Use of fibrin glue in preventing pseudorecurrence after laparoscopic total extraperitoneal repair of large indirect inguinal hernia

Önder Sürgit; Nadir Turgut Çavuşoğlu; Murat Özgür Kılıç; Yılmaz Ünal; Pınar Nergis Koşar; Duygu İçen

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자료유형: 학술저널

저자정보: Önder Sürgit (Turgut Ozal University) Nadir Turgut Çavuşoğlu (Ankara Training and Research Hospital) Murat Özgür Kılıç (Turgut Ozal University) Yılmaz Ünal (Ankara Training and Research Hospital) Pınar Nergis Koşar (Ankara Training and Research Hospital) Duygu İçen (Hacettepe University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.3

발행연도: 2016.9

수록면: 127 - 132 (6page)

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Purpose: Seroma is among the most common complications of laparoscopic total extraperitoneal (TEP) for especially large indirect inguinal hernia, and may be regarded as a recurrence by some patients. A potential area localized behind the mesh and extending from the inguinal cord into the scrotum may be one of the major etiological factors of this complication. Our aim is to describe a novel technique in preventing pseudorecurrence by using fibrin sealant to close that potential dead space.
Methods: Forty male patients who underwent laparoscopic TEP for indirect inguinal hernia with at least 100-mL volume were included in this prospective clinical study. While fibrin sealant was used to close the potential dead space in the study group, nothing was used in the control group. The volume of postoperative fluid collection on ultrasound was compared between the groups.
Results: Patient characteristics and the volumes of hernia sac were similar between the 2 groups. The mean volume of postoperative fluid collection was found as 120.2 mL in the control group and 53.7 mL in the study group, indicating a statistical significance (P < 0.001).
Conclusion: Minimizing the potential dead space with a fibrin sealant can reduce the amount of postoperative fluid collection, namely the incidence of pseudorecurrence.

#Fibrin sealant #Inguinal hernia #Laparoscopic total extraperitoneal hernia repair #Seroma #Pseudorecurrence

참고문헌 (23)

참고문헌 신청

[학술지(정기간행물)] - Bringman S. / 2003 / Ten sion-free inguinal hernia repair : TEP ver sus mesh-plug versus Lichtenstein : a pro s pective randomized controlled trial / Ann Surg 237 : 142 ~ 147

[학술지(정기간행물)] - Griffin KJ. / 2010 / Incidence of contralateral occult inguinal hernia found at the time of laparoscopic trans-abdominal pre-peritoneal(TAPP)repair / Hernia 14 : 345 ~ 349

[학술지(정기간행물)] - 박병수 / 2014 / Factors influencing on difficulty with laparoscopic total extraperitoneal repair according to learning period / 대한외과학회지 87 (4) : 203 ~ 208

[학술지(정기간행물)] - Franneby U. / 2006 / Risk factors for longterm pain after hernia surgery / Ann Surg 244 : 212 ~ 219

[학술지(정기간행물)] - Bansal VK. / 2013 / A prospective, ran domized comparison of long-term outcomes : chronic groin pain and quality of life following totally extraperitoneal(TEP)and transabdominal preperitoneal(TAPP)lapar oscopic inguinal hernia repair / Surg Endosc 27 : 2373 ~ 2382

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