Document Type : Original Article
Authors
1
Department of General Surgery, Al-Mansoura International Hospital, Mansoura, Egypt
2
Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt
Abstract
Background: Groin pain after inguinal hernia repair is still a significant problem, especially with the higher incidence of inguinal hernia. Different methods are tried to reduce postoperative groin pain.
The aim of the work: The study aimed to compare mesh fixation using N-butyl 2-cyanoacrylate adhesive glue to sutured mesh fixation in Lichtenstein hernia repair.
Methods: Fourty patients were randomly allocated to one of two equal groups: Group I [glue group], and Group II [sutures group], where polyprolene sutures were used to attach the mesh. Preoperatively, patients were thoroughly assessed and gave their consent. Patients were seen in the outpatient clinic after one week, as well as at one, six, and twelve months after their surgery. Every visit, groin pain was assessed using a visual analogue scale [VAS]. In addition, a recurrence of the hernia, as well as the presence of any complications, were assessed and documented.
Results: Both groups were comparable regarding patient demographics, chronic diseases, smoking, type of hernia or analgesic requirements. However, pain was significantly lower one week, t months and 12 months after surgery in glue than sutures group. The mean operative time was significantly shorter in glue than sutures group [45.7±8.15 vs 58.7±7.6 minutes, respectively]. Also, return to work was earlier in glue than sutures group [16.3±3.9 vs 21.3±5.6 days, respectively]. No recurrence was recorded in each group and other postoperative complications were mild and treated conservatively without significant difference between glue and sutures groups.
Conclusion: Cyanoacrylate glue for mesh fixation in Lichtenstein repair of adult inguinal hernia shows advantages over mesh fixation by sutures in terms of immediate and chronic post-operative pain, operative time, and postoperative complications. with no difference in the recurrence rate.
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