Top

Hernia

Published in:

01-12-2013 | Original Article

Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs

Authors: C. R. Berney, A. E. T. Yeo

Published in: Hernia | Issue 6/2013

Abstract

Purpose

Endoscopic repair of inguinal hernia can decrease the incidence of chronic groin pain. Staple mesh fixation is the surgical technique preferentially used but may also cause residual pain. Although a substantial number of specialists advocate no mesh fixations, concerns are that this could lead to an increase in recurrence rates. This study aimed to assess the safety and the effectiveness of fibrin sealant, as an alternative technique to staple mesh fixation after totally extraperitoneal (TEP) inguinal hernia repair.

Methods

A total of 472 patients underwent elective TEP inguinal hernia repair between February 2005 and July 2011. Mesh fixation was achieved using fibrin sealant. Patients were reviewed postoperatively at Week 2, Week 6, and Month 6. Patient satisfaction was assessed in a subgroup of 116 patients using a comprehensive scoring system designed for hernia repairs, and pain was assessed using a standard Visual Analog pain Scale.

Results

No conversion to open surgery was observed. There were two cases of major morbidities and no mortality. Three months after surgery, only three patients (0.6 %) experienced chronic groin or testicular discomfort. At Week 6, 98.9 % of the patients were either satisfied or very satisfied with their outcome, and 96.8 % denied any residual pain. Finally, only six hernia recurrences (0.9 %) were reported, of which five occurred during the first months of the study.

Conclusions

Fibrin sealant is safe and reliable for mesh fixation of inguinal hernia during TEP repair with a very high satisfaction index and limited risk of developing chronic pain.

Goo TT, Lawenko M, Cheah WK, Tan C, Lomanto D (2010) Endoscopic total extraperitoneal repair of recurrent inguinal hernia: a 5-year review. Hernia 14(5):477–480. doi:10.1007/s10029-010-0675-y PubMedCrossRef

Langeveld HR, van’t Riet M, Weidema WF, Stassen LP, Steyerberg EW, Lange J, Bonjer HJ, Jeekel J (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg 251(5):819–824. doi:10.1097/SLA.0b013e3181d96c32 PubMedCrossRef

Gong K, Zhang N, Lu Y, Zhu B, Zhang Z, Du D, Zhao X, Jiang H (2011) Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial. Surg Endosc 25(1):234–239. doi:10.1007/s00464-010-1165-0 PubMedCrossRef

Dulucq JL, Wintringer P, Mahajna A (2011) Occult hernias detected by laparoscopic totally extra-peritoneal inguinal hernia repair: a prospective study. Hernia 15(4):399–402. doi:10.1007/s10029-011-0795-z PubMedCrossRef

Taylor CJ, Wilson T (2005) Long-term results of laparoscopic totally extraperitoneal inguinal herniorrhaphy. ANZ J Surg 75(8):637–639. doi:10.1111/j.1445-2197.2005.03487.x PubMedCrossRef

Hindmarsh AC, Cheong E, Lewis MP, Rhodes M (2003) Attendance at a pain clinic with severe chronic pain after open and laparoscopic inguinal hernia repairs. Br J Surg 90(9):1152–1154. doi:10.1002/bjs.4213 PubMedCrossRef

Wong J, Anvari M (2001) Treatment of inguinodynia after laparoscopic herniorrhaphy: a combined laparoscopic and fluoroscopic approach to the removal of helical tackers. Surg Laparosc Endosc Percutan Tech 11(2):148–151PubMed

Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, Crafton WB (1997) Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic. Ann Surg 225(4):422–431PubMedCrossRef

Amid PK (2004) Radiologic images of meshoma: a new phenomenon causing chronic pain after prosthetic repair of abdominal wall hernias. Arch Surg 139(12):1297–1298. doi:10.1001/archsurg.139.12.1297 PubMedCrossRef

10.

Novik B, Hagedorn S, Mork UB, Dahlin K, Skullman S, Dalenback J (2006) Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair: a study with a 40-month prospective follow-up period. Surg Endosc 20(3):462–467. doi:10.1007/s00464-005-0391-3 PubMedCrossRef

11.

Kukleta JF, Freytag C, Weber M (2012) Efficiency and safety of mesh fixation in laparoscopic inguinal hernia repair using n-butyl cyanoacrylate: long-term biocompatibility in over 1,300 mesh fixations. Hernia 16(2):153–162. doi:10.1007/s10029-011-0887-9 PubMedCrossRef

12.

Golash V (2004) Technique of suturing the mesh in laparoscopic total extra peritoneal (TEP) repair of inguinal hernia. Surgeon 2(5):264–272PubMedCrossRef

13.

Fortelny RH, Petter-Puchner AH, Glaser KS, Redl H (2012) Use of fibrin sealant (Tisseel/Tissucol) in hernia repair: a systematic review. Surg Endosc. doi:10.1007/s00464-012-2156-0

14.

