Background: Patients who underwent primary inguinal hernia repair still report a high rate of postoperative pain after operation due to effect of mesh fixation by suture. An alternative is the use of human fibrin glue. We compared the two techniques. Methods: 468 patients randomly underwent primary inguinal hernia Lichtenstein repair fixing the mesh by suture or by human fibrin glue (HFG); in both cases themesh was fixed to the posterior wall of the inguinal canal and to the inguinal legament. results: No significant differences were recorded between the two groups in terms of complications, while the sutureless technique reduces the operative time and the postoperative pain. Conclusions: A widespread technique for the treatment of inguinal hernia is the application of a mesh using lichtenstein procedure. The prosthesis can be fixed by traditional suture or using a new method of sutureless fixation with adesive materials that shows an excellent local tolerability and lack of adverse effects and contraindications.

Damiano, G., Gioviale, M.C., Palumbo, V.D., Spinelli, G., Buscemi, S., Ficarella, S., et al. (2014). HUMAN FIBRIN GLUE SEALING VERSUS SUTURE POLYPROPYLENE FIXATION IN LICHTENSTEIN INGUINAL HERNIORRAPHY: A PROSPECTIVE OBSERVATIONAL STUDY. CHIRURGIA, 5(5), 660-663.

HUMAN FIBRIN GLUE SEALING VERSUS SUTURE POLYPROPYLENE FIXATION IN LICHTENSTEIN INGUINAL HERNIORRAPHY: A PROSPECTIVE OBSERVATIONAL STUDY.

DAMIANO, Giuseppe;GIOVIALE, Maria Concetta;PALUMBO, Vincenzo Davide;SPINELLI, Gabriele;Buscemi, Salvatore;FICARELLA, Silvia;TOMASELLO, Giovanni;LO MONTE, Attilio Ignazio
2014

Abstract

Background: Patients who underwent primary inguinal hernia repair still report a high rate of postoperative pain after operation due to effect of mesh fixation by suture. An alternative is the use of human fibrin glue. We compared the two techniques. Methods: 468 patients randomly underwent primary inguinal hernia Lichtenstein repair fixing the mesh by suture or by human fibrin glue (HFG); in both cases themesh was fixed to the posterior wall of the inguinal canal and to the inguinal legament. results: No significant differences were recorded between the two groups in terms of complications, while the sutureless technique reduces the operative time and the postoperative pain. Conclusions: A widespread technique for the treatment of inguinal hernia is the application of a mesh using lichtenstein procedure. The prosthesis can be fixed by traditional suture or using a new method of sutureless fixation with adesive materials that shows an excellent local tolerability and lack of adverse effects and contraindications.
Settore MED/18 - Chirurgia Generale
http://www.revistachirurgia.ro/index.php
Damiano, G., Gioviale, M.C., Palumbo, V.D., Spinelli, G., Buscemi, S., Ficarella, S., et al. (2014). HUMAN FIBRIN GLUE SEALING VERSUS SUTURE POLYPROPYLENE FIXATION IN LICHTENSTEIN INGUINAL HERNIORRAPHY: A PROSPECTIVE OBSERVATIONAL STUDY. CHIRURGIA, 5(5), 660-663.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/101964
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