Fibrin glue versus tacked fixation of mesh in laparoscopic transabdominal preperitoneal repair of inguinal hernia: A prospective study | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 3, July 2024, Pages 806-813 PDF (600.37 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.357130 | ||
| Authors | ||
| Zeinab S. Hassanin* ; Elghamry E. Elghamry; Soliman M. Soliman; Mohamed M. Elsheikh | ||
| Department of General Surgery, Faculty of Medicine, Tanta University, Egypt | ||
| Abstract | ||
| Background: Hernia repair is a frequently performed procedure within the field of general surgery. The common primary method is the trans-abdominal pre-peritoneal (TAPP) procedure which has the advantages of early recovery and minimal postoperative discomfort. Objectives: The purpose of this study was to examine the effects of fibrin glue and stapler fixation on post-operative discomfort, cost, and early recurrence in TAPP inguinal hernia repair. Patients and Methods: 33 patients with inguinal hernias who received TAPP inguinal hernia repair were included in this prospective, randomized comparative research. The patients were split into two groups: Group I: fibrin glue was used to fix the mesh in 15 patients. Group II: Tacker was used to fix the mesh in 18 patients. Every patient received follow-up care for a minimum of six to twelve months. Results: There were no variations between the two groups’ age, sex, or risk factors for the development of hernias. Patients presented preoperatively by recurrent hernias reported in 3 cases in group I and 7 cases in group II. In terms of operative time, there was no differences between the two groups. In both groups, there were no postoperative early recurrences or problems during the procedure. All patients were discharged on the first postoperative day, except for one case per group that was discharged on the second. There were five cases (33.3%) in the fibrin glue group and four cases (22.2%), in the tacker group suffered from post-operative scrotal edema. In both groups, two patients experienced a postoperative hematoma. In group I, there were 2 patients with minor hydrocele following surgery, whereas group II had 3 cases. The amount of post-operative groin discomfort and how long it lasted varied significantly between the two groups; the fibrin glue group experienced a shorter pain duration (P value 0.037). In the fibrin glue group, return to work occurred more quickly (P value=0.028), and everyday activities were resumed earlier. Compared to tacker (group II), fibrin glue consumable (group I) was less expensive per case. Conclusion: In the short-term follow-up, fibrin glue, as opposed to tacker mesh fixation, had the benefit of reducing postoperative discomfort and allowing for an earlier return to work and everyday activities. As a safe and affordable substitute for disposable absorbatack, fibrin glue works well. | ||
| Keywords | ||
| Fibrin glue; Inguinal hernia; laparoscopic transabdominal preperitoneal repair; mesh fixation | ||
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