Sutureless mesh fibrin glue incisional hernia repair
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The aim of this study is to evaluate the usefulness of sutureless incisional open hernia repair with mesh fixation only using a fibrin glue sealant.
From 2002 to 2007, 40 patients underwent surgical recurrent incisional hernia repair, consisting of a sutureless positioning of a retromuscolar-preperitoneal polypropylene stiff mesh, fixed only with 2 ml of human fibrin glue.
The average hospitalization period was 3 days; postoperative complications occurred in seven patients: wound infection in four patients and hematoma in three patients. Seroma was not observed. Postoperative pain occurred in two patients, while chronic pain occurred in one patient; the remaining 37 patients were pain-free.
The use of an open retromuscolar mesh is an easy, inexpensive and relatively safe method to repair large incisional hernias. In our study the use of fibrin glue sealant demonstrated a low incidence of postoperative pain and short hospitalization.
KeywordsVentral hernia Mesh Fibrin glue Incisional hernia repair
- 6.Apolone G, Mosconi P (2001) Questionario sullo stato di salute SF-12 Versione Italiana, Istituto di Ricerche Farmacologiche Mario Negri, MilanoGoogle Scholar
- 10.Abrahamson J (2001) The Shoelace Repair. In: Bendavid R, Abrahamson J, Arregui M, Flament JB, Phillips EH (eds) Abdominal wall hernias: principles and management. Springer, New York, pp 483–486Google Scholar
- 17.Kapischke M, Schulz T, Schipper T, Tensfeldt J, Caliebe A (2008) Open versus laparoscopic incisional hernia repair: something different from a meta-analysis, Surg Endosc 2008 Mar 5 (Epub ahead of print)Google Scholar