World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 3 ( September-December, 2010 ) > List of Articles

REVIEW ARTICLE

Tissue Glue in Laparoscopic Inguinal Hernia Repair: A Retrospective Comparative Analysis

Abhijit Mahanta

Citation Information : Mahanta A. Tissue Glue in Laparoscopic Inguinal Hernia Repair: A Retrospective Comparative Analysis. World J Lap Surg 2010; 3 (3):165-174.

DOI: 10.5005/jp-journals-10007-1105

Published Online: 00-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

During the last two decades, there have been two revolutions in inguinal hernia repair surgery. First, the introduction of tension-free hernia repair by Liechtenstein in 1989 and then the application of laparoscopic surgery to the treatment of inguinal hernia in the early 1990s. In this context, the choice of mesh fixation methods being an integral part of this procedure remains a topic of arguments and discussions in laparoscopic inguinal hernia repair. There exist many methods of mesh fixation like polyglactin suture, titanium spiral tacks, nitinol anchors and fibrin glue.

Fixation usually uses staples that can lead to nerve injury and chronic postoperative pain. Laparoscopic repairs are associated with a risk of chronic pain of upto 22.5%. The use of fibrin glue may represent an alternative method of mesh fixation preventing the risk of nerve injury.


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