COMPARATIVE STUDY OF TECHNIQUE OF MESH FIXATION IN OPEN INGUINAL HERNIA REPAIR BETWEEN N-BUTYL CYANOACRYLATE GLUE AND SUTURE

Abstract

Introduction
Inguinal hernia is the most frequently diagnosed hernia. It accounts for 75% of all
abdominal wall hernias and has a lifetime incidence of 27% in males and 3% in women.
Open inguinal hernia repair has long been the method of choice for most surgeons and
is often recommended in contemporary literature as the optimal approach for primary
unilateral inguinal hernia. Lichtenstein tension free mesh repair remains the standard
criterion. It is known to be relatively simple and effective with minimal pain.
Objective The aim of this study is to compare the efficacy of N-butyl cyanoacrylate glue with that of classical method of mesh fixation by suture in Lichtenstein tension free Inguinal Hernia
repair in terms of chronic groin pain without increasing other complications.
Methods
A Prospective, Hospital based observational comparative study was planned, which
includes 40 patients per group. All patients included were above 18 years of age. All the
participants were divided into 2 groups mesh fixation with sutures and N-butyl
cyanoacrylate glue. Total duration of the study was 3 months from the day of the surgery
with 4 intervals of follow up at POD1, POD 7, Month 1 and Month 3.
Results
When comparing postoperative pain between the groups, it was observed that patients in the
glue fixation group experienced significantly less pain than those in the suture group at various intervals: postoperative day 1 (POD1), postoperative day 2 (POD2), 1 month, and 3 months. Additionally, immediate pain was notably reduced in the glue fixation group. Furthermore, no reports of pain were recorded at 1 month and 3 months postoperatively. Moreover, the incidence of local complications was lower in the glue fixation group compared to the suture fixation group.