Page 9 - WJOLS - Journal of Laparoscopic Surgery

Vinaya K Ambore et al
low incidence of postoperative pain. Since the p-value for work by penetrating fixation mechanism and anchors
the t-test is less than that of 0.05, the VAS score at 24 and the mesh; however, this leads to some amount of
2 days indicates significant difference and also more pain postoperative pain.
tacker. Median (range) postoperative hospital stay for • Length of hospital stay was less in the glue fixation
patients with tacker fixation is 3 (2–4) days, which is more group.
as compared with 2 (1–3) days in glue fixation, which is • Cost of glue fixation is 50% less as compared with
statistically significant (p < 0.0001). tacker fixation owing to the added cost of tacker.
2
Eriksen et al from the group of Prof. Rosenberg at the • Postoperative follow-up up to 1 year does not show
University of Copenhagen, Denmark, have performed any recurrence; however, no data of efficiency with
and published an experimental study and a clinical longer follow-up are available.
randomized control trial on the fixation of mesh in ventral However, the use of tacker or glue depends on sur-
hernia with glue. They concluded that mesh fixation with geon’s preference, patient affordability, and availabilities
glue in LVHR was associated with less postoperative of facilities.
discomfort and pain. In our study, no recurrence
was found in both groups of fixation methods. In all REFERENCES
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• Return to normal physical activity is earlier in patients Laparoscopic incisional hernia repair with fibringlue in select
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• Tackers are used for fixation of mesh in LVHR and in laparoscopic repair of abdominal wall defects: preliminary
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