[Outcomes of various techniques of mesh prosthesis fixation in laparoscopic hernia repair].
| Title: | [Outcomes of various techniques of mesh prosthesis fixation in laparoscopic hernia repair]. |
|---|---|
| Transliterated Title: | Rezul'taty razlichnykh metodik fiksatsii setchatogo proteza pri laparoskopicheskoi gernioplastiki (TAPP). |
| Authors: | Gallyamov EA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.; Agapov MA; Lomonosov Moscow State University, Moscow, Russia.; Busyrev YB; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.; Kakotkin VV; Lomonosov Moscow State University, Moscow, Russia.; Kubyshkin VA; Lomonosov Moscow State University, Moscow, Russia.; Donchenko KA; Lomonosov Moscow State University, Moscow, Russia.; Gadlevskiy GS; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.; Wu Z; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia. |
| Source: | Khirurgiia [Khirurgiia (Mosk)] 2021 (1), pp. 34-41. |
| Publication Type: | Clinical Trial; Comparative Study; Journal Article |
| Language: | Russian |
| Journal Info: | Publisher: Media Sfera Country of Publication: Russia (Federation) NLM ID: 0412765 Publication Model: Print Cited Medium: Print ISSN: 0023-1207 (Print) Linking ISSN: 00231207 NLM ISO Abbreviation: Khirurgiia (Mosk) Subsets: MEDLINE |
| Imprint Name(s): | Publication: : Moskva : Media Sfera; Original Publication: Moskva, Meditsina [etc.] |
| MeSH Terms: | Hernia, Inguinal*/surgery ; Herniorrhaphy*/adverse effects ; Prosthesis Implantation*/adverse effects ; Prosthesis Implantation*/methods ; Surgical Mesh*/adverse effects ; Laparoscopy*; Cyanoacrylates/administration & dosage ; Cyanoacrylates/adverse effects ; Postoperative Pain/etiology ; Suture Techniques/adverse effects ; Sutureless Surgical Procedures/adverse effects ; Sutureless Surgical Procedures/methods ; Tissue Adhesives/administration & dosage ; Tissue Adhesives/adverse effects ; Humans ; Prospective Studies ; Time Factors ; Treatment Outcome |
| Abstract: | Objective: To compare early and long-term results of various mesh prosthesis fixation methods in laparoscopic inguinal hernia repair.; Material and Methods: It is a prospective clinical non-randomized trial. The study included 212 patients. Conventional stapler fixation (112 patients), self-gripping mesh implants (48 patients) and n-butyl cyanoacrylate adhesive fixation (52 patients) were compared. We estimated surgery time, pain syndrome severity in early and long-term postoperative period, postoperative morbidity and recurrence rate were evaluated.; Results: Early postoperative morbidity, activation of patients and hospital-stay were similar in all groups. Pain syndrome within 6 postoperative hours in the first group exceeded the same parameter in the second group by 1.23 times (95% CI 1.15-1.31, p |
| Contributed Indexing: | Keywords: TAPP; TEP; inguinal hernia; laparoscopic hernia repair; mesh implant fixation; Local Abstract: [Publisher, Russian] Оценка ближайших и отдаленных результатов различных методик фиксации сетчатого протеза при выполнении лапароскопической герниопластики (TAPP). [Publisher, Russian] Исследование является клиническим аналитическим проспективным, без применения рандомизации. В исследование были включены 212 пациентов. Применяемые методики фиксации: классическая степлерная фиксация (112 пациентов), использование самофиксирующихся сетчатых имплантов (48 пациентов), применение фиксации клеевыми композициями на основе n-бутил-цианоакрилата (52 пациента). Оценивали продолжительность операции, выраженность болевого синдрома в раннем и позднем послеоперационном периоде, частоту развития осложнений и развития рецидива. [Publisher, Russian] Показатели частоты ранних осложнений, сроков активизации пациентов, длительности пребывания в стационаре оказались схожими во всех трех группах. Выраженность болевого синдрома в течение первых 6-ти часов после операции в 1-й группе превышала данный показатель 2-й группы в 1,23 раза (95% ДИ 1,15—1,31, p |
| Substance Nomenclature: | 0 (Cyanoacrylates); 0 (Tissue Adhesives) |
| Entry Date(s): | Date Created: 20210104 Date Completed: 20210118 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| DOI: | 10.17116/hirurgia202101134 |
| PMID: | 33395510 |
| Database: | MEDLINE |
Clinical Trial; Comparative Study; Journal Article