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Published in: Hernia 2/2008

01-04-2008 | Original Article

Randomized, controlled, blinded trial of Tissucol/Tisseel for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: rationale and study design of the TIMELI trial

Authors: G. Campanelli, G. Champault, M. Hidalgo Pascual, A. Hoeferlin, A. Kingsnorth, J. Rosenberg, M. Miserez

Published in: Hernia | Issue 2/2008

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Abstract

Background

Complications associated with sutured mesh fixation following open groin hernia repair have prompted surgeons to evaluate methods of atraumatic fixation such as the use of human fibrin glue. Small trials with Tissucol/Tisseel fibrin glue (Baxter Healthcare, Deerfield, IL, USA) have shown promising results that warrant further investigation.

Methods

TIMELI (Tissucol/Tisseel for MEsh fixation in LIchtenstein hernia repair) is an international, controlled, randomized, patient- and evaluator-blinded study that is comparing mesh fixation with Tissucol or sutures in patients with inguinal hernia. The primary endpoint evaluates the incidence of disabling complications (chronic pain and/or numbness and/or groin discomfort) at 12 months post-surgery.

Results

Patient enrolment started in February 2006 and ended on 19 April 2007, with a total of 325 patients recruited. Initial results are expected in early 2008.

Conclusions

TIMELI is a major international trial that will provide important information on the efficacy and safety of Tissucol, compared with sutures, for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair.
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Literature
1.
go back to reference Amid PK (2004) Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia 8:1–7PubMedCrossRef Amid PK (2004) Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia 8:1–7PubMedCrossRef
2.
go back to reference Amid PK, Lichtenstein IL (1998) Long-term results and current status of the Lichtenstein open tension-free hernioplasty. Hernia 2:89–94CrossRef Amid PK, Lichtenstein IL (1998) Long-term results and current status of the Lichtenstein open tension-free hernioplasty. Hernia 2:89–94CrossRef
3.
go back to reference Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA (2003) A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 19:48–54PubMedCrossRef Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA (2003) A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 19:48–54PubMedCrossRef
4.
go back to reference Fränneby U, Sandblom G, Nordin P, Nyren O, Gunnarsson U (2006) Risk factors for long-term pain after hernia surgery. Ann Surg 244:212–219PubMedCrossRef Fränneby U, Sandblom G, Nordin P, Nyren O, Gunnarsson U (2006) Risk factors for long-term pain after hernia surgery. Ann Surg 244:212–219PubMedCrossRef
5.
go back to reference Schulman AG, Amid PK, Lichtenstein IL (1995) A survey of non-expert surgeons using the open tension-free mesh repair for primary inguinal hernias. Int Surg 80:35–36 Schulman AG, Amid PK, Lichtenstein IL (1995) A survey of non-expert surgeons using the open tension-free mesh repair for primary inguinal hernias. Int Surg 80:35–36
6.
go back to reference Kingsnorth AN, Bowley DMG, Porter C (2003) A prospective study of 1000 hernias: results of the Plymouth Hernia Service. Ann R Coll Surg Engl 85:18–22PubMedCrossRef Kingsnorth AN, Bowley DMG, Porter C (2003) A prospective study of 1000 hernias: results of the Plymouth Hernia Service. Ann R Coll Surg Engl 85:18–22PubMedCrossRef
7.
go back to reference Amid PK (2004) Causes, prevention, and surgical treatment of postherniorrhaphy neuropathic inguinodynia: triple neurectomy with proximal end implantation. Hernia 8:343–349PubMedCrossRef Amid PK (2004) Causes, prevention, and surgical treatment of postherniorrhaphy neuropathic inguinodynia: triple neurectomy with proximal end implantation. Hernia 8:343–349PubMedCrossRef
