Medical Glue and Stapling Fixed False Hernia Sac for Preventing Postoperative Seroma in Patients with Direct Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 QUKun-peng ,  SIRuo-huang , YANGXiao-jun , WANGBin , GAOPeng

Second Department of General Surgery, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu Province, China;

Corresponding author：

SIRuo-huang, Email: sruohuang_1@sina.com

Keywords：

Medical glue; Stapling; Direct hernia; False hernia sac; Seroma

DOI：

10.7507/1007-9424.20150116

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To compare the effects of medical glue and stapling in the prevention of postoperative seroma for patients undergoing laparoscopic direct hernia repair. Methods Ninty-four patients were randomly by computer generated randomization number divided into two groups: medical glue group (medical glue was used to fix pseudo-direct hernia sac) and stapling group (staple was used to fix pseudo-direct hernia sac).The time of follow-up was two years.The operative time, length of hospital stay, the pain level on first day and 7th day after operation, postoperative complications (seroma, wound infection, wound bleeding), hospital costs, and hernia recurrence rate within 2 years were observed. Results The medical glue group compared with the stapling group, the operative time was shorter〔(35±5.1) min vs.(41±7.5) min〕, hospitalization time was shorter〔(4±0.51) d vs.(5±0.83) d〕, lower postoperative pain score〔the first day: (5±0.52) scores vs.(6±0.33)scores; the 7th day: (3±0.67) scores vs.(4±0.53) scores〕, and lower cost in hospital〔(5 731±560.50) yuan vs.(8 715±534.33) yuan〕, there were significant difference (P < 0.05).The incidence of seroma and other complications after operation and postoperative 1-year and 2-year hernia recurrence rate showed no significant differences (P > 0.05). Conclusions The medical glue has good prevention effects on postoperative seroma for patients undergoing laparoscopic direct hernia surgery, with shorter operative time and lower cost.This method is suitable for all levels of hospitals

Citation： QUKun-peng, SIRuo-huang, YANGXiao-jun, WANGBin, GAOPeng. Medical Glue and Stapling Fixed False Hernia Sac for Preventing Postoperative Seroma in Patients with Direct Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(4): 443-446. doi: 10.7507/1007-9424.20150116 Copy

1.	中华医学会外科学分会腹腔镜与内镜外科学组.腹股沟疝腹腔镜手术规范化操作指南.中国实用外科杂志, 2013, 33(7):566-570.
2.	Zendejas B, Ramirez T, Jones T, et al.Incidence of inguinal hernia repairs in Olmsted County, MN:a population-based study.Ann Surg, 2013, 257(3):520-526.
3.	Bracale U, Melillo P, Pignata G, et al.Which is the best laparoscopic approach for inguinal hernia repair:TEP or TAPP? A systematic review of the literature with a network meta-analysis.Surg Endosc, 2012, 26(12):3355-3366.
4.	Reddy VM, Sutton CD, Bloxham L, et al.Laparoscopic repair of direct inguinal hernia:a new technique that reduces the develop-ment of postoperative seroma.Hernia, 2007, 11(5):393-396.
5.	Berney CR.The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach.Hernia, 2012, 16(3):301-305.
6.	Lau H, Lee F.Seroma following endoscopic extraperitoneal inguinal hernioplasty.Surg Endosc, 2003, 17(11):1773-1777.
7.	Ladwa N, Sajid MS, Sains P, et al.Suture mesh fixation versus glue mesh fixation in open inguinal hernia repair:a systematic review and meta-analysis.Int J Surg, 2013, 11(2):128-135.
8.	Park A, Birch DW, Lovrics P.Laparoscopic and open incisional hernia repair:a comparison study.Surgery, 1998, 124(4):816-822.
9.	Cihan A, Ozdemir H, Uçan BH, et al.Fade or fate.Seroma in laparo-scopic inguinal hernia repair.Surg Endosc, 2006, 20(2):325-328.
10.	Horstmann R, Hellwig M, Classen C, et al.Impact of polypropylene amount on functional outcome and quality of life after inguinal hernia repair by the TAPP procedure using pure, mixed, and titanium-coated meshes.World J Surg, 2006, 30(9):1742-1749.
11.	Shah NS, Fullwood C, Siriwardena AK, et al.Mesh fixation at laparoscopic inguinal hernia repair:a meta-analysis comparing tissue glue and tack fixation.World J Surg, 2014, 38(10):2558-2570.
12.	Kaul A, Hutfless S, Le H, et al.Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia:a systematic review and meta-analysis.Surg Endosc, 2012, 26(5):1269-7128.
13.	Teng YJ, Pan SM, Liu YL, et al.A meta-analysis of randomized controlled trials of fixation versus nonfixation of mesh in laparoscopic total extraperitoneal inguinal hernia repair.Surg Endosc, 2011, 25(9):2849-2858.
14.	Zhong C, Wu B, Yang Z, et al.A meta-analysis comparing lightweight meshes with heavyweight meshes in Lichtenstein inguinal hernia repair.Surg Innov, 2013, 20(1):24-31.
15.	Klink CD, Binnebösel M, Lucas AH, et al.Serum analyses for protein, albumin and IL-1-RA serve as reliable predictors for seroma formation after incisional hernia repair.Hernia, 2011, 15(1):69-73.

