NBCA medical adhesive (n-butyl-2-cyanoacrylate) versus suture for patch fixation in Lichtenstein inguinal herniorrhaphy: A randomized controlled trial

Shen, Yingmo; Sun, Wenbing; Chen, Jie; Liu, Sujun; Wang, Minggang

doi:10.1016/j.surg.2011.09.031

Cited by 52 publications

(87 citation statements)

References 25 publications

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“…A prospective randomised multicentre trial reports a significant reduction in postoperative pain at 1 and 6 months and a 45 % reduction in incidence of a composite endpoint regarding chronic disabling complications (pain/numbness/groin discomfort) at 1 year after Lichtenstein repair with fibrin glue (heavyweight) mesh fixation compared to standard suture fixation [30]. Two other RCTs comparing, respectively, cyanoacrylate glue fixation (under local anaesthesia) [31] and fibrin glue (under spinal anaesthesia) [32] with standard fixation of a large pore mesh during Lichtenstein repair showed less acute pain at 24 h and lower incidence of hematoma formation and less pain and numbness at 1 week and 1 month.…”

Section: Open Surgerymentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

337

226

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Purpose: In 2009, the European Hernia Society published the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. The guidelines expired January 1, 2012. To keep them updated, a revision of the guidelines was planned including new level 1 evidence. Methods: The original Oxford Centre for Evidence-Based Medicine ranking was used. All relevant level 1A and level 1B literature from May 2008 to June 2010 was searched (Medline and Cochrane) by the Working Group members. All chapters were attributed to the two responsible authors in the initial guidelines document. One new chapter on fixation techniques was added. The quality was assessed by the Working Group members during a 2-day meeting and the data were analysed, especially with respect to any change in the level and/or text of any of the conclusions or recommendations of the initial guidelines. In the end, all relevant references published until January 1, 2013 were included. The final text was approved by all Working Group members. Results: For the following topics, the conclusions and/or recommendations have been changed: indications for treatment, treatment of inguinal hernia, day surgery, antibiotic prophylaxis, training, postoperative pain control and chronic pain. The addendum contains all current level 1 conclusions, Grade A recommendations and new Grade B recommendations based on new level 1 evidence (with the changes in bold). Conclusions: Despite the fact that the Working Group responsible for it tried to represent most kinds of surgeons treating inguinal hernias, such general guidelines inevitably must be fitted to the daily practice of every individual surgeon treating his/her patients. There is no doubt that the future of guideline implementation will strongly depend on the development of easy to use decision support algorithms tailored to the individual patient and on evaluating the effect of guideline implementation on surgical outcome. At the 35th International Congress of the EHS in Gdansk, Poland (May 12-15, 2013), it was decided that the EHS, IEHS and EAES will collaborate from now on with the final goal to publish new joint guidelines, most likely in 2015

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Section: Open Surgerymentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

337

226

View full text Add to dashboard Cite

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“…In addition to FDA approval, internal b-CNA has been used successfully for the treatment of bleeding varices, bronchopleural fistulas, and pancreatic fistulas without long-term adverse systemic effects [18e22]. Likewise, b-CNA was also reported to be safe and effective for patch fixation in Lichtenstein inguinal hernioplasty in a randomized controlled study [23]. We were also concerned about hernia recurrence, because b-CNA may lose its adhesiveness over time and loosen.…”

Section: Discussionmentioning

confidence: 99%

“…We were also concerned about hernia recurrence, because b-CNA may lose its adhesiveness over time and loosen. Normally, CNA is slowly degraded over a period of 3e9 months, which provides sufficient time to maintain closure of the PPV, while providing enough tensile strength to support the wound healing process [16,23]. In our case, in order to promote wound healing, the mesothelial layer of the PPV opening was electrically cauterized, the cauterized raw surface was apposed together with the laparoscopic instrument, and liquid b-CNA was applied with caution to avoid placement of the agent in a nonintended location.…”

Section: Discussionmentioning

confidence: 99%

A human case study demonstrating the safety and effectiveness of laparoscopic surgical glue injection hernioplasty for pediatric indirect inguinal hernia

