Skip to main content
SpringerLink
Log in

Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair: indications, technique, and outcomes

  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

The efficacy and safety of prosthesis fixation were studied by means of fibrin glue (Tissucol, Baxter Healthcare) during laparoscopic transabdominal preperitoneal (TAPP) treatment of inguinal and femoral hernias.

Methods

Between September 2001 and December 2004, fibrin glue was used for mesh fixation during TAPP.

Results

In this study, 320 hernias were treated for 230 patients (225 men and 5 women) with an average age of 45 years (range, 20–75 years). No perioperative complications were observed. After an average follow-up period of 26 months (range, 1–40 months), the only postoperative complications observed were six seromas (1.8%) and one trocar-site hematoma (0.3%). The mean operating time was 30 min for unilateral hernias and 50 min for bilateral hernias, whether primary or recurrent. Patients usually were discharged the day after surgery and returned to work after 5 days.

Conclusions

The authors’ experience demonstrates that fibrin glue (Tissucol) is an effective method for mesh fixation during TAPP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. American Society of Anesthesiologists (1963) New classification of physical status. Anesthesiology 24: 111

    Google Scholar 

  2. Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y (2001) The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology 95: 1356–1361

    Article  PubMed  CAS  Google Scholar 

  3. Eubanks S, Newman L, Goehring L, Lucas GW, Adams CP, Mason E, Duncan T (1993) Meralgia paresthetica: a complication of laparoscopic herniorrhaphy. Surg Laparosc Endosc 3: 381–385

    PubMed  CAS  Google Scholar 

  4. Felix EL, Michas CA, McKnight RL (1994) Laparoscopic repair of recurrent groin hernias. Surg Laparosc Endosc 4: 200–204

    PubMed  CAS  Google Scholar 

  5. Felix EL, Scott S, Crafton B, Geis P, Duncan T, Sewell R, McKernan B (1998) Causes of recurrence after laparoscopic hernioplasty: a multicenter study. Surg Endosc 12: 226–231

    Article  PubMed  CAS  Google Scholar 

  6. Ferzli GS, Frezza EE, Pecoraro AM, Ahern KD (1999) Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair. J Am Coll Surg 188: 461–465

    Article  PubMed  CAS  Google Scholar 

  7. Ferzli GS, Sayad P, Huie F, Hallak A, Usal H (1998) Endoscopic extraperitoneal herniorrhaphy: a 5-year experience. Surg Endosc 12: 1311–1313

    Article  PubMed  CAS  Google Scholar 

  8. Kapiris SA, Brough WA, Royston CM, O’Boyle C, Sedman PC (2001) Laparoscopic transabdominal preperitoneal (TAPP) hernia repair: a 7-year two-center experience in 3,017 patients. Surg Endosc 15: 972–975

    Article  PubMed  CAS  Google Scholar 

  9. Katkhouda N, Mavor E, Friedlander MH, Mason RJ, Kiyabu M, Grant SW, Achanta K, Kirkman EL, Narayanan K, Essani R (2001) Use of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair. Ann Surg 233: 18–25

    Article  PubMed  CAS  Google Scholar 

  10. Kraus MA (1993) Nerve injury during laparoscopic inguinal hernia repair. Surg Laparosc Endosc 3: 342–345

    PubMed  CAS  Google Scholar 

  11. Moore M, Burak WE Jr, Nelson E, Kearney T, Simmons R, Mayers L, Spotnitz WD (2001) Fibrin sealant reduces the duration and amount of fluid drainage after axillary dissection: a randomized prospective clinical trial. J Am Coll Surg 192: 591–599

    Article  PubMed  CAS  Google Scholar 

  12. Olmi S, Erba L, Magnone S, Croce E (2004) Laparoscopic transabdominal preperitoneal repair of inguinal hernia: indications, technique, complications and results in 10 years experience (in Italian). Minerva Chir 59: 265–270

    PubMed  CAS  Google Scholar 

  13. Phillips EH, Arregui M, Carroll BJ, Corbitt J, Crafton WB, Fallas MJ, Filipi C, Fitzgibbons RJ, Franklin MJ, McKernan B (1995) Incidence of complications following laparoscopic hernioplasty. Surg Endosc 9: 16–21

    PubMed  CAS  Google Scholar 

  14. Sayad P, Hallak A, Ferzli G (1998) Laparoscopic herniorraphy: review of complications and recurrence. J Laparoendosc Adv Surg Tech A 8: 3–10

    Article  PubMed  CAS  Google Scholar 

  15. Smith AI, Royston CM, Sedman PC (1999) Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair: a prospective randomized trial. Surg Endosc 13: 804–806

    Article  PubMed  CAS  Google Scholar 

  16. Stark E, Oestreich K, Wendl K, Rumstadt B, Hagmuller E (1999) Nerve irritation after laparoscopic hernia repair. Surg Endosc 13: 878–881

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Center of Laparoscopic and Minimally Invasive Surgery, San Gerardo Hospital, Monza, Italy

    S. Olmi, L. Erba, A. Bertolini, A. Scaini & E. Croce

Authors
  1. S. Olmi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. Erba
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Bertolini
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Scaini
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. Croce
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Olmi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Olmi, S., Erba, L., Bertolini, A. et al. Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair: indications, technique, and outcomes. Surg Endosc 20, 1846–1850 (2006). https://doi.org/10.1007/s00464-005-0502-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-005-0502-1

Keywords

Search

Navigation