Using a single-component surgical glue in open and laparoscopic hernioplasties
Автор: Popov P.A., Peredonov S.N., Popov Yu.P., Dubovitsky K.I.
Журнал: Московский хирургический журнал @mossj
Рубрика: Абдоминальная хирургия
Статья в выпуске: 1 (91), 2025 года.
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Introduction. In modern herniology, all operations are performed using mesh implants. Many factors depend on the method and reliability of fixation: the severity of pain, the number of early and late postoperative complications, the frequency of relapses, the speed of surgery and cost-effectiveness. Currently, many methods of fixing meshes have been proposed, but each of these methods has disadvantages, complications and selection criteria. We analyzed the method of fixation using a glue, and its effectiveness and feasibility of use were proven.Purpose of the study. To analyze the technique of fixing mesh implants using a glue.Materials and methods. The study included patients with inguinal, umbilical, postoperative ventral hernias of sizes W1-2. In the main group, fixation of the mesh implant was performed using glue. In the comparison group, fixation of the mesh was performed with separate sutures or a herniostapler.Results. Analysis of different mesh fixation techniques has proven the effectiveness of using glue to fix mesh implants. A decrease the risk of developing intraoperative complications, a decrease in pain syndrome, and a decrease in the risk of developing chronic pain syndrome were noted. A decrease the time of surgical intervention and the economic efficiency of the adhesive fixation method were noted.Conclusions. When using glue, a decrease in the risk of developing intraoperative complications, a decrease in pain syndrome, and a decrease in the risk of developing chronic pain syndrome, as well as a decrease the time of surgical intervention were noted. The fixation method has economic efficiency.
Surgical glue, adhesive fixation, mesh implant, mesh fixation methods, mesh fixation in herniology
Короткий адрес: https://sciup.org/142244670
IDR: 142244670 | DOI: 10.17238/2072-3180-2025-1-17-22