Comparison of Staple Fixation Versus N-butyl-2- cyanoacrylate Fixation in Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: A Randomized Controlled Trial

Authors

  • A Chujan Priest Hospital

Keywords:

Inguinal hernia, Laparoscopic, TEP, Mesh fixation, Chronic pain

Abstract

Background : In totally extraperitoneal laparoscopic inguinal hernia repair (TEP), it is accepted that mesh fixation is necessary to prevent mesh displacement and hernia recurrence. However, fixation by using staples may cause complications, such as pubic injury and nerve entrapment, leading to chronic pain.

Objective : To compare the use of staples with that of N-butyl-2-cyanoacrylate glue in mesh fixation of TEP inguinal hernia repair.

Method : A randomized controlled trial was conducted during June 2015- 2017. Sixty patients with TEP were allocated into two groups, 30 patients in staple group (Protack) and 30 patients in the glue group (Histoacryl). Data collected included demographic data, operative time, postoperative pain (mumerical rating scale), chronic pain, complications and recurrence.

Results : Numerical rating scale (NRS) in the staple group was significantly greater than that of the glue group after 12 hours (1.97±0.85 vs 1.20±1.19, p=0.006) and 48 hours (1.65±0.89 vs 0.93±0.96, p=0.006).The incidence of chronic pain was higher in the staple group at three months (16.7% vs 13.3%, p=0.424) and six months (6.7% vs 3.3%, p=0.353). Demographic data and complications showed no significant difference between the two groups. Hernia recurrence was not found in either group after six months follow-up.

Conclusions : N-butyl- 2-cyanoacrylate glue might be an alternative choice of mesh fixation in TEP due to satisfactory outcomes and complications were not different compared to staple fixation.

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References

Lomanto D, Cheah WK, Faylona JM, Huang CS, Lohsiriwat D, Maleachi A, et al. Inguinal hernia repair : toward Asian guideline. Asian J Endosc Surg 2015; 8: 16-23.

Poelman MM, van den Heuvel B, Deelder JD, Abis GS, Beudeker N, Bittner RR, et al. EAES Consensus Development Comferrence on endoscopic repair of groin hernias. Surg Endosc 2013; 27: 3505-19.

Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009; 13: 343-403.

Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society (IEHS)). Surg Endosc 2011; 25: 2773-843.

Bittner R, Montgomery MA, Arregui E, Bansal V, Bingener J, Bisgaard T, et al. Update of guidelines on Laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society (IEHS)). Surg Endosc 2015;29 : 289-321.

EU Hernia Trialists Collaboration. Laparoscopic compared with open methods of groin hernia repair : systemic review of randomized controlled trials. Br J Surg 2000 ; 87 : 860-7.

Andersson B, Hallen M, Leveau P, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair : a prospective randomized controlled trial. Surgery 2003 ; 133 : 464-72.

Tanphiphat C, Tanprayoon T, Sangsubhan C, Chatamra K. Laparoscopic vs open inguinal hernia repair. A randomized , controlled trial. Surg Endosc 1998 ; 12 : 846-51.

Chowbay PK, Bandyopadhyay SK, Sharma A, Khullar R, Soni V, Baijal M. Recurrent hernia following endoscopic total extraperitoneal repair. J Laparoendosc Adv Surg Tech A 2003;13:21-5

Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R, et al. Causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc 1998; 12:226-31.

Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, et al. Mechanisms of hernia recurrence after preperitoneal mesh repair. traditional and laparoscopic. Ann Surg 1997; 225:422-31.

Deans GT, Wilson MS, Royston CM, Brough WA. Recurrent inguinal hernia after laparoscopic repair: possible cause and prevention. Br J Surg 1995; 82:539-41.

Knook MT, van Rosmalen AC, Yoder BE, Kleinrensink GJ, Snijders CJ, Looman CW, et al. Optimal mesh size for endoscopic inguinal hernia repair: a study in a porcine model. Surg Endosc 2001; 15:1471-7.

