Atraumatic mesh fixation for laparoscopic hernia surgery.
In recent years, atraumatic mesh fixation with tissue adhesive has increasingly become the method of choice. Taking into account the risk of postoperative pain due to traumatic fixation devices the use of glue fixation should be considered in open and laparo-endoscopic repair 1.
Histoacryl® Mesh Fixation
- Atraumatic fixation method reported to be better tolerated by the patient than traditional fixation methods2,3,4,5.
- Reduced risk of post-operative chronic pain compared to traditional fixation methods3,4,5.
- Decreased surgery time compared to traditional fixation methods3,4,5.
- Faster return to work compared to traditional fixation methods4,5.
- Good biocompatibility and in vivo tolerance3,4,5.
- Very low rate of infections related to Histoacryl3,4,5.
 Liew W, Wai YY, Kosai NR, Gendeh HS. Tackers versus glue mesh fixation: an objective assessment of postoperative acute and chronic pain using inflammatory markers. Hernia. (2017) 21:4 (549-554).
 Hoyuela C, Juvany M, Carvajal F, Veres A, Troyano D, Trias M, Martrat A, Ardid J, Obiols J, López-Cano M. Randomized clinical trial of mesh fixation with glue or sutures for Lichtenstein hernia repair. Br J Surg. (2017) 104:6 (688-694).
 Helbling C, Schlumpf R. Sutureless Lichtenstein: first results of a prospective randomized clinical trial. Hernia. (2003) 7:2 (80-4).
 Kim-Fuchs C, Angst E, Vorburger S, Helbling C, Candinas D, Schlumpf R. Prospective randomized trial comparing sutured with sutureless mesh fixation for Lichtenstein hernia repair: long-term results. Hernia. (2012) 16:1 (21-7).