Use of fibrin glue in preventing pseudorecurrence after laparoscopic total extraperitoneal repair of large indirect inguinal hernia

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dc.contributor.authorSurgit, Onder
dc.contributor.authorCavusoglu, Nadir Turgut
dc.contributor.authorKilic, Murat Ozgur
dc.contributor.authorUnal, Yilmaz
dc.contributor.authorKosar, Pinar Nergis
dc.contributor.authorIcen, Duygu
dc.date.accessioned2025-10-24T18:09:58Z
dc.date.available2025-10-24T18:09:58Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractPurpose: Seroma is among the most common complicatidns of laparoscopic total extraperitoneal (TEP) for especially large indirect inguinal hernia, and may be regarded as a recurrence by some patients. A potential area localized behind the mesh and extending from the inguinal cord into the scrotum may be one of the major etiological factors of this complication. Our aim is to describe a novel technique in preventing pseudorecurrence by using fibrin sealant to close that potential dead space. Methods: Forty male patients who underwent laparoscopic TEP for indirect inguinal hernia with at least 100-mL volume were included in this prospective clinical study. While fibrin sealant was used to close the potential dead space in the study group, nothing was used in the control group. The volume of postoperative fluid collection on ultrasound was compared between the groups. Results: Patient characteristics and the volumes of hernia sac were similar between the 2 groups. The mean volume of postoperative fluid collection was found as 120.2 mL in the control group and 53.7 mL in the study group, indicating a statistical significance (P < 0.001). Conclusion: Minimizing the potential dead space with a fibrin sealant can reduce the amount of postoperative fluid collection, namely the incidence of pseudorecurrence.
dc.identifier.doi10.4174/astr.2016.913.127
dc.identifier.endpage132
dc.identifier.issn2288-6575
dc.identifier.issn2288-6796
dc.identifier.issue3
dc.identifier.pmid27617253
dc.identifier.scopus2-s2.0-84988882792
dc.identifier.scopusqualityQ2
dc.identifier.startpage127
dc.identifier.urihttps://doi.org/10.4174/astr.2016.913.127
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3905
dc.identifier.volume91
dc.identifier.wosWOS:000382511700005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKorean Surgical Society
dc.relation.ispartofAnnals Of Surgical Treatment And Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectFibrin sealant; Inguinal hernia; Laparoscopic total extraperitoneal hernia repair; Seroma; Pseudorecurrence
dc.titleUse of fibrin glue in preventing pseudorecurrence after laparoscopic total extraperitoneal repair of large indirect inguinal hernia
dc.typeArticle

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