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Hernioplasty in Elderly High‐Risk Adults: Efficacy of Fibrin Glue
Author(s) -
Casarotto Andrea,
Militello Valentina,
Piatto Giacomo,
Gruppo Mario,
Militello Carmelo
Publication year - 2012
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2012.03979.x
Subject(s) - medicine , groin , surgery , hernia , elective surgery , hernia repair , fibrin glue , inguinal hernia , general surgery
Background:\udRisk 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.\udMethods:\udFrom 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.\udResults:\udAmong 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. \udConclusions:\udThis 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