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Laparoscopic intraperitoneal onlay mesh (IPOM) repair using n-butyl-2-cyanoacrylate (Liquiband Fix8™) for mesh fixation: learning experience and short-medium term results

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Abstract

Aim

The purpose of this study was to evaluate a novel hernia repair glue fixation device (LiquibandFix8™) in laparoscopic IPOM repair for incisional hernias.

Methods

All ventral incisional hernia patients requiring laparoscopic IPOM repair were included in the study. A retrospective review of the data was performed.

Results

137 patients underwent 138 laparoscopic IPOM repairs for incisional hernias using n-butyl-2-cyanoacrylate (LiquibandFix8™) for mesh fixation over a 40-month period by a single experienced laparoscopic surgeon. There were 70 males and 67 females, median age 54 years (range 23–80 years). Defects were predominantly midline n = 123/138 (89%) and were closed by transfascial sutures in 126/138 (91%) prior to IPOM repair (IPOM plus). Mesh fixation was successful in all 138 repairs. Synthetic meshes (Symbotex™ [polyester/collagen composite, Medtronic] n = 80, and Dynamesh® [polypropylene/PVDF composite, FEG Textiltechnik mbH] n = 5) and biologic meshes (Surgimend® [bovine collagen dermal matrix, Integra] n = 53) were used. Median follow-up was 32 months (range 12–48 months). There were 16 adverse events in 12 patients (9%): conversion to open surgery (inadvertent enterotomy) 2 (1.5%), bladder perforation 1, intraperitoneal bleeding 2, port-site haematoma 2, port site wound infection 1, post-op ileus 2, chest infection 1, seroma 1 (1%), hernia recurrence 3 (2%) and chronic pain 2 (1.5%).

Conclusion

This retrospective study shows that mesh fixation in laparoscopic IPOM using cyanoacrylate glue with the Liquiband Fix8™ device is feasible, safe, easy to learn, and is associated with a low risk of seroma, hernia recurrence and chronic pain with short-medium term follow-up.

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Acknowledgements

The author would like to thank Tina Warburton, Clinical Research Associate, Advanced Medical Solutions Group plc for her assistance with preparation of the manuscript and Irfan Qureshi, Global Senior Product Manager, Advanced Medical Solutions Group plc for his support.

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Authors and Affiliations

  1. Department of General Surgery, Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, UK

    P. Wilson

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  1. P. Wilson
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Correspondence to P. Wilson.

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Conflict of interest

The author has received speaker honoraria and honoraria for consultation from Advanced Medical Solutions plc.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of our institution and the UK NHS Health Research Authority and with the 1964 Helsinki declaration and its later amendments.

Human and animal rights

This study did not involve the use of animals.

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This retrospective study did not require formal consent.

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Wilson, P. Laparoscopic intraperitoneal onlay mesh (IPOM) repair using n-butyl-2-cyanoacrylate (Liquiband Fix8™) for mesh fixation: learning experience and short-medium term results. Hernia 24, 1387–1396 (2020). https://doi.org/10.1007/s10029-020-02144-3

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  • DOI: https://doi.org/10.1007/s10029-020-02144-3

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