The Role of Fibrin Glue Polypropylene Mesh Fixation in Open Inguinal Hernia Repair

Abstract

The aim:of this study was to compare two methods of polypropylene mesh fixation for inguinal hernia repair according to Lichtenstein using fibrin glue and suture fixation.Material and Methods:The study included 60 patients with unilateral inguinal hernia, divided into two groups of 30 patients – Suture fixation and fibrin glue fixation.All patients were analyzed according to:age, gender, body mass index (BMI), indication for surgery–the type, localization and size of the hernia, preoperative level of pain and the type of surgery. Overall postoperative complications and the patient’s ability to return to regular activities were followed for 3 months.Results and discussion:Statistically significant difference in the duration of surgery, pain intensity and complications (p<0.05) were verified between method A, the group of patients whose inguinal hernia was repaired using polypropylene mesh–fibrin glue and method B, where inguinal hernia was repaired with polypropylene mesh using suture fixation. Given the clinical research, this systematic review of existing results on the comparative effectiveness, will help in making important medical decisions about options for surgical treatment of inguinal hernia.Conclusions:The results of this study may impact decision making process for recommendations of methods of treatment by professional associations, making appropriate decisions on hospital procurement of materials, as well as coverage of health funds and insurance.

Effects of low-level laser therapy on autogenous bone graft stabilized with a new heterologous fibrin sealant

“…Cyanoacrylates were the first of such adhesives to be investigated. They have shown quick tissue adhesion and are practical to use [5][6][7][8]. Other types of sealants have also been used, such as sealants derived from human blood, which present risks such as embolization, infection, and parvovirus B19 [9][10][11].…”

Effectiveness of fibrin glue in comparision to polypropylene suture for mesh fixation in lichtenstein inguinal hernia repair

“…Study conducted by Amerodobasic et al showed to hematoma formation in both study and control group, similarly another study conducted by Girish et a in 2016 showed that 7% patients in control group and 4% patients in study group developed haematoma, which was statistically not significant. 14,16 Our study showed that 7 patients among prolene group and 3 patients in fibrin glue group had developed haematoma in early post-operative period and this finding was statistically in-significant with a p>0.05, suggesting that haematoma formation is seen in both types of mesh fixation.…”

“…This was similar to other studies like AmerOdobasic et al and Testini et al, suggesting that inguinal hernias are predominant in male population. 14,15 The observations of Girish et al were 56% of the total inguinal hernias were right sided, 38% were left sided. 16 Paajanen et al evaluated inguinal hernias and found that 54.3% were right sided, 45.7% were left sided.…”

Tissue Adhesives for Hernia Mesh Fixation: A Literature Review

“…Lower NRS pain score at seven days and one year compared to sutures [1]. Lower VAS pain score at one day, seven days, and one month compared to sutures [5]. 5.9%…”