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Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair
Introduction: Repair of inguinal hernia is a common procedure, but there is a lack of consensus as to the optimal repair technique along with the use of mesh and methods of mesh fixation. The objective of this study was to evaluate the efficacy and safety of fibrin sealant for mesh fixation in lapar...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc.
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369384/ https://www.ncbi.nlm.nih.gov/pubmed/27893306 http://dx.doi.org/10.1089/lap.2016.0555 |
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author | Hirsch, Hank Nagatomo, Kei Gefen, Jonathan |
author_facet | Hirsch, Hank Nagatomo, Kei Gefen, Jonathan |
author_sort | Hirsch, Hank |
collection | PubMed |
description | Introduction: Repair of inguinal hernia is a common procedure, but there is a lack of consensus as to the optimal repair technique along with the use of mesh and methods of mesh fixation. The objective of this study was to evaluate the efficacy and safety of fibrin sealant for mesh fixation in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Materials and Methods: A study was conducted of the first 200 patients undergoing TEP hernia repair with mesh fixation using fibrin sealant between March 2012 and January 2014. The primary outcome measures were (1) chronic pain (persisting for >3 months), (2) persistence of hernia (recurrence identified within first 2 weeks postoperatively), (3) hernia recurrence, and (4) any additional perioperative complications. The mean follow-up in the series was 34.4 ± 6.1 months (range 22.2–44.1). Results: Of the 278 hernias repaired in 204 patients (74 bilateral, 130 unilateral), 38 were recurrent and 240 were primary. Three patients (1.5%) had a persistent hernia, including one with a planned return to the operating room the next day due to poor visualization. Three patients (1.5%) had a hernia recurrence. Twelve patients (5.9%) reported experiencing chronic pain. The remaining complications were minor and resolved over time. Conclusions: TEP repair of inguinal hernia using mesh secured with fibrin sealant can be effectively used to treat primary, recurrent, unilateral, and bilateral inguinal hernias in adults with minimal recurrence rates and complications during almost 3 years of follow-up. |
format | Online Article Text |
id | pubmed-5369384 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Mary Ann Liebert, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-53693842017-05-02 Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair Hirsch, Hank Nagatomo, Kei Gefen, Jonathan J Laparoendosc Adv Surg Tech A Full Reports Introduction: Repair of inguinal hernia is a common procedure, but there is a lack of consensus as to the optimal repair technique along with the use of mesh and methods of mesh fixation. The objective of this study was to evaluate the efficacy and safety of fibrin sealant for mesh fixation in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Materials and Methods: A study was conducted of the first 200 patients undergoing TEP hernia repair with mesh fixation using fibrin sealant between March 2012 and January 2014. The primary outcome measures were (1) chronic pain (persisting for >3 months), (2) persistence of hernia (recurrence identified within first 2 weeks postoperatively), (3) hernia recurrence, and (4) any additional perioperative complications. The mean follow-up in the series was 34.4 ± 6.1 months (range 22.2–44.1). Results: Of the 278 hernias repaired in 204 patients (74 bilateral, 130 unilateral), 38 were recurrent and 240 were primary. Three patients (1.5%) had a persistent hernia, including one with a planned return to the operating room the next day due to poor visualization. Three patients (1.5%) had a hernia recurrence. Twelve patients (5.9%) reported experiencing chronic pain. The remaining complications were minor and resolved over time. Conclusions: TEP repair of inguinal hernia using mesh secured with fibrin sealant can be effectively used to treat primary, recurrent, unilateral, and bilateral inguinal hernias in adults with minimal recurrence rates and complications during almost 3 years of follow-up. Mary Ann Liebert, Inc. 2017-03-01 2017-03-01 /pmc/articles/PMC5369384/ /pubmed/27893306 http://dx.doi.org/10.1089/lap.2016.0555 Text en © Hank Hirsch, et al. 2017; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Full Reports Hirsch, Hank Nagatomo, Kei Gefen, Jonathan Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair |
title | Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair |
title_full | Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair |
title_fullStr | Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair |
title_full_unstemmed | Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair |
title_short | Mesh Fixation with Fibrin Sealant in Totally Extraperitoneal Hernia Repair |
title_sort | mesh fixation with fibrin sealant in totally extraperitoneal hernia repair |
topic | Full Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369384/ https://www.ncbi.nlm.nih.gov/pubmed/27893306 http://dx.doi.org/10.1089/lap.2016.0555 |
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