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Published in: Surgical Endoscopy 12/2006

01-12-2006

Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair: indications, technique, and outcomes

Authors: S. Olmi, L. Erba, A. Bertolini, A. Scaini, E. Croce

Published in: Surgical Endoscopy | Issue 12/2006

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Abstract

Background

The efficacy and safety of prosthesis fixation were studied by means of fibrin glue (Tissucol, Baxter Healthcare) during laparoscopic transabdominal preperitoneal (TAPP) treatment of inguinal and femoral hernias.

Methods

Between September 2001 and December 2004, fibrin glue was used for mesh fixation during TAPP.

Results

In this study, 320 hernias were treated for 230 patients (225 men and 5 women) with an average age of 45 years (range, 20–75 years). No perioperative complications were observed. After an average follow-up period of 26 months (range, 1–40 months), the only postoperative complications observed were six seromas (1.8%) and one trocar-site hematoma (0.3%). The mean operating time was 30 min for unilateral hernias and 50 min for bilateral hernias, whether primary or recurrent. Patients usually were discharged the day after surgery and returned to work after 5 days.

Conclusions

The authors’ experience demonstrates that fibrin glue (Tissucol) is an effective method for mesh fixation during TAPP.
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Metadata
Title
Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair: indications, technique, and outcomes
Authors
S. Olmi
L. Erba
A. Bertolini
A. Scaini
E. Croce
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 12/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0502-1

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