Mesh fixation with human fibrin glue (Tissucol) in open tension-free inguinal hernia repair: A preliminary report

被引：55

作者：

Canonico S. ^{[1
]}

Santoriello A. ^{[1
]}

Campitiello F. ^{[1
]}

Fattopace A. ^{[1
]}

Della Corte A. ^{[1
]}

Sordelli I. ^{[1
]}

Benevento R. ^{[1
]}

机构：

[1] Department of General Surgery, School of Medicine, Second University of Naples, 80138 Naples

来源：

Hernia | 2005年 / 9卷 / 4期

关键词：

Human fibrin glue; Mesh fixation; Tension-free hernia repair; Unilateral inguinal hernia;

D O I：

10.1007/s10029-005-0020-z

中图分类号：

学科分类号：

摘要：

Background: The Lichtenstein technique for inguinal hernia repair is easy to learn and associated with few complications. However, recent studies have suggested that this technique is inferior to some 'sutureless' repair systems in terms of perceived difficulty, operating time, surgeon satisfaction, etc. Methods: We employed a sutureless Lichtenstein technique in 80 consecutive patients with primary unilateral inguinal hernia, to assess patient and trainee surgeon outcomes. Human fibrin glue was used in place of conventional sutures. Results: The mean operating time was 36 min and all patients were discharged 5-6 h after the operation. On a 100-point visual analogue scale, the surgeons rated the difficulty of the operation as low (mean score, 31), and perceived satisfaction as high (mean score, 84). No complications were observed at 12-month follow-up. Conclusion: This stu dy confirms the efficacy of mesh fixation with human fibrin glue, and supports the viability of a sutureless Lichtenstein procedure. © Springer-Verlag 2005.

引用

页码：330 / 333

页数：3

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