Abstract
Background
The laparoscopic repair of groin hernias generally involves mesh fixation to avoid displacement and recurrence. Fixation usually uses staples that can lead to nerve injury and chronic postoperative pain. Laparoscopic repairs are associated with a risk of chronic pain of up to 22.5%. The use of fibrin glue (Tisseel) may represent an alternative method of mesh fixation preventing the risk of nerve injury.
Methods
Sixty-six patients had groin hernia repair using a totally extraperitoneal (TEP) laparoscopic procedure. Mesh fixation was achieved using 2 ml of fibrin glue. Comparison was made with an earlier series of 102 patients operated on according to the same procedure in which mesh fixation used tack staples. Complications, length of stay, recurrence, and postoperative chronic pain were assessed.
Results
No difference was found between the two series, except there was a significantly higher rate of postoperative chronic pain in the staples series (14.7 vs 4.5%, p = 0.037) and there was one recurrence (1.5%) in the fibrin glue group of patients.
Conclusions
Fibrin glue achieved an adequate mesh fixation with a lower incidence of chronic postoperative pain. Although a prospective randomized study is needed, Tisseel appears to be an alternative to staples for mesh fixation and may help reduce the postoperative pain problems after hernia repair.
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References
GC Beattie S Rumar SJ Nixon (2000) ArticleTitleLaparoscopic total extraperitoneal hernia repair: mesh fixation is unnecessary J Laparoendosc Adv Surg 10 71–73 Occurrence Handle1:STN:280:DC%2BD3c3lt1WrsQ%3D%3D
M Bozuk R Schuster D Stewart K Hicks G Greaney K Waxman (2003) ArticleTitleDisability and chronic pain after open mesh and laparoscopic inguinal hernia repair Am Surg 69 839–841 Occurrence Handle14570359
T Callesen K Bech H Kehlet (1999) ArticleTitleProspective study of chronic pain after hernia repair Br J Surg 86 1528–1531
S Canonico G Sciaudone F Pacifico A Santorielo (1999) ArticleTitleInguinal hernia repair in patients with coagulation problems: prevention of postoperative bleeding with human fibrin glue Surgery 125 315–317 Occurrence Handle1:STN:280:DyaK1M7nsF2isA%3D%3D Occurrence Handle10076616
CA Courtney K Duffy MG Serpell PJ O’Dwyer (2002) ArticleTitleOutcome of patients with severe chronic pain following repair of groin hernia Br J Surg 89 1310–1314 Occurrence Handle10.1046/j.1365-2168.2002.02206.x Occurrence Handle1:STN:280:DC%2BD38vos1GjsA%3D%3D Occurrence Handle12296903
InstitutionalAuthorNameEuropean Union Hernia Trialists Collaboration (2002) ArticleTitleRepair of groin hernia with synthetic mesh. Meta-analysis of randomized controlled trials Ann Surg 235 322–332
GS Ferzli E Eldo Frezza AM Pecoraro SuffixJr K Dee Ahern (1999) ArticleTitleProspective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair J Am Coll Surg 1881 461–465
AC Hindmarsh E Cheong MPN Lewis M Rhodes (2003) ArticleTitleAttendance at a pain clinic with severe chronic pain after open and laparoscopic inguinal hernia repairs Br J Surg 90 1152–1154 Occurrence Handle10.1002/bjs.4213 Occurrence Handle1:STN:280:DC%2BD3svgsFemtA%3D%3D Occurrence Handle12945086
InstitutionalAuthorNameInternational Association for the Study of Pain, Subcommittee on Taxonomy (1986) ArticleTitleClassification of chronic pain: descriptions of chronic pain syndromes and definition of pain terms Pain 3 S1–S226
IC Jourdan ME Bailey (1998) ArticleTitleInitial experience with the use of N-butyl 2-cyanoacrylate glue for the fixation of polypropylene mesh in laparoscopic hernia repair Surg Laparosc Endosc 4 291–293
N Katkhouda E Mavor MH Friedlander RJ Mason M Kiyabu SW Grant K Achanta EL Kirkman K Narayanan R Essani (2001) ArticleTitleUse of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair Ann Surg 233 18–25 Occurrence Handle1:STN:280:DC%2BD3MzltlWqsA%3D%3D Occurrence Handle11141220
S Kumar RG Wilson SJ Nixon IMC Macintyre (2002) ArticleTitleChrome pain after laparoscopic and open mesh repair of groin hernia Br J Surg 89 1476–1479 Occurrence Handle10.1046/j.1365-2168.2002.02260.x Occurrence Handle1:STN:280:DC%2BD38njt1amsQ%3D%3D Occurrence Handle12390395
H Lau GP Nivritti (2003) ArticleTitleSelective non-stapling of mesh during unilateral endoscopic extraperitoneal inguinal hernioplasty Arch Surg 138 1352–1355 Occurrence Handle14662538
H Lau G Patil WK Yuen F Lee (2003) ArticleTitlePrevalence and severity of chronic pain after endoscopic totally extraperitoneal inguinal hernioplasty Surg Endosc 17 1620–1623 Occurrence Handle1:STN:280:DC%2BD3sngs1Oiuw%3D%3D Occurrence Handle12874688
AS Poobalan J Bruce W Cairns S Smith PM King ZH Krukowski W Alastair Chambers (2003) ArticleTitleA review of chronic pain after inguinal herniorraphy Clin J Pain 19 48–54 Occurrence Handle10.1097/00002508-200301000-00006 Occurrence Handle12514456
PJ Quilici EM Greaney J Quilici S Anderson (2000) ArticleTitleLaparoscopic inguinal hernia repair: optimal technical variations and results in 1700 cases Am Surg 66 848–852 Occurrence Handle1:STN:280:DC%2BD3cvktlGhsw%3D%3D Occurrence Handle10993614
H Redl (2004) History of tissue adhesives R Saltz D Toriumi (Eds) Tissues glues in cosmetic surgery Quality Medical St. Louis 3–28
AI Smith CM Royston PC Sedman (1999) ArticleTitleStapled and non-stapled laparoscopic transabdominal TAPP ingurnal hernia repair: a prospective randomized trial Surg Endosc 13 804–806 Occurrence Handle1:STN:280:DyaK1MzlvF2itQ%3D%3D Occurrence Handle10430690
C Tamme H Scheidbach C Hampe C Schneider F Kockerling (2003) ArticleTitleTotally extraperitoneal endoscopic inguinal hernia repair (TEP). Results of 5203 hernia repairs Surg Endosc 17 190–195 Occurrence Handle1:STN:280:DC%2BD3s%2Fms12qsQ%3D%3D Occurrence Handle12457220
J Zieren E Castenholz CA Jacobi HU Zieren J Muller (1999) ArticleTitleIs mesh fixation in abdominal hernia necessary? Langenbeck’s Arch Surg 384 71–75 Occurrence Handle1:STN:280:DyaK1M3psVSmtg%3D%3D
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Topart, P., Vandenbroucke, F. & Lozac’h, P. Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias. Surg Endosc 19, 724–727 (2005). https://doi.org/10.1007/s00464-004-8812-2
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DOI: https://doi.org/10.1007/s00464-004-8812-2