HUMAN FIBRIN GLUE SEALING VERSUS SUTURE POLYPROPYLENE FIXATION IN LICHTENSTEIN INGUINAL HERNIORRAPHY: A PROSPECTIVE OBSERVATIONAL STUDY.
- Autori: Damiano, G.; Gioviale, M.; Palumbo, V.; Spinelli, G.; Buscemi, S.; Ficarella, S.; Bruno, A.; Tomasello, G.; LO MONTE, A.
- Anno di pubblicazione: 2014
- Tipologia: Articolo in rivista (Articolo in rivista)
- OA Link: http://hdl.handle.net/10447/101964
Background: Patients who underwent primary inguinal hernia repair still report a high rate of postoperative pain after operation due to effect of mesh fixation by suture. An alternative is the use of human fibrin glue. We compared the two techniques. Methods: 468 patients randomly underwent primary inguinal hernia Lichtenstein repair fixing the mesh by suture or by human fibrin glue (HFG); in both cases themesh was fixed to the posterior wall of the inguinal canal and to the inguinal legament. results: No significant differences were recorded between the two groups in terms of complications, while the sutureless technique reduces the operative time and the postoperative pain. Conclusions: A widespread technique for the treatment of inguinal hernia is the application of a mesh using lichtenstein procedure. The prosthesis can be fixed by traditional suture or using a new method of sutureless fixation with adesive materials that shows an excellent local tolerability and lack of adverse effects and contraindications.