8.
go back to reference The EU Hernia Trialists Collaboration (2002) Repair of groin hernia with synthetic mesh: meta-analysis of randomised controlled trials. Ann Surg 235:322–332CrossRef The EU Hernia Trialists Collaboration (2002) Repair of groin hernia with synthetic mesh: meta-analysis of randomised controlled trials. Ann Surg 235:322–332CrossRef
9.
go back to reference McCormack K, Scott NW, Go PM, Ross S, Grant AM, on behalf of the EU Hernia Trialists Collaboration (2000) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev DOI:10.1002/14651858.CD001785 McCormack K, Scott NW, Go PM, Ross S, Grant AM, on behalf of the EU Hernia Trialists Collaboration (2000) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev DOI:10.1002/14651858.CD001785
10.
go back to reference Wellwood J, Sculpher MJ, Stoker D, Nicholls GJ, Geddes C, Whitehead A, Singh R, Spiegelhalter D (1998) Randomised controlled trial of laparoscopic versus open mesh repair for inguinal hernia: outcome and cost. BMJ 317:103–110PubMed Wellwood J, Sculpher MJ, Stoker D, Nicholls GJ, Geddes C, Whitehead A, Singh R, Spiegelhalter D (1998) Randomised controlled trial of laparoscopic versus open mesh repair for inguinal hernia: outcome and cost. BMJ 317:103–110PubMed
11.
go back to reference Douek M, Smith G, Oshowo A, Stoker DL, Wellwood JM (2003) Prospective randomized control trial of laparoscopic versus open inguinal hernia mesh repair: five year follow-up. BMJ 326:1012–1013PubMedCrossRef Douek M, Smith G, Oshowo A, Stoker DL, Wellwood JM (2003) Prospective randomized control trial of laparoscopic versus open inguinal hernia mesh repair: five year follow-up. BMJ 326:1012–1013PubMedCrossRef
12.
go back to reference Muldoon RL, Marchant K, Johnson DD, Yoder GG, Read RC, Hauer-Jensen M (2004) Lichtenstein vs anterior preperitoneal prosthetic mesh placement in open inguinal hernia repair: a prospective, randomised trial. Hernia 8:98–103PubMedCrossRef Muldoon RL, Marchant K, Johnson DD, Yoder GG, Read RC, Hauer-Jensen M (2004) Lichtenstein vs anterior preperitoneal prosthetic mesh placement in open inguinal hernia repair: a prospective, randomised trial. Hernia 8:98–103PubMedCrossRef
13.
go back to reference Verstraete L, Swannet H (2003) Long-term follow-up after Lichtenstein hernioplasty in a general surgical unit. Hernia 7:185–190PubMedCrossRef Verstraete L, Swannet H (2003) Long-term follow-up after Lichtenstein hernioplasty in a general surgical unit. Hernia 7:185–190PubMedCrossRef
14.
go back to reference Kumar S, Wilson RG, Nixon SJ, Macintyre IM (2002) Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg 89:1476–1479PubMedCrossRef Kumar S, Wilson RG, Nixon SJ, Macintyre IM (2002) Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg 89:1476–1479PubMedCrossRef
15.
go back to reference Fernandez Lobato R, Garcia Septiem J, Ortega Deballon P, Martin Lucas FJ, Ruiz de Adana JC, Limones Esteban M (2001) Tissucol application in dermolipectomy and incisional hernia repair. Int Surg 86:240–245PubMed Fernandez Lobato R, Garcia Septiem J, Ortega Deballon P, Martin Lucas FJ, Ruiz de Adana JC, Limones Esteban M (2001) Tissucol application in dermolipectomy and incisional hernia repair. Int Surg 86:240–245PubMed
16.
go back to reference Canonico S, Santoriello A, Campitiello F, Fattopace A, Della Corte A, Sordelli, Benevento R (2005) Mesh fixation with human fibrin glue (Tissucol) in open tension-free inguinal hernia repair: a preliminary report. Hernia 9:330–333PubMedCrossRef Canonico S, Santoriello A, Campitiello F, Fattopace A, Della Corte A, Sordelli, Benevento R (2005) Mesh fixation with human fibrin glue (Tissucol) in open tension-free inguinal hernia repair: a preliminary report. Hernia 9:330–333PubMedCrossRef