Dion YM, Laplante R, Charara J, Marois M. The influence of the number of endoclips and of mesh incorporation on the strength of an experimental hernia patch repair. Surg Endosc 1994; 8:1324-8.

Stark E, Oestreich K, Wendl K, Rumstadt B, Hagmüller E. Nerve irritation after laparoscopic hernia repair. Surg Endosc 1999; 13: 878-81.

Andrew DR, Gregory RP, Richardson DR. Meralgia paraesthetica following laparoscopic inguinal herniorrhaphy. Br J Surg 1994; 81: 715.

Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 2003; 19: 48-54.

Nienhuijs S, Staal E, Strobbe L, Rosman C, Groenewoud H, Bleichrodt R. Chronic pain after mesh repair of inguinal hernia : a systematic review. Am J surg 2007; 194: 394-400.

Lau H, Patil NG, Yuen WK, Lee F. Prevalence and severity of chronic groin pain after endoscopic totally extraperitoneal inguinal hernioplasty. Surg Endosc 2003; 17: 1620-23.

Katkhouda N, Mavor E, Friedlander MH, Mason RJ, Kiyabu M, Grant SW, et al. Use of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair. Ann Surg 2001; 233: 18-25.

Novik B, Hagedorn S, Mörk UB, Dahlin K, Skullman S, Dalenbäck J. Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair : a study with a 40-month prospective follow-up period. Surg Endosc 2006; 20: 462-7.

Farouk R, Drew PJ, Qureshi A, Roberts AC, Duthie GS, Monson JR. Preliminary experience with butyl-2-cyanoacrylate adhesive in tension-free inguinal hernia repair. Br J Surg 1996; 83: 1100.

Jourdan IC, Bailey ME. Initial experience with the use of N-butyl-2-cyanoacrylate glue for the fixation of polypropylene mesh in laparoscopic hernia repair. Surg Laparosc Endosc 1998; 8: 291-3.

Lau H. Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: a randomized prospective trial. Ann Surg 2005; 242: 670-5.

Topart P, Vandenbroucke F, Lozac ’h P. Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias: a retrospective analysis. Surg Endosc 2005; 19: 724-7.

Schwab R, Willms A, Kroger A , Becker HP. Less chronic pain following mesh fixation using a fibrin sealant in TEP inguinal hernia repair. Hernia 2006; 10: 272-7.

EU Hernia Trialists Collaboration. Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg 2002; 235: 322-32.

Boldo E, Armelles A, Perez de Lucia G, Martin F, Aracil JP, Miralles JM, et al. Pain after laparoscopic bilateral hernioplasty : Early results of a prospective randomized double-blind study comparing fibrin versus staples. Surg Endosc 2008; 22: 1206-9.

Subwongchareon S, Ruksakul K. A randomized controlled trial of staple fixation versus N-butyl-2-cyanoacrylate fixation in laparoscopic inguinal hernia repair. J Med Assoc Thai 2013; 96 (Suppl 3): S8-13.

Fortelny RH, Petter-Puchner AH, Walder N, Mittermayr R, Ohlinger W, Heinze A ,et al. Cyanoacrylate tissue sealant impairs tissue integration of macroporous mesh in experimental hernia repair.Surg Endosc 2007 ; 21 : 1781-5.

Losi P, Burchielli S, Spiller D, Finotti V, Kull S, Briganti E,et al. Cyanoacrylate surgical glue as an alternative to suture threads for mesh fixation in hernia repair. J Surg Res 2010; 163 : e53-8.

Testini M, Lissidini G, Poli E, Guarrado A, Lardo D, Piccinni G. A single-surgeon randomized trial comparing sutures, N-butyl-2-cyanoacrylate and human fibrin glue for mesh fixation during primary inguinal hernia repair. Can J Surg 2010; 53: 155-60.

Published

30-03-2020

How to Cite

1.
Chujan อ. Comparison of Staple Fixation Versus N-butyl-2- cyanoacrylate Fixation in Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: A Randomized Controlled Trial. j dept med ser [Internet]. 2020 Mar. 30 [cited 2022 Aug. 13];45(1):21-8. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/244737

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Original Article