Publications by authors named "Adel G El-Ghazzawy"
Objective: We aimed to determine whether n-butyl-2-cyanoacrylate (NB2C) adhesive is a safe and effective mechanism for nonpenetrating mesh and peritoneal fixation during laparoscopic groin hernia repair.
Background: Chronic pain after laparoscopic groin hernia repair has been associated with penetrating fixation, but there had been no US Food and Drug Administration-approved devices for nonpenetrating fixation in this context.
Methods: Patients undergoing laparoscopic transabdominal preperitoneal (TAP) or totally extraperitoneal (TEP) groin hernia repair with mesh at 1 of 5 academic medical centers were randomized to mesh (TAP/TEP) and peritoneal (TAP) fixation with NB2C adhesive or absorbable tacks.
Article Synopsis
- This study investigated the effectiveness of P4HB-ST mesh in laparoscopic ventral or incisional hernia repair for patients at high risk of surgical complications.
- The primary goal was to assess surgical site occurrences needing intervention within 45 days, while secondary goals included factors like surgery time and hernia recurrence over time.
- Results showed low complications, but a notable recurrence rate of 31.7%, particularly higher in larger hernia defects, suggesting P4HB-ST mesh may be more effective for smaller hernias.