Use of Human Fibrin Glue (Tissucol) Versus Staples for Mesh Fixation in Laparoscopic Transabdominal Preperitoneal Hernioplasty

Lovisetto, Federico; Zonta, Sandro; Rota, Emanuela; Mazzilli, M.; Bardone, M.; Bottero, Luca; Faillace, Giuseppe; Longoni, Mauro

doi:10.1097/01.sla.0000245832.59478.c6

Cited by 200 publications

(143 citation statements)

References 13 publications

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“…With a median follow-up of 1.2 years (84 % FU), there was no significant difference in chronic pain (20 vs. 13.2 %; P = 0.418); no recurrences were seen in any group [41]. A comparable study was done in TAPP [42]. The mesh, cut with a slit for the spermatic cord structures, was fixed with the same endoscopic Hernia Stapler (three clips at the Cooper ligament and pubic tubercle, lateral to the internal ring and both slits fixed) or with 1 ml of fibrin sealant anterior and posterior to the mesh).…”

Section: Endoscopic Surgerymentioning

confidence: 87%

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

356

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: Endoscopic Surgerymentioning

confidence: 87%

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

356

226

View full text Add to dashboard Cite

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“…Despite the previous non-absorbable tacks which were associated to a high incidence of nerve or muscular entrapment causing pain, para-esthesia and other chronic complications, the new U-shaped absorbable device may reduce pain or not result in it at all (15)(16)(17)(19)(20)(21)(22)(23)(24). Conversely, the tacks can be used to close the peritoneum reducing operating times and technical difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…In our experience, the TAPP procedure operating time has progressively improved accordingly to surgeon's and staff experience with an average operative time of 40min in bilateral hernias. Fibrin glue has proven to be both efficient and secure in mesh fixation and currently is recommended by Several International guidelines (15)(16)(17)(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

“…Fibrin glue seems to achieve both efficiency and security of mesh fixation, without the potential complication caused by stapling the mesh (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).In recent years, it has become possible to use absorbable tacks to fix the mesh and close the peritoneum (25). Shape of the new tack with its absorbable features together aimed to improve the early and late postoperative outcome after TAPP.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Agresta

Marzetti

Verza

et al. 2016

J Minim Invasive Surg Sci

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Background: Preliminary studies have indicated advantages of mesh fixation using fibrin glue in TAPP compared with tack fixation. Objectives: We report the results of a prospective experience in fixing mesh during TAPP with absorbable tacks. Patients and Methods: 50 consecutive men (who had bilateral inguinal hernia) were enrolled and followed up for at least 1 year. The primary measured outcome was pain experienced in day 1 of post-op. The secondary outcomes measured were postoperative scores of pain at rest, discomfort, and fatigue, foreign-body sensation, and hernia recurrence after 12 months. The outcomes were measured using a visual analogue scale, a verbal rating scale and numerical rating scales. A comparison was done within a historical group with the same demographic and hernia characteristics where the meshes have been fixed with fibrin glue. Results: The group of tacks 'TAPP' showed good results concerning the level of pain, fatigue and foreign body sensation comparable with those of the historical group. There were significant differences concerning the length of surgery where absorbable tacks performed better. Regarding cost of surgery, the fibrin glue showed effective results. Conclusions: The use of absorbable tacks during TAPP confers significant benefit regarding the operating time, however it is a disadvantage due to the cost when compared with fibrin glue.

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“…7 Penetrating devices, such as tacks, clips, staples, or strap devices should be avoided for mesh fixation and also for peritoneal closure, because of the risk of nerve injuries and adhesions. 8,9 LeBlanc 10 reported tack hernia as one of the complications after using tacks for mesh fixation or peritoneal closure in lapa roscopic hernia repair. The peritoneal incision should be noninvasively approximated, for instance, using an absorbable, whose ends get fixed with absorbable clips.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

Lasheen¹,

Sarhan²,

Salem³

et al. 2016

WJOLS

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Use of Human Fibrin Glue (Tissucol) Versus Staples for Mesh Fixation in Laparoscopic Transabdominal Preperitoneal Hernioplasty

Abstract: The use of Tissucol provides distinct advantages in laparoscopic treatment of inguinal/femoral hernias compared with conventional TAPP, including a lower incidence of postoperative neuralgia and an earlier resumption of physical and social activities.

Cited by 200 publications

References 13 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

Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

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