Page 53 - World's Most Popular Laparoscopic Journal

Abhijit Mahanta, RK Mishra

sac dissection. From a mechanical standpoint, fixation of 6. Novik B, Hagedorn S, S Skullman, J Dalenba¨ ck Surg Endosc
the mesh was equivalent to that obtained with clips but 2006;20:462-67 DOI: 10.1007/s00464-005-0391-3. Fibrin glue
prevented complications related to the application of staples for securing the mesh in laparoscopic totally extraperitoneal
inguinal hernia repair. A study with a 40-month prospective
(bleeding and hematomas in Retzius' space, neuralgia and follow-up period.
chronic pain). 7. Schmidt1 SC, Langrehr JM. Autologous fibrin sealant
®
The difference in terms of operating costs between the (Vivostat ) for mesh fixation in laparoscopic transabdominal
two fixation techniques/methods does tilts in favor of fibrin preperitoneal hernia repair. Endoscopy 2006;38(8):841-44. DOI:
10.1055/s-2006-944609.
glue. Two milliliters of Tisseel is available for 149 USD, 8. Schulze S, Kristiansen VB, Fischer Hansen B, Rosenberg J.
whereas the single use tacker stapler is 287 USD, 300 euros Biological tissue adhesive for mesh-application: An experimental
for Endoanchor (Ethicon Endosurgery) and 250 Euros for study. Surg Endosc 2005;19:342-44. DOI: 10.1007/s00464-004-
Protak (Tyco, Norwalk, CT, USA). On long-term pros- 9054-z.
pective, considerable cost savings can be done if postoperative 9. Graziano Ceccarelli Æ Luciano Casciola Æ Massimo Codacci
Pisanelli Æ. Comparing fibrin sealant with staples for mesh
complications (neuralgias, seromas, and hematomas) are fixation in laparoscopic transabdominal hernia repair: A case
reduced and hospital recovery periods are shortened. control-study. Surg Endosc 2008;22:668-73. DOI 10.1007/
s00464-007-9458-58.
CONCLUSIONS 10. Olmi Stefano, Scaini Alberto, Erba Luigi, Bertolini Aimone, Croce
Enrico. Laparoscopic repair of inguinal hernias using an
The use of fibrin glue has a distinct advantage in intraperitoneal onlay mesh technique and a Parietex composite
laparoscopic treatment of inguinal hernias compared with mesh fixed with fibrin glue (Tissucol). Personal technique and
other conventional methods of mesh fixation. The use of preliminary results. Surg Endosc 2007;21:1961-64. DOI:
fibrin sealant reduces the risk of post- and intraoperative 10.1007/s00464-007-9355-0.
complications, such as bleeding, seroma, chronic pain, has 11. C Schug-Pass Æ H, Lippert Æ F, Ko¨ckerling. Fixation of mesh
to the peritoneum using a fibrin glue: Investigations with a
a lower incidence of postoperative neuralgia and provides biomechanical model and an experimental laparoscopic porcine
an early faster return to social life. The recurrence rates are model. Surg Endosc 2009;23:2809-15. DOI 10.1007/s00464-
similar, but the operative time is slightly longer if the 009-0509-0.
preparation time of the fibrin sealant is taken into 12. Schulze S, Kristiansen VB, Fischer Hansen B, Rosenberg J.
Biological tissue adhesive for mesh-application in pigs: An
consideration. Otherwise, the operative time is shorter in experimental study. Surg Endosc 2005;19:342-44. DOI: 10.1007/
fibrin mesh fixation as compared to staples/tacks. Fibrin s00464-004-9054-z.
glue appears to be an effective alternative to staples, tacks 13. R Schwab Æ O, Schumacher Æ K, Junge Æ M, Binnebo¨sel Æ U,
and anchors for mesh fixation. Mesh fixation with fibrin Klinge Æ HP, Becker Æ V Schumpelick. Biomechanical analyses
glue is preferable as it meets the requirements for both of mesh fixation in TAPP and TEP hernia. Repair Surg Endosc
2008;22:731-38. DOI 10.1007/s00464-007-9476-5.
efficiency and security of fixation. 14. Stark E, Oestreich K, Wendl K, Rumstadt B, Hagmuller E. Nerve
irritation after laparoscopic hernia repair. Surg Endosc
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