoscopic Hernia Repair of Inguinal Hernia With Mesh Fixation Using Fibrin Glue vs Tacker

Chandra¹,

Phalgune²,

Shah³

2015

Indian J Surg

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Although laparoscopic repair offers a quick and less morbid way of treating hernias, complications like hematoma, seroma, neuralgia, recurrence, mesh infection, hydrocele, etc. are known. The present study was undertaken to compare various clinical outcomes between mesh fixation using fibrin glue and mesh fixation with tacker in a 3-months follow-up. One hundred patients aged 18 to 60 years having inguinal hernia admitted in Poona Hospital and Research Centre, Pune, between October 2012 and November 2014 for laparoscopic hernia surgery and ready to participate in this study were included. All of them underwent laparoscopic repair of hernia by total extra peritoneal (TEP) method following sample surgical protocol in all of them except for method of mesh fixation. Mean time calculated from insertion of the first trocar to beginning of skin suturing was 54.9 min in tacker group and 50.3 min in fibrin glue group with no statistically significant difference between the two. The incidence of urinary retention was significantly higher in tacker (34 %) as compared to fibrin glue (12 %) group. Incidence of hematoma was significantly higher in tacker group in 15-day follow-up, but there was no significant difference in hematoma formation at hernial sites in both groups after 15 days of follow-up. The incidence of neuralgia was significantly higher in the tacker group (24 %) compared with the fibrin glue group (2 %). Significantly, more number of people in the fibrin glue group 68 and 90 %, respectively, returned to work during 15 and 30 days follow-up as compared to the tacker group 46 and 64 %. Fibrin glue can be considered as an alternative to tacker for mesh fixation.

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Post-Surgical Hidden Cost: Neuralgia

Notaro

Bocchi²,

Ladiana

et al. 2019

Abdominal Wall Surgery

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Randomized clinical trial of fibrin glue versus tacked fixation in laparoscopic groin hernia repair

Abstract: Fibrin glue compared with tacks fixation improved the early postoperative outcome after TAPP. The trial was registered at clinicaltrials.gov NCT01000116.

Cited by 50 publications

References 31 publications

Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Comparison of the Clinical Outcome and Complications in Laparoscopic Hernia Repair of Inguinal Hernia With Mesh Fixation Using Fibrin Glue vs Tacker

Post-Surgical Hidden Cost: Neuralgia

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