The use of fibrin sealant for inguinal hernia repair : what is the current evidence ?

Details

Serval ID
serval:BIB_905FE13B7ADA
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The use of fibrin sealant for inguinal hernia repair : what is the current evidence ?
Journal
Journal of Symptoms and Signs
Author(s)
du Pasquier C., Demartines N., Schäfer M.
ISSN
2309-6195
ISSN-L
2309-6195
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
3
Number
2
Pages
103-113
Language
english
Notes
pdf : expert opinion
Abstract
Background. The use of fibrin glue to fix meshes in open and laparoscopic hernia repair has recently evolved.
Methods. A literature search through the PubMed database was performed to assess the use of fibrin glue for mesh fixation. Twenty-nine trials were finally included in the review (10 randomized controlled trials, 7 non-randomized trials and 12 case series). The endpoints were operative time, seroma formation, recovery time, recurrence rate and postoperative early and chronic pain.
Results. There was only a small difference between the groups regarding operative times, with a trend towards shorter operative times with fibrin sealant. There was no evidence for increased seroma formation after fibrin sealing. Recovery times were shorter after using fibrin glue and recurrence rates were similar in both groups. The main finding was reduced acute and chronic pain after fibrin sealing.
Conclusion. Fibrin sealing for mesh fixation in open and endoscopic hernia repair is a feasible and safe technique.
Create date
16/02/2015 15:44
Last modification date
20/08/2019 14:53
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