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ORIGINAL ARTICLE
Year : 2018  |  Volume : 31  |  Issue : 1  |  Page : 140-144

Use of human fibrin glue versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty of inguinal hernia


Department of General Surgery, Faculty of Medicine, Menoufia University, Shebin El Kom, Menoufia, Egypt

Correspondence Address:
Mohammed A Badr Etman
Department of General Surgery, Faculty of Medicine, Menoufia University, Shebin El Kom, Menoufia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.234229

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Objective Toevaluate the uses of human fibrin glue versus staples for mesh fixation in laparoscopic transabdominal preperitoneal(TAPP) hernioplasty of inguinal hernia as regards postoperative pain, operative time, hospital stay, morbidity, and return to work. Background Inguinal hernia is one of the commonest conditions encountered in clinical practice. This procedure is increasingly performed with laparoscopy. Many surgeons prefer to cover the hernia gap with a mesh to prevent recurrence. During laparoscopic surgery, the mesh is generally fixed with staples or tissue glue. We designed a trial that aims to determine whether mesh fixation with glue might cause less postoperative pain than fixation with staples during TAPP repair. Patients and methods Between August 2015 and August 2016, this prospective randomized study included 40patients presented with inguinal hernia. Patients were randomized into two groups: groupI mesh was fixed by fibrin glue and the groupII mesh was fixed using staples. After TAPP hernioplasty, patients were followed up at 7–10days to assess postoperative pain and within 6–12months to detect recurrence. Results A total of 40patients, 20 in each group, were considered. Two cases in groupII presented with severe pain postoperative, while no cases presented with severe pain in groupI. On the other hand, nine cases in groupII had mild pain in comparison with two cases in group one and this difference was statistically significant. Conclusion There is less postoperative pain in mesh fixation with fibrin glue and less analgesia is needed after the operation compared with mesh fixation with staples.


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