Randomized clinical trial of fibrin sealant <i>versus</i> titanium tacks for mesh fixation in laparoscopic umbilical hernia repair

Eriksen, Jens; Bisgaard, Thue; Assaadzadeh, S.; Jørgensen, Lars N.; Rosenberg, Jacob

doi:10.1002/bjs.7646

Cited by 56 publications

(32 citation statements)

References 20 publications

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“…Chevrel and Rath 1 first proposed fibrin sealant as an alternative means of mesh fixation in hernia repair. In our study, the average operation time in tacker fixation as compared with glue fixation is lesser in our study, which is again comparable to the study of Eriksen et al, 2 which shows glue fixation took longer than tacker fixation.…”

Section: Discussionsupporting

confidence: 90%

Comparative Study of Tacker vs Glue Fixation of Mesh in Laparoscopic Intraperitoneal Onlay Mesh Repair of Ventral Hernias

Ambore¹,

More²,

Bhandarwar³

et al. 2017

WJOLS

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Aim:To compare results of tacker and glue fixation of mesh in laparoscopic intraperitoneal onlay mesh repair of ventral hernias. Materials and methods:Patients admitted to the General Surgery Department of Sir Jamshedjee Jeejeebhoy Group of Hospitals, Mumbai, India, from January 2015 to June 2016 for ventral hernia repair were included for the study. A total of 60 patients were enrolled, and each group consisted of 30 cases. Results:In our study, the mean age of ventral hernia patients subjected for glue fixation was found to be 38 years and for tacker fixation it was found to be 38.77 years. There is no statistically significant difference among the age of cases in the two groups in terms of mean age (p = 0.75). Out of 60 cases, 28 (46.66%) were females, whereas 32 (53.33%) cases were males. Maximum size of hernia defect was restricted to 6 cm. The mean size of hernia defect was 2.84 ± 1.02 cm in the glue fixation group, while that in the tacker fixation group was 3.15 ± 0.731 cm. Mean duration of surgery was 83.67 minutes in the glue fixation group and 64.50 minutes in the tacker fixation group. There was no intraoperative and postoperative complications with glue fixation. In tacker fixation, seroma was seen in 4 cases (13.33%), hematoma in 1 (3%), bowel ileus in 1 (3%), whereas there were no intra-abdominal complications, bowel obstruction, bleeding from trocar site, and enterocutaneous fistula. The mean pain [visual analog scale (VAS) score] of glue fixation and tacker fixation at 24 hours was 1 and 2.23 respectively. Mean postoperative hospital stay for patients with tacker fixation is 3 days, and 2 days in glue fixation. Mean time to return to normal activities was 3 ± 0.6 days in tacker fixation group and 1 ± 0.58 days in glue fixation group. No recurrence was found in both groups of fixation methods. Conclusion:Mesh fixation with glue is better as compared with tacker in terms of cost, postoperative pain, and length of hospital stay; however, the use of tacker or glue depends on surgeon preference, patient affordability, and availabilities of facilities.

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Section: Discussionsupporting

confidence: 90%

Comparative Study of Tacker vs Glue Fixation of Mesh in Laparoscopic Intraperitoneal Onlay Mesh Repair of Ventral Hernias

Ambore¹,

More²,

Bhandarwar³

et al. 2017

WJOLS

View full text Add to dashboard Cite

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“…The Jadad score (scale 0-5) was different for the four RCTs: score 5 [20], score 3 [6], score 2 [7] and score 1 [19].…”

Section: Description Of the Studiesmentioning

confidence: 97%

“…Seven of the included studies were prospective studies [6][7][8][18][19][20][21]. Four of them were graded level II evidence [6,7,19,20], one level III-1 [18], and two studies were graded level III-2 evidence [8,21].…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…Four of them were graded level II evidence [6,7,19,20], one level III-1 [18], and two studies were graded level III-2 evidence [8,21]. Some of the remaining retrospective studies were also graded level III-2 evidence [9,10,[22][23][24][25][26][27][28][29] or level IV [30][31][32].…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…Postoperative pain was noted separately and not included in the complication rate. Postoperative pain was described in seven studies, of which only four studies were suitable for analysis [7,[18][19][20][21][22]27]. The other three studies reported only mean pain scores after surgery; the number of patients suffering from postoperative pain was not reported [19].…”

Section: Recurrence Complications and Postoperative Pain After Mesh mentioning

confidence: 99%

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A Collective Review on Mesh-Based Repair of Umbilical and Epigastric Hernias

2013

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In accordance with the tension-free principles for other hernias, umbilical and epigastric hernia repair should probably be mesh-based. The number of randomized studies is increasing, most of them showing significantly less recurrences with the use of a mesh. Different devices are available and are applicable by several approaches. The objective of this review was to evaluate recent literature for the different types of mesh for umbilical and epigastric hernia repair and recurrences after mesh repair. A multidatabase search was conducted to reveal relevant studies since 2001 reporting mesh-based repair of primary umbilical/epigastric hernia and their outcomes in adult patients. A total of 20 studies were included, 15 of them solely involved umbilical hernias, whereas the remaining studies included epigastric hernias as well. A median of 124 patients (range, 17-384) was investigated per study. Three quarters of the included studies had a follow-up of at least 2 years. Six studies described the results of laparoscopic approach, of which one reported a recurrence rate of 2.7 %; in the remaining studies, no recurrences occurred. Two comparative studies reported a lower incidence of complications and postoperative pain after laparoscopic repair compared to open repair. Seventeen studies reported results of open techniques, of which seven studies showed no recurrence. Other studies reported recurrence rates up to 3.1 %. A wide range of complication rates were reported (0-33 %). This collective review showed acceptable recurrence rates for mesh-based umbilical and epigastric hernia repair. A wide range of devices was investigated. A tendency toward more complications after laparoscopic repair was found compared to open repair.

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