Fibrin sealant for mesh fixation in Lichtenstein repair: Biomechanical analysis of different techniques

被引：19

作者：

Schwab R. ^{[1
,2
]}

Schumacher O. ^{[1
]}

Junge K. ^{[1
]}

Binnebösel M. ^{[1
]}

Klinge U. ^{[1
]}

Schumpelick V. ^{[1
]}

机构：

[1] Department of Surgery, Technical University of Aachen, Aachen

[2] Department of General, Visceral and Thoracic Surgery, Central Military Hospital, 56072 Koblenz

来源：

Hernia | 2007年 / 11卷 / 2期

关键词：

Fibrin sealant; Hernia; Lichtenstein; Mesh fixation; Tissucol;

D O I：

10.1007/s10029-007-0195-6

中图分类号：

学科分类号：

摘要：

Background: Mesh fixation using sealants is becoming increasingly popular in hernia surgery. Fibrin sealant is an atraumatic alternative to suture or stapler fixation and is currently the most frequently used sealant. There are currently no biomechanical data available for evaluation of the quality of adhesion achieved with fibrin sealant during Lichtenstein hernia repair. Methods: Five different suture and sealant techniques were evaluated and compared during simulated Lichtenstein hernia repair in an established, standardised biomechanical model for abdominal wall hernias. Results: Significantly greater stability was achieved with fibrin sealant fixation of meshes than with point-by-point suture fixation. Fibrin adhesion protected meshes from dislocation at least as well as suture fixation with additional running-suture closure of the hernia orifice. Fibrin mesh fixation combined with additional support from running-suture hernia closure was significantly (P ≤ 0.002) superior to all other methods. Conclusions: On the basis of these favourable biomechanical properties, mesh fixation using fibrin sealant can be recommended for use in onlay repair of transinguinal hernias. © Springer-Verlag 2007.

引用

页码：139 / 145

页数：6

共 23 条

[1]

Bay-Nielsen M., Perkins F.M., Kehlet H., Pain and functional impairment one year after inguinal herniorrhapy: A nationwide questionnaire study, Ann Surg, 223, pp. 1-7, (2001)

[2]

Aasvang E., Kehlet H., Surgical management of chronic pain after inguinal hernia repair, Br J Surg, 92, pp. 795-801, (2005)

[3]

Courtney C.A., Duffy K., Serpell M.G., O'Dwyer P.J., Outcome of patients with severe chronic pain following repair of groin hernia, Br J Surg, 89, pp. 1310-1314, (2002)

[4]

Callesen T., Bech K., Kehlet H., Prospective study of chronic pain after hernia repair, Br J Surg, 86, pp. 1528-1531, (1999)

[5]

Lau H., Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: A randomized prospective trial, Ann Surg, 242, pp. 670-675, (2005)

[6]

Topart P., Vandenbroucke F., Lozac'h P., Tisseel vs tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias, Surg Endosc, 19, pp. 724-727, (2005)

[7]

Schwab R., Willms A., Kroger A., Becker H.P., Less chronic pain following mesh fixation using fibrin sealant in TEP inguinal hernia repair, Hernia, 10, pp. 272-277, (2006)

[8]

Canonico S., Santoriello A., Campitiello F., Fattopace A., Della Corte A., Sordelli I., Benevento R., Mesh fixation with human fibrin glue (Tissucol) in open tension-free inguinal hernia repair: A preliminary report, Hernia, 9, pp. 330-333, (2005)

[9]

Benizri E.I., Rahili A., Avallone S., Balestro J.C., Cai J., Benchimol D., Open inguinal hernia repair by plug and patch: The value of fibrin sealant fixation, Hernia, 10, pp. 389-394, (2006)

[10]

Hidalgo M., Castillo M.J., Eymar J.L., Hidalgo A., Lichtenstein inguinal hernioplasty: Sutures versus glue, Hernia, 9, pp. 242-244, (2005)

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