| چکیده انگلیسی مقاله |
Background Preliminary studies have indicated advantages of mesh fixation using fibrin glue in TAPP compared with tack fixation. Objectives We report the results of a prospective experience in fixing mesh during TAPP with absorbable tacks. Patients and Methods 50 consecutive men (who had bilateral inguinal hernia) were enrolled and followed up for at least 1 year. The primary measured outcome was pain experienced in day 1 of post-op. The secondary outcomes measured were postoperative scores of pain at rest, discomfort, and fatigue, foreign-body sensation, and hernia recurrence after 12 months. The outcomes were measured using a visual analogue scale, a verbal rating scale and numerical rating scales. A comparison was done within a historical group with the same demographic and hernia characteristics where the meshes have been fixed with fibrin glue. Results The group of tacks ‘TAPP’ showed good results concerning the level of pain, fatigue and foreign body sensation comparable with those of the historical group. There were significant differences concerning the length of surgery where absorbable tacks performed better. Regarding cost of surgery, the fibrin glue showed effective results. Conclusions The use of absorbable tacks during TAPP confers significant benefit regarding the operating time, however it is a disadvantage due to the cost when compared with fibrin glue. |
| نویسندگان مقاله |
| Ferdinando Agresta
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Alice Marzetti
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Luca Andrea Verza
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Daniela Prando
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Alireza Azabdaftari
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Leonardo Rubinato
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Ugo Vacca
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Antonietta Roveran
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Raffaele Porfidia
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
| Silvia Anna Maria Vigna
Department of General Surgery, Presidio Ospedaliero, Adria, Italy
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