Khaleal F, Berney C (2011) The role of fibrin glue in decreasing chronic pain in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair: a single surgeon’s experience. ANZ J Surg 81(3):154–158. doi:10.1111/j.1445-2197.2010.05438.x PubMedCrossRef

15.

Putnis S, Berney CR (2012) Totally extraperitoneal repair of inguinal hernia: techniques and pitfalls of a challenging procedure. Langenbecks Arch Surg 397(8):1343–1351PubMedCrossRef

16.

Berney CR (2011) The endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach. Hernia. doi:10.1007/s10029-011-0892-z

17.

Heniford BT, Walters AL, Lincourt AE, Novitsky YW, Hope WW, Kercher KW (2008) Comparison of generic versus specific quality-of-life scales for mesh hernia repairs. J Am Coll Surg 206(4):638–644. doi:10.1016/j.jamcollsurg.2007.11.025 PubMedCrossRef

18.

Berney CR (2011) Unusual clinical presentation of a preperitoneal hernia following endoscopic totally extraperitoneal inguinoscrotal hernia repair. Hernia. doi:10.1007/s10029-010-0776-7

19.

Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, Hoeferlin A, Kingsnorth AN, Mandala V, Palot JP, Schumpelick V, Simmermacher RK, Stoppa R, Flament JB (2007) The European hernia society groin hernia classification: simple and easy to remember. Hernia 11(2):113–116. doi:10.1007/s10029-007-0198-3 PubMedCrossRef

20.

Putnis S, Wong A, Berney C (2011) Synchronous femoral hernias diagnosed during endoscopic inguinal hernia repair. Surg Endosc 25(12):3752–3754. doi:10.1007/s00464-011-1781-3 PubMedCrossRef

21.

Aasvang E, Kehlet H (2005) Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 95(1):69–76. doi:10.1093/bja/aei019 PubMedCrossRef

22.

Lovisetto F, Zonta S, Rota E, Mazzilli M, Bardone M, Bottero L, Faillace G, Longoni M (2007) Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty: a prospective, randomized study. Ann Surg 245(2):222–231. doi:10.1097/01.sla.0000245832.59478.c6 PubMedCrossRef

23.

Olmi S, Erba L, Bertolini A, Scaini A, Croce E (2006) Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair: indications, technique, and outcomes. Surg Endosc 20(12):1846–1850. doi:10.1007/s00464-005-0502-1 PubMedCrossRef

24.

Katkhouda N, Mavor E, Friedlander MH, Mason RJ, Kiyabu M, Grant SW, Achanta K, Kirkman EL, Narayanan K, Essani R (2001) Use of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair. Ann Surg 233(1):18–25PubMedCrossRef

25.

Lau H (2005) Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: a randomized prospective trial. Ann Surg 242(5):670–675PubMedCrossRef

26.

Corbie-Smith G, Moody-Ayers S, Thrasher AD (2004) Closing the circle between minority inclusion in research and health disparities. Arch Intern Med 164(13):1362–1364. doi:10.1001/archinte.164.13.1362 PubMedCrossRef

27.

Gonzalez R, Fugate K, McClusky D 3rd, Ritter EM, Lederman A, Dillehay D, Smith CD, Ramshaw BJ (2005) Relationship between tissue ingrowth and mesh contraction. World J Surg 29(8):1038–1043. doi:10.1007/s00268-005-7786-0 PubMedCrossRef

28.

Teng YJ, Pan SM, Liu YL, Yang KH, Zhang YC, Tian JH, Han JX (2011) A meta-analysis of randomized controlled trials of fixation versus nonfixation of mesh in laparoscopic total extraperitoneal inguinal hernia repair. Surg Endosc 25(9):2849–2858. doi:10.1007/s00464-011-1668-3 PubMedCrossRef

29.

Schwab R, Schumacher O, Junge K, Binnebosel M, Klinge U, Becker HP, Schumpelick V (2008) Biomechanical analyses of mesh fixation in TAPP and TEP hernia repair. Surg Endosc 22(3):731–738. doi:10.1007/s00464-007-9476-5 PubMedCrossRef

Title: Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs
Authors: C. R. Berney
A. E. T. Yeo
Publication date: 01-12-2013
Publisher: Springer Paris
Published in: Hernia / Issue 6/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-012-1034-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2013

Outpatient inguinal hernia repair under local anaesthesia: feasibility and efficacy of ultrasound-guided transversus abdominis plane block

Short-term outcomes of inguinal hernia repair in octogenarians and nonagenarians

Incarcerated inguinal hernia and small bowel obstruction as a rare complication of a penile prosthesis

Quality of life change in elderly patients undergoing open inguinal hernia repair

Internal hernia through the falciform ligament

Selective use of bioabsorbable Gore BIO-A plug and patch for groin hernia repair