A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias

Bansal, Virinder Kumar; Misra, Mahesh Chandra; Kumar, Subodh; Rao, Y. Keerthi; Singhal, Pratibha; Goswami, Anil Kumar; Guleria, Sandeep; Arora, Manali; Chabra, Anjolie

doi:10.1007/s00464-010-1410-6

Cited by 68 publications

(47 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors stressed the differences in operative time: the use of sutures appears to lengthen the operating time without any real improvement in outcome. Other studies confirmed the same findings [134,135].…”

Section: Non-absorbable Fixing Devicessupporting

confidence: 70%

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

View full text Add to dashboard Cite

The availability of recent level 1 evidence (a meta-analysis of 10 RCTs) allowed to recommend that not only laparoscopic repair is an acceptable alternative to the open repair, but also it is advantageous in terms of shorter hospital stay and wound infection rate. This conclusion appears to be extremely relevant in a clinical setting. Indications about specific conditions could also be issued: laparoscopy is recommended for the treatment of recurrent ventral hernias and obese patients, while it is a potential option for compensated cirrhotic and childbearing-age female patients. Many relevant and controversial topics were thoroughly examined by this consensus conference for the first time. Among them are the issue of safety of the intraperitoneal mesh placement, traditionally considered a major drawback of the laparoscopic technique, the role for the biologic meshes, and various aspects of the laparoscopic approach for particular locations of the defect such as the abdominal border or parastomal hernias.

show abstract

Section: Non-absorbable Fixing Devicessupporting

confidence: 70%

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In a second RCT (n = 68), helical tack fixation in 2 concentric rows (titanium, double-crown technique) caused significantly more pain over a period of up to 3 months postoperatively compared to permanent transfascial sutures (polypropylene) (31). A more recent RCT evaluated another variant of fixation with regard to postoperative pain (VAS): (titanium) helical tack in double-crown technique versus a combination of (titanium) helical tacks and transfascial sutures.…”

Section: Outcomes Of the Surgical Techniquesmentioning

confidence: 99%

The Treatment of Incisional Hernia

Dietz

Menzel

Lock

et al. 2018

Deutsches Ärzteblatt International

View full text Add to dashboard Cite

SummaryBackground: A meta-analysis of studies from multiple countries has shown that the incidence of incisional hernia varies from 4% to 10% depending on the type of operation. No epidemiological surveys have been conducted so far. The worst possible complication of an incisional hernia if it is not treated surgically is incarceration. In this article, we present the main surgical methods of treating this condition. We also evaluate the available randomized and controlled trials (RCTs) in which open and laparoscopic techniques were compared and analyze the patients' quality of life.

show abstract

“…A study conducted by Fortelny et al [11] with 89 patients having 110 hernia with 1-year follow-up, average VAS score was 0.4 for those whose mesh was fixed with fibrin glue and 0.9 for those in whom it was done with tacker. The study did not show any significant increase in pain caused by tacker.…”

Section: Groin Pain and Orchitismentioning

confidence: 99%

“…The time difference was attributed to need for sutures for peritoneal flap closure in the fibrin glue group. Bansal et al [11] have compared the operating time in mesh fixation with tacker (52.6 min) and suturing (77.5 min). Tolver et al [15] conducted a study in which TAPP was done for 100 patient using fibrin glue for 50 and tack for rest of the 50 patients.…”

Section: Operating Timementioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Clinical Outcome and Complications in Laparoscopic Hernia Repair of Inguinal Hernia With Mesh Fixation Using Fibrin Glue vs Tacker

Chandra¹,

Phalgune²,

Shah³

2015

Indian J Surg

View full text Add to dashboard Cite

Although laparoscopic repair offers a quick and less morbid way of treating hernias, complications like hematoma, seroma, neuralgia, recurrence, mesh infection, hydrocele, etc. are known. The present study was undertaken to compare various clinical outcomes between mesh fixation using fibrin glue and mesh fixation with tacker in a 3-months follow-up. One hundred patients aged 18 to 60 years having inguinal hernia admitted in Poona Hospital and Research Centre, Pune, between October 2012 and November 2014 for laparoscopic hernia surgery and ready to participate in this study were included. All of them underwent laparoscopic repair of hernia by total extra peritoneal (TEP) method following sample surgical protocol in all of them except for method of mesh fixation. Mean time calculated from insertion of the first trocar to beginning of skin suturing was 54.9 min in tacker group and 50.3 min in fibrin glue group with no statistically significant difference between the two. The incidence of urinary retention was significantly higher in tacker (34 %) as compared to fibrin glue (12 %) group. Incidence of hematoma was significantly higher in tacker group in 15-day follow-up, but there was no significant difference in hematoma formation at hernial sites in both groups after 15 days of follow-up. The incidence of neuralgia was significantly higher in the tacker group (24 %) compared with the fibrin glue group (2 %). Significantly, more number of people in the fibrin glue group 68 and 90 %, respectively, returned to work during 15 and 30 days follow-up as compared to the tacker group 46 and 64 %. Fibrin glue can be considered as an alternative to tacker for mesh fixation.

show abstract

A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias

Abstract: Suture fixation is a cost-effective alternative to tacker fixation, for small and medium-sized defects in anatomically accessible areas. However, suture fixation requires significantly longer operation time, but patients have statistically significantly less postoperative pain.

Cited by 68 publications

References 22 publications

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

The Treatment of Incisional Hernia

Comparison of the Clinical Outcome and Complications in Laparoscopic Hernia Repair of Inguinal Hernia With Mesh Fixation Using Fibrin Glue vs Tacker

Contact Info

Product

Resources

About