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Clinical Trial
. 2009 Oct;13(5):505-10.
doi: 10.1007/s10029-009-0524-z. Epub 2009 Jul 10.

Fibrin sealant in inguinal hernioplasty: an observational multicentre study in 1,201 patients

Affiliations
Clinical Trial

Fibrin sealant in inguinal hernioplasty: an observational multicentre study in 1,201 patients

B Descottes et al. Hernia. 2009 Oct.

Abstract

Purpose: A prospective, multicentre, observational study was undertaken to assess Tisseel fibrin sealant for atraumatic mesh fixation in inguinal hernia repair throughout France.

Methods: Surgeons recorded data on patients undergoing tension-free inguinal hernioplasty with mesh fixation with Tisseel, regardless of the hernioplasty technique used. Assessments were made at 2 days and 1 month after surgery. Data on local complications, operation times and ease of product use were collected.

Results: In total, 1,201 patients were recruited (90% men, mean age 57 years), among which 526 procedures were performed using open techniques and 675 using laparoscopic repairs. Local complications occurred in 4.7% of patients: 3.0% haematoma, 1.4% seroma, 0.3% recurrence. The mean visual analogue scale (VAS)-rated pain scores were 3.2 pre-operatively, 2.3 immediately after surgery and 1.8 at 1 month. Surgeons rated the product as very easy to use.

Conclusions: Tisseel fibrin sealant appears to be a well-tolerated and easy-to-use alternative to traditional, tissue-penetrating devices for mesh fixation in hernia repair techniques.

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