University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Turin, Italy.
Int J Surg. 2014;12 Suppl 2:S94-S98. doi: 10.1016/j.ijsu.2014.08.371. Epub 2014 Aug 23.
Inguinal hernia surgery is one of the most common surgical procedures performed worldwide. Some studies demonstrated clear advantages of laparoscopic approach in terms of chronic pain, recurrence rate and daily life activities Aim of this study was to compare short and long-terms outcome of tacks and fibrin glue used during laparoscopic transabdominal hernioplasty (TAPP).
This is a retrospective study conducted by our division of General Surgery. From May 2008 to May 2013 we performed 116 hernioplasty with TAPP technique. We compared two groups of patients: a group of 59 patients treated with fibrin glue and a group of 57 patients treated with conventional tacks and the two subgroups of patients over 65 years old. We evaluated: perioperative outcomes, early and late complications.
There were no significative difference about length of postoperative stay, time to return to work, recurrence rate and complications.
This study demonstrates that fibrin glue are same tolerated than tacks by patients and that the glues lead to the same good results during initial follow-up and in long term data also in the elderly. Meticulous preparation of the groin with preservation of spermatic sheet is in our opinion necessary to provide effective pain reduction and a good result in every TAPP procedure.
腹股沟疝手术是全球最常见的手术之一。一些研究表明腹腔镜手术在慢性疼痛、复发率和日常生活活动方面具有明显优势。本研究旨在比较在腹腔镜经腹疝修补术（TAPP）中使用钉和纤维蛋白胶的短期和长期结果。
这是我们普外科进行的回顾性研究。从 2008 年 5 月至 2013 年 5 月，我们进行了 116 例 TAPP 技术疝修补术。我们比较了两组患者：一组 59 例患者使用纤维蛋白胶治疗，另一组 57 例患者使用常规钉治疗，以及两组年龄超过 65 岁的患者。我们评估了围手术期结果、早期和晚期并发症。
两组患者的术后住院时间、恢复工作时间、复发率和并发症无显著差异。
本研究表明，纤维蛋白胶在患者中与钉一样耐受良好，并且在初始随访和长期随访中，在老年患者中，胶也能带来相同的良好结果。我们认为，腹股沟精细准备和保留精索板对于提供有效的疼痛减轻和 TAPP 手术的良好结果是必要的。