17.
go back to reference Hidalgo M, Castillo MJ, Eymar JL, Hidalgo A (2005) Lichtenstein inguinal hernioplasty: sutures versus glue. Hernia 9:242–244PubMedCrossRef Hidalgo M, Castillo MJ, Eymar JL, Hidalgo A (2005) Lichtenstein inguinal hernioplasty: sutures versus glue. Hernia 9:242–244PubMedCrossRef
18.
go back to reference Benizri EI, Rahili A, Avallone S, Balestro JC, Cai J, Benchimol D (2006) Open inguinal hernia repair by plug and patch: the value of fibrin sealant fixation. Hernia 10:389–394PubMedCrossRef Benizri EI, Rahili A, Avallone S, Balestro JC, Cai J, Benchimol D (2006) Open inguinal hernia repair by plug and patch: the value of fibrin sealant fixation. Hernia 10:389–394PubMedCrossRef
19.
go back to reference Miserez M, Alezandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, Hoeferlin A, Kingsnorth AN, Mandala V, Pulot JP, Schumpelick V, Simmermacher RK, Stoppa R, Flament JB (2007) The European Hernia Society groin hernia classification: simple and easy to remember. Hernia. DOI:10.1007/s10029-007-0198-3 Miserez M, Alezandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, Hoeferlin A, Kingsnorth AN, Mandala V, Pulot JP, Schumpelick V, Simmermacher RK, Stoppa R, Flament JB (2007) The European Hernia Society groin hernia classification: simple and easy to remember. Hernia. DOI:10.1007/s10029-007-0198-3
20.
go back to reference Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Dunlop D, Gibbs J, Reda D, Henderson W (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350:1819–1827PubMedCrossRef Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Dunlop D, Gibbs J, Reda D, Henderson W (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350:1819–1827PubMedCrossRef
21.
go back to reference Redl H (2004) History of tissue adhesives. In: Saltz R, Toriumi DM (eds) Tissue glues in cosmetic surgery. Quality Medical Publishing, St Louis, pp 3–27 Redl H (2004) History of tissue adhesives. In: Saltz R, Toriumi DM (eds) Tissue glues in cosmetic surgery. Quality Medical Publishing, St Louis, pp 3–27
22.
go back to reference Dinges HP, Redl H, Thurnher M, Schiesser A, Schlag G (1986) Morphometic studies on wound healing after systemic administration of adriamycin and local application of fibrin sealant. Application of a new wound healing model using spongiosa implants. Path Res Pract 181:746–754PubMed Dinges HP, Redl H, Thurnher M, Schiesser A, Schlag G (1986) Morphometic studies on wound healing after systemic administration of adriamycin and local application of fibrin sealant. Application of a new wound healing model using spongiosa implants. Path Res Pract 181:746–754PubMed
23.
go back to reference Guyatt G, Gutterman D, Baumann MH, Addrizzo-Harris D, Hylek EM, Phillips B, Raskob G, Lewis SZ, Schünemann H (2006) Grading strength of recommendations and quality of evidence in clinical guidelines. Report from an American College of Chest Physicians Task Force. Chest 129:174–181PubMedCrossRef Guyatt G, Gutterman D, Baumann MH, Addrizzo-Harris D, Hylek EM, Phillips B, Raskob G, Lewis SZ, Schünemann H (2006) Grading strength of recommendations and quality of evidence in clinical guidelines. Report from an American College of Chest Physicians Task Force. Chest 129:174–181PubMedCrossRef
Metadata
Title
Randomized, controlled, blinded trial of Tissucol/Tisseel for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: rationale and study design of the TIMELI trial
Authors
G. Campanelli
G. Champault
M. Hidalgo Pascual
A. Hoeferlin
A. Kingsnorth
J. Rosenberg
M. Miserez
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
Hernia / Issue 2/2008
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-007-0315-3

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