Minimally invasive repair of ventral hernia with one third of tackers and fibrin glue: less pain and same recurrence rate.

IF 1.3 Q3 Medicine

Minerva chirurgica Pub Date : 2020-10-01 DOI:10.23736/S0026-4733.20.08468-0

Salvador Morales-Conde, Andrea Balla, Isaias Alarcón, Maria Sánchez-Ramírez

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引用次数: 7

Abstract

Background: Aim of this study was to assess whether the reduction in the number of tackers maintains a similar recurrence rate and to subsequently evaluate whether this reduction associated with fibrin adhesive (FA) influences postsurgical pain after laparoscopic ventral hernia repair (LVHR) at 5 years follow-up.

Methods: Fifty patients with ventral hernia (intervention group) underwent to LVHR with the double crown (DC) technique with a decrease in the number of tackers, each tacker being separated by about 3 cm associated with FA to seal the spaces between them. Data obtained from intervention group were compared to data obtained from a historical series of 50 patients (control group) undergoing LVHR using DC technique with tackers at 1 cm each other.

Results: No statistically significant differences were found between groups about patients' characteristics. Mean hospital stay was 2 days. Statistically significant differences were observed about hospital stay between both groups U-Mann-Whitney ([UMW] =345, P=0) being higher in the control group. Statistically significant difference was observed in the postoperative pain evaluated by the visual analogical scale (VAS) score, having 95% of patients in the control group with VAS less than or equal to 7 compared to 4.55 in the intervention group. Recurrence rate was 4.1% for the control group versus 4.2% in the intervention group.

Conclusions: The reduction of metallic tackers associated with FA does not present statistically significant differences in the recurrence rate in comparison to conventional DC technique. In the intervention group a reduction in postoperative pain and hospital stay were observed.

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三分之一粘接剂联合纤维蛋白胶微创修复腹疝:疼痛减轻，复发率相同。

背景:本研究的目的是评估黏着者数量的减少是否能维持相似的复发率，并随后评估纤维蛋白粘接剂(FA)的减少是否影响腹腔镜腹疝修复(LVHR)术后5年随访的疼痛。方法:50例腹疝患者(干预组)采用双冠(DC)技术行LVHR，减少钉钉数量，每个钉钉间隔约3cm，并结合FA密封间隙。将干预组的数据与50例患者(对照组)的历史数据进行比较，这些患者使用DC技术进行LVHR，每个患者间隔1cm。结果:两组患者的特征差异无统计学意义。平均住院时间2天。两组住院时间差异有统计学意义U-Mann-Whitney ([UMW] =345, P=0)高于对照组。术后疼痛视觉模拟评分(VAS)评分差异有统计学意义，对照组95%的患者VAS小于等于7，干预组为4.55%。对照组复发率为4.1%，干预组为4.2%。结论:与传统的DC技术相比，与FA相关的金属支架的减少在复发率上没有统计学上的显著差异。干预组术后疼痛减轻，住院时间缩短。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva chirurgica 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Minerva Chirurgica publishes scientific papers on surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.