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Chirurgie 26. April 2016

TAPP surgery with mesh fixation and peritoneal closure using n-butyl-2-cyanoacrylate (LiquiBand®FIX8TM)—initial experience

Introduction: Laparoscopic procedures in groin hernia repair have been established since many years. Adhesive techniques for mesh fixation in the transabdominal pre-peritoneal (TAPP) procedure are now being increasingly discussed. Currently, there are three categories of adhesives available: synthetic adhesives (cyanoacrylate), biological products (e.g. fibrin glue) and genetically produced polymer protein adhesives.

The objective of this observation study was to evaluate the adhesive technique for mesh fixation and peritoneal closure using n-butyl-cyanoacrylate.

Material and method: Between January and February 2015, 20 consecutive male patients underwent TAPP surgery with mesh fixation and peritoneal closure with cyanoacrylate. The investigations encompassed complication rate and postoperative pain after 6 days and 3 months.

Results: Postoperative complication rate was low, one haematoma and one bulging. According to a standardised visual analogue scale (VAS 0–10), the average preoperative pain score was 2.8 (0–7), 1.2 (0–3) after 6 days and 0.1 (0–2) after 3 months. The mean operation time was 69 min. No hernia recurrence was detected during follow-up.

Conclusion: Our initial experience shows that mesh fixation and peritoneal closure using n-butyl-2-cyanoacrylate is save and sufficient.

Prof. R. Mittermair, G. Jenic, R. Kolenik, C. Sorre, European Surgery 2/2016

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