Human Fibrin Glue Sealing versus Suture Polypropylene Fixation in Lichtenstein Inguinal Herniorrhaphy: a Prospective Observational Study
G. Damiano, M.C. Gioviale, V.D. Palumbo, G. Spinelli, S. Buscemi, S. Ficarella, A. Bruno, G. Tomasello, A.I. Lo MonteOriginal article, no. 5, 2014
Background: Patients who underwent primary inguinalhernia repair still report a high rate of postoperative painafter operation due to the effect of mesh fixation by suture.An alternative is the use of human fibrin glue. We comparedthe two techniques.
Methods: 468 patients randomly underwent primary inguinalhernia Lichtenstein repair fixing the mesh by suture or byhuman fibrin glue (HFG); in both cases the mesh was fixedto the posterior wall of the inguinal canal and to theinguinal ligament.
Results: No significant differences were recorded between thetwo groups in terms of complications, while the suturelesstechnique reduces the operative time and the postoperativepain.
Conclusions: A widespread technique for the treatment ofinguinal hernia is the application of a mesh using Lichtenstein procedure. The prosthesis can be fixed by traditional suture orusing a new method of sutureless fixation with adhesivematerials that shows an excellent local tolerability and lack ofadverse effects and contraindications.
Methods: 468 patients randomly underwent primary inguinalhernia Lichtenstein repair fixing the mesh by suture or byhuman fibrin glue (HFG); in both cases the mesh was fixedto the posterior wall of the inguinal canal and to theinguinal ligament.
Results: No significant differences were recorded between thetwo groups in terms of complications, while the suturelesstechnique reduces the operative time and the postoperativepain.
Conclusions: A widespread technique for the treatment ofinguinal hernia is the application of a mesh using Lichtenstein procedure. The prosthesis can be fixed by traditional suture orusing a new method of sutureless fixation with adhesivematerials that shows an excellent local tolerability and lack ofadverse effects and contraindications.
