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Hernia

, 13:625 | Cite as

Sutureless mesh fibrin glue incisional hernia repair

  • M. Canziani
  • F. Frattini
  • M. Cavalli
  • S. Agrusti
  • F. Somalvico
  • G. Campanelli
Original Article

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

Keywords

Ventral hernia Mesh Fibrin glue Incisional hernia repair 

References

  1. 1.
    Millikan KW (2003) Incisional hernia repair. Surg Clin North Am 83(5):1223–1234CrossRefPubMedGoogle Scholar
  2. 2.
    Machairas A, Misiakos EP, Liakakos T, Karatzas G (2004) Incisional hernioplasty with extraperitoneal onlay polyester mesh. Am Surg 70(8):726–729PubMedGoogle Scholar
  3. 3.
    Bove A, Pungente S, Corradetti L, Bongarzoni G, Palone G, Corbellini L (2007) Preliminary reports with use a new composite prosthesis in incisional hernia surgery. G Chir 28(11–12):446–450PubMedGoogle Scholar
  4. 4.
    Petter-Puchner AH, Fortelny R, Mittermayr R, Ohlinger W, Redl H (2005) Fibrin sealing versus stapling of hernia meshes in an onlay model in the rat. Hernia 9(4):322–329CrossRefPubMedGoogle Scholar
  5. 5.
    Chevrel JP, Rath AM (2000) Classification of incisional hernias of the abdominal wall. Hernia 4:7–11CrossRefGoogle Scholar
  6. 6.
    Apolone G, Mosconi P (2001) Questionario sullo stato di salute SF-12 Versione Italiana, Istituto di Ricerche Farmacologiche Mario Negri, MilanoGoogle Scholar
  7. 7.
    Cassar K, Munro A (2002) Surgical treatment of incisional hernia. Br J Surg 89:534–545CrossRefPubMedGoogle Scholar
  8. 8.
    Kingsnorth AN, Shahid MK, Valliattu AJ, Hadden RA, Porter CS (2008) Open onlay mesh repair for major abdominal wall hernias with selective use of components separation and fibrin sealant. World J Surg 32(1):26–30CrossRefPubMedGoogle Scholar
  9. 9.
    Dumanian GA, Denham W (2003) Comparison of repair techniques for major incisional hernias. Am J Surg 185:61–65CrossRefPubMedGoogle Scholar
  10. 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
  11. 11.
    Ramshaw BJ, Esartia P, Schwab J (1999) Comparison of laparoscopic and open ventral herniorrhaphy. Am Surg 65:827–832PubMedGoogle Scholar
  12. 12.
    Iannitti DA, Hope WW, Norton HJ, Lincourt AE, Millikan K, Fenoglio ME, Moskowitz M (2008) Technique and outcomes of abdominal incisional hernia repair using a synthetic composite mesh: a report of 455 cases. J Am Coll Surg 206(1):83–88CrossRefPubMedGoogle Scholar
  13. 13.
    Paajanen H, Hermunen H (2004) Long term oain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study. Langenbecks Arch Surg 389(5):366–370CrossRefPubMedGoogle Scholar
  14. 14.
    Israelsson LA, Smedberg S, Montgomery A et al (2006) Incisional hernia repair in Sweden 2002. Hernia 10:258–261CrossRefPubMedGoogle Scholar
  15. 15.
    Heniford BT, Park A, Ramshaw BJ, Voeller G (2000) Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 190:645–650CrossRefPubMedGoogle Scholar
  16. 16.
    Fernandez Lobato R, Garcia Septiem J, Ortega Deballon P, Martin Lucas FJ, Ruiz de Adana JC, Limones Esteban M (2001) Tissucol application in dermolipectomy and incisional hernia repair. Int Surg 86(4):240–245PubMedGoogle Scholar
  17. 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

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • M. Canziani
    • 1
    • 2
  • F. Frattini
    • 1
    • 2
  • M. Cavalli
    • 1
    • 2
  • S. Agrusti
    • 1
    • 2
  • F. Somalvico
    • 3
  • G. Campanelli
    • 2
    • 1
  1. 1.University of InsubriaVarese (VA)Italy
  2. 2.Unit of General Surgery, Day and Week Surgery, Department of Surgical SciencesMultimedica Holding S.p.ACastellanza (VA)Italy
  3. 3.Statistical UnitMultimedica Holding S.p.ASesto San Giovanni (MI)Italy

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