[Comparison between two different mesh fixation methods in laparoscopic XXXX : tacker vs. Synthetic cyanoacrylate glue.]

@entity1 @entity1494 @entity7502 @entity3080 @entity260 @entity158 @entity547 @entity702 @entity169 @entity282 @entity1118 @entity3816
AIM: The aim of this retrospective study was to compare the results of two different mesh fixation methods in laparoscopic transabdominal preperitoneal hernioplasty (TAPP): tacker vs. synthetic cyanoacrylate glue. METHODS: The study group includes 70 @entity1 with bilateral and monolateral recurrent inguinal @entity547 undergoing transabdominal preperitoneal repair (TAPP) in the period 2011-2013. A @entity7502 mesh was fixed in group A (N.=35) with @entity702 tacks (EndoUniversal stapler, Covidien) or in group B (N.=35) with synthetic @entity3080 glue (Glubran-2, GEM). @entity1 outcome was assessed by the following variables: sex, mean age, ASA score, intra- and postoperative morbidity, hospitalization, postoperative acute and @entity1118 , recurrence rate. The observation period was 24 months, with a mean follow-up of 10.5 months (range, 1-23) for Group A and 11 months (range, 2-24) for Group B. RESULTS: No difference between the two groups was observed with respect to mean operative time and hospitalization. In all cases, surgery was successfully concluded laparoscopically. @entity3816 occurred in 1 @entity1 of the group A and consisted of a urinary @entity1494 , which was immediately sutured. @entity260 rate was 5.7% (4 @entity1 , of whom 3 in group A and 1 in group B). In each group we detected one recurrence within 6 (group A) and 18 months (group B) postsurgery; both @entity1 were treated with a re-TAPP. @entity282 at 6 months from surgery, measured by visual analogue score (VAS), was reported by 4 @entity1 in the group A and in no case of the group B (P=0.04). CONCLUSION: Data from this study demonstrate the advantages of synthetic cyanoacrylate glue for mesh fixation in laparoscopic transabdominal preperitoneal @entity169 , compared to @entity702 tacks. The use of this surgical glue was associated with a significantly reduced risk for developing chronic @entity158 and a shortened hospital stay. Nevertheless, further studies with longer follow-up periods are needed to confirm our encouraging results.
