Background: Risk factors as cirrhosis, diabetes, coagulopathies, advanced age, have often been considered a contraindication to perform an inguinal hernioplasty. The aim of this study was to establish whether fibrin glue application to fix the mesh during a Lichtenstein inguinal hernioplasty is useful to prevent complications in high risk patients. Methods: From March 2004 to September 2009, 87 high risk patients underwent hernioplasty using fibrin glue to fix mesh prosthesis. Patients were evaluated for immediate and late postoperative pain, presence of haematomas and seromas, infiltration of ascitic fluid, and wound complications. Results: Among our patients (mean age 73.6±12.4 years) 38 (44%) had diabetes, 33 (38%) had coagulopathies and 16 (18%) had liver cirrhosis (2 C Child’s grade). During a follow-up period ranging from 12 to 24 months, no complications nor significant post-operative pain were observed. Conclusions: This preliminary observational study indicates that fibrin glue application can be considered a very useful way to obtain good results by open hernioplasty in high risk patients.
Hernioplasty in Elderly High-Risk Adults: Efficacy of Fibrin Glue
MILITELLO, VALENTINA;MILITELLO, CARMELO
2012
Abstract
Background: Risk factors as cirrhosis, diabetes, coagulopathies, advanced age, have often been considered a contraindication to perform an inguinal hernioplasty. The aim of this study was to establish whether fibrin glue application to fix the mesh during a Lichtenstein inguinal hernioplasty is useful to prevent complications in high risk patients. Methods: From March 2004 to September 2009, 87 high risk patients underwent hernioplasty using fibrin glue to fix mesh prosthesis. Patients were evaluated for immediate and late postoperative pain, presence of haematomas and seromas, infiltration of ascitic fluid, and wound complications. Results: Among our patients (mean age 73.6±12.4 years) 38 (44%) had diabetes, 33 (38%) had coagulopathies and 16 (18%) had liver cirrhosis (2 C Child’s grade). During a follow-up period ranging from 12 to 24 months, no complications nor significant post-operative pain were observed. Conclusions: This preliminary observational study indicates that fibrin glue application can be considered a very useful way to obtain good results by open hernioplasty in high risk patients.Pubblicazioni consigliate
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