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Hernia
Published in: Hernia 5/2009

Open Access 01-10-2009 | Original Article

Fibrin sealant in inguinal hernioplasty: an observational multicentre study in 1,201 patients

Authors: B. Descottes, M. Bagot d’Arc

Published in: Hernia | Issue 5/2009

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Abstract

Purpose

A prospective, multicentre, observational study was undertaken to assess Tisseel® fibrin sealant for atraumatic mesh fixation in inguinal hernia repair throughout France.

Methods

Surgeons recorded data on patients undergoing tension-free inguinal hernioplasty with mesh fixation with Tisseel®, regardless of the hernioplasty technique used. Assessments were made at 2 days and 1 month after surgery. Data on local complications, operation times and ease of product use were collected.

Results

In total, 1,201 patients were recruited (90% men, mean age 57 years), among which 526 procedures were performed using open techniques and 675 using laparoscopic repairs. Local complications occurred in 4.7% of patients: 3.0% haematoma, 1.4% seroma, 0.3% recurrence. The mean visual analogue scale (VAS)-rated pain scores were 3.2 pre-operatively, 2.3 immediately after surgery and 1.8 at 1 month. Surgeons rated the product as very easy to use.

Conclusions

Tisseel® fibrin sealant appears to be a well-tolerated and easy-to-use alternative to traditional, tissue-penetrating devices for mesh fixation in hernia repair techniques.
Appendix
Available only for authorised users
Footnotes
1
Tisseel® is also known as Tissucol® in some countries.
 
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Metadata
Title
Fibrin sealant in inguinal hernioplasty: an observational multicentre study in 1,201 patients
Authors
B. Descottes
M. Bagot d’Arc
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Hernia / Issue 5/2009
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-009-0524-z

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