Sutureless hernioplasty with light-weight mesh and fibrin glue versus Lichtenstein procedure: a comparison of outcomes focusing on chronic postoperative pain

Lionetti, Ruggero; Neola, Benedetto; Dilillo, S; Bruzzese, Dario; Ferulano, G. P.

doi:10.1007/s10029-011-0869-y

Cited by 30 publications

(44 citation statements)

References 19 publications

(19 reference statements)

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“…Six studies reported the incidence of chronic pain after inguinal hernia repair [1,8,9,12,13,14]. Five of them reported a lower percentage of chronic pain in the fibrin group, while only one study [14] reported a higher percentage of chronic pain.…”

Section: Resultsmentioning

confidence: 96%

“…The recurrence rate in these trails was 1.79% [11], 0.95% [9], 1.35% [8], 0.38% [14] and 0.98% [15], respectively, with the follow-up of 6 to 15 months. One trial [8] determined the recurrence by clinical examination, while others didn't provide specific methods. Five recurrences in the fibrin group and four recurrences in the suture group were found.…”

Section: Resultsmentioning

confidence: 99%

“…Six trials [1,8,11,12,13,15] described the occurrence of urinary problems (i.e. urinary retention/infection), but only three were included in this analysis.…”

Section: Resultsmentioning

confidence: 99%

“…All abstracts, comparative studies, nonrandomized trials, and citations scanned were searched comprehensively. At last, nine trials were summarized in a formal meta-analysis [1,8,9,10,11,12,13,14,15]. …”

Section: Methodsmentioning

confidence: 99%

“…It has been used in a variety of surgical fields for its effectiveness, excellent local tolerability and relative lack of adverse effects and contraindications. However, the hospital costs were increased by the use of fibrin glue instead of the sutures [8]. The efficacy of fibrin glue compared to sutures in open tension-free inguinal hernioplasty is an ongoing debate.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair

Liu

Zheng

et al. 2014

Dig Surg

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Background: The aim of this study was to systematically analyze the randomized trials comparing fibrin glue mesh fixation with suture mesh fixation in open inguinal hernia repair. Methods: Information was collected from a literature search using PubMed, Springer, Cochrane Library database and reference lists. The methodological quality of included publications was evaluated. Statistical analysis was performed using Review Manager Version 5.2.5 software. Results: Nine articles were identified for inclusion: four randomized controlled trials (RCTs) and five prospective observational clinical studies. All the trials were considered to be of fair quality. The results showed that there was a lower incidence of chronic pain (RR 0.42, 95% CI 0.22-0.79, I² 11%; p < 0.01), and hematoma/seroma (RR 0.43, 95% CI 0.21-0.87, I² 0%; p < 0.05) in the fibrin glue mesh fixation group. However, the results of meta-analysis revealed that the incidence of recurrence or urinary problems between the two procedures were similar. Conclusions: During the 6-15 months follow-up, fibrin glue mesh fixation is a feasible alternative for mesh fixation with sutures in open inguinal hernia repair. However, the poor quality of the included trials limits the evidence; rigorously designed trials are warranted to confirm this conclusion.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

“…Six trials [1,8,11,12,13,15] described the occurrence of urinary problems (i.e. urinary retention/infection), but only three were included in this analysis.…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair

Liu

Zheng

et al. 2014

Dig Surg

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Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty

Sun

Cheng

Deng

et al. 2017

Cochrane Database of Systematic Reviews

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Based on the short-term results, glue may reduce postoperative chronic pain and not simultaneously increase the recurrence rate, compared with sutures for mesh fixation in Lichtenstein hernia repair. Glue may therefore be a sensible alternative to suture for mesh fixation in Lichtenstein repair. Larger trials with longer follow-up and high quality are warranted. The difference between synthetic glue and biological glue should also be assessed in the future.

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Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair

Sanders

Nienhuijs

Ziprin

et al. 2014

British Journal of Surgery

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Sutureless hernioplasty with light-weight mesh and fibrin glue versus Lichtenstein procedure: a comparison of outcomes focusing on chronic postoperative pain

Abstract: Our experience shows that the combined use of light-weight mesh and fibrin glue gives significantly better results in terms of postoperative pain and return to daily life.

Cited by 30 publications

References 19 publications

A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair

A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair

Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty

Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair

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