Mesh Fixation Using Fibrin Glue Sealant in Laparoscopic Inguinal Hernia Repair (TAPP and TEP): A Prospective Randomized Study

摘要

To evaluate the efficacy and safety of mesh fixation by means of fibrin sealant during laparoscopic inguinal hernia repair (TAPP and TEP). Because of its haemostatic and adhesive properties, fibrin sealant has been used in many areas of surgical treatment in recent years. In groin hernia repairs fibrin glue has become increasingly established as an alternative method for mesh fixation. Clinically, fixation with fibrin sealant shows a reduced postoperative complication rate compared to fixation with staples and sutures. 60 Inguinal hernia patients with age more than 18 years were included in the study and were divided into two groups of thirty patients each, for their laparoscopic repair of groin hernia. One group underwent TAPP repair and the other group underwent TEP repair. In both the groups mesh was fixed with fibrin sealant using a 3mm catheter (Duplotip: Baxter Healthcare), which fits the Tisseel syringe. The use of fibrin sealant has a distinct advantage in laparoscopic inguinal hernias repairs. The use of fibrin sealant to anchor the mesh was found to be easy and less expensive than stapling. No fibrin sealant related adverse effects were found. Mesh fixation with fibrin glue is preferable as it meets the requirements for both efficiency and security of fixation.