1. 中华医学会外科学分会腹腔镜与内镜外科学组.腹股沟疝腹腔镜手术规范化操作指南.中国实用外科杂志, 2013, 33(7):566-570.
2. Zendejas B, Ramirez T, Jones T, et al.Incidence of inguinal hernia repairs in Olmsted County, MN:a population-based study.Ann Surg, 2013, 257(3):520-526.
3. Bracale U, Melillo P, Pignata G, et al.Which is the best laparoscopic approach for inguinal hernia repair:TEP or TAPP? A systematic review of the literature with a network meta-analysis.Surg Endosc, 2012, 26(12):3355-3366.
4. Reddy VM, Sutton CD, Bloxham L, et al.Laparoscopic repair of direct inguinal hernia:a new technique that reduces the develop-ment of postoperative seroma.Hernia, 2007, 11(5):393-396.
5. Berney CR.The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach.Hernia, 2012, 16(3):301-305.
6. Lau H, Lee F.Seroma following endoscopic extraperitoneal inguinal hernioplasty.Surg Endosc, 2003, 17(11):1773-1777.
7. Ladwa N, Sajid MS, Sains P, et al.Suture mesh fixation versus glue mesh fixation in open inguinal hernia repair:a systematic review and meta-analysis.Int J Surg, 2013, 11(2):128-135.
8. Park A, Birch DW, Lovrics P.Laparoscopic and open incisional hernia repair:a comparison study.Surgery, 1998, 124(4):816-822.
9. Cihan A, Ozdemir H, Uçan BH, et al.Fade or fate.Seroma in laparo-scopic inguinal hernia repair.Surg Endosc, 2006, 20(2):325-328.
10. Horstmann R, Hellwig M, Classen C, et al.Impact of polypropylene amount on functional outcome and quality of life after inguinal hernia repair by the TAPP procedure using pure, mixed, and titanium-coated meshes.World J Surg, 2006, 30(9):1742-1749.
11. Shah NS, Fullwood C, Siriwardena AK, et al.Mesh fixation at laparoscopic inguinal hernia repair:a meta-analysis comparing tissue glue and tack fixation.World J Surg, 2014, 38(10):2558-2570.
12. Kaul A, Hutfless S, Le H, et al.Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia:a systematic review and meta-analysis.Surg Endosc, 2012, 26(5):1269-7128.
13. Teng YJ, Pan SM, Liu YL, et al.A meta-analysis of randomized controlled trials of fixation versus nonfixation of mesh in laparoscopic total extraperitoneal inguinal hernia repair.Surg Endosc, 2011, 25(9):2849-2858.
14. Zhong C, Wu B, Yang Z, et al.A meta-analysis comparing lightweight meshes with heavyweight meshes in Lichtenstein inguinal hernia repair.Surg Innov, 2013, 20(1):24-31.
15. Klink CD, Binnebösel M, Lucas AH, et al.Serum analyses for protein, albumin and IL-1-RA serve as reliable predictors for seroma formation after incisional hernia repair.Hernia, 2011, 15(1):69-73.

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Medical Glue and Stapling Fixed False Hernia Sac for Preventing Postoperative Seroma in Patients with Direct Hernia

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