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Hernia
Published in: Hernia 5/2006

01-10-2006 | Original Article

Open inguinal hernia repair by plug and patch: the value of fibrin sealant fixation

Authors: E. I. Benizri, A. Rahili, S. Avallone, J. C. Balestro, J. Caï, D. Benchimol

Published in: Hernia | Issue 5/2006

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Abstract

Background

Prosthetic meshes give excellent results in groin hernia repair. However, although recurrence rates are very low, chronic pain remains frequent and mesh fixation may play a role in the occurrence of this complication. The use of fibrin sealant to secure the mesh may represent a useful alternative for the prevention of chronic pain. The aim of this study is to confirm that the mesh may be secured by spraying fibrin sealant and to assess the reduction in the incidence of chronic pain.

Methods

Seventy hernias were operated on in 57 patients and were evaluated on a prospective basis. The procedure involved placement of a plug and patch mesh which was secured with fibrin sealant alone. These patients were compared to a matched retrospective series of 57 patients who underwent the same procedure, except that conventional non-absorbable suture was used to secure the mesh.

Results

The two groups were equivalent for inclusion criteria and preoperative data. The complication rate was similar in the two groups. The operative time was shorter in the fibrin sealant group: 7 min for unilateral hernia (p = 0.0017) and 16 min for bilateral hernia (p = 0.0008). The length of hospital stay was also shorter in the fibrin sealant group (1.8 days vs. 2.5 days: p < 0.0001). There was no recurrence in the fibrin sealant group after a minimum follow-up of 12 months and no recurrence in the suture group after a minimum follow-up of 25 months. Finally, a significant reduction in chronic pain was observed in the fibrin sealant group (3.5% vs. 22.8%: p = 0.042).

Conclusion

This study confirms the effectiveness of fibrin glue in securing prosthetic meshes and reducing chronic inguinal pain.
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Metadata
Title
Open inguinal hernia repair by plug and patch: the value of fibrin sealant fixation
Authors
E. I. Benizri
A. Rahili
S. Avallone
J. C. Balestro
J. Caï
D. Benchimol
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
Hernia / Issue 5/2006
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-006-0112-4

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