Park

Hong

Chang

et al. 2014

Journal of Pediatric Surgery Case Reports

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a b s t r a c tThe purpose of this pediatric case report was to provide clinical evidence supporting the safety and effectiveness of laparoscopic surgical glue injection hernioplasty (LSGIH) in humans for indirect inguinal hernia repair. We performed LSGIH on a female newborn for a right indirect inguinal hernia that was incidentally discovered during a laparoscopic right salphingo-oophorectomy for prenatal right ovarian cyst torsion. Under laparoscopic control, the internal ring was closed by injection of Histoacryl Ò into the internal opening of the patent processus vaginalis. One month later, the patient underwent another laparoscopic operation due to torsion of a newly developed contralateral ovarian cyst. During the second operation, we were able to clearly observe the previous LSGIH site. Despite partial absorption of the injected Histoacryl Ò , the opening of the internal ring remained closed without any evidence of adhesions. This case supports LSGIH as a simple, safe, and useful technique for pediatric inguinal hernioplasty. However, more clinical trials should be performed to confirm the long-term reliability and safety of LSGIH in humans.

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“…This ‘chronic' time frame ranged between 1 and 36 months [63,64,65,66,67]. Second, some studies included the quantitative factor PI in their definition of CPIP, which was either expressed using descriptive terms [68,69,70,71,72,73,74,75], a visual analog scale (VAS) score, or a QOL score [31,76,77,78,79,80,81,82,83,84,85]. …”

Section: Resultsmentioning

confidence: 99%

“…Thirty-two studies (40%) had a validated assessment of both PI and QOL [11,14,19,20,22,24,29,31,34,38,40,41,43,45,48,53,54,56,58,60,62,65,67,73,74,76,84,86,87,88,89,90]; in 33 (41%) and 3 (4%) of the studies, respectively, there was only a validated assessment of PI [8,10,13,17,21,23,25,26,28,30,33,35,36,42,44,47,49,50,52,59,61,63,69,71,77,78,80,81,82,83,85] or QOL [46,51,57]. …”

Section: Resultsmentioning

confidence: 99%

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

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Background: Chronic postoperative inguinal pain (CPIP) is the most common long-term complication of inguinal hernia repair. As such procedures are routinely performed, CPIP can be considered a significant burden to global health care. Therefore, adequate preventative measures relevant to surgical practice are investigated. However, as no gold standard research approach is currently available, study and outcome measures differ between studies. The current review aims to provide a qualitative analysis of the literature to seek out if outcomes of CPIP are valid and comparable, facilitating recommendations on the best approach to preventing CPIP. Methods: A systematic review of recent studies investigating CPIP was performed, comprising studies published in 2007-2015. Study designs were analyzed regarding the CPIP definitions applied, the use of validated instruments, the availability of a baseline score, and the existence of a minimal follow-up of 12 months. Results: Eighty eligible studies were included. In 48 studies, 22 different definitions of CPIP were identified, of which the definition provided by the International Association for the Study of Pain was applied most often. Of the studies included, 53 (66%) used 33 different validated instruments to quantify CPIP. There were 32 studies (40%) that assessed both pain intensity (PI) and quality of life (QOL) with validated tools, 41% and 4% had a validated assessment of only PI or QOL, respectively, and 15% lacked a validated assessment. The visual analog scale and the Short Form 36 (SF36) were most commonly used for measuring PI (73%) and QOL (19%). Assessment of CPIP was unclear in 15% of the studies included. A baseline score was assessed in 45% of the studies, and 75% had a follow-up of at least 12 months. Conclusion: The current literature addressing CPIP after inguinal hernia repair has a variable degree of quality and lacks uniformity in outcome measures. Proper comparison of the study results to provide conclusive recommendations for preventive measures against CPIP therefore remains difficult. These findings reaffirm the need for a uniform and validated assessment with uniform reporting of outcomes to improve the burden that CPIP poses to a significant surgical patient population.

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NBCA medical adhesive (n-butyl-2-cyanoacrylate) versus suture for patch fixation in Lichtenstein inguinal herniorrhaphy: A randomized controlled trial

Cited by 52 publications

References 25 publications

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

A human case study demonstrating the safety and effectiveness of laparoscopic surgical glue injection hernioplasty for pediatric indirect inguinal hernia

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

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