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Background: Inguinal hernia repair is the most frequently performed operation in general surgery. The Lichtenstein repair involves the implantation of a mesh prosthesis ventral to the transversalis fascia. Postoperative pain and disability are frequent after the introduction of tension-free surgical repair with the use of prosthetic mesh, patient's comfort was reported to be substantially improved over that obtained by the traditional, tension-producing techniques. The use of cyanoacrylate (CA) as a way of securing the mesh could lead to better results and avoid tension on the pubis, muscles, or nerves. Method: Prospective observational study for 6 months at General Surgery Department at Zagazig University Hospitals.24 patients were divided into two groups: group A undergoes hernioplasty using glue for mesh fixation and group B using sutures fixation. Patients were followed for 6 months for post-operative pain, recurrent, and complication. Results: In our analysis mean age of the glue group was 50±7 years while in the sutures group was 49.3±6.7 years. mean operation time in the glue group was 41.2±5.1 min while in the sutures group was 47.6±4.9 min with statistically significantly higher mean operation time in the sutures group. In long-term follow-up showed no significant difference between both groups. Conclusion: According to the results obtained in our study, it seems that the Histoacryl glue can be a good alternative for the fixation of mesh in Lichtenstein inguinal hernia repair, mimicking the tissue incorporation and mechanical behavior of sutures with a shorter operating time. It is accompanied by a reduction in chronic inguinal pain. [ABSTRACT FROM AUTHOR]

Background: In general surgery, the most common technique is inguinal hernia repair. A mesh prosthesis is implanted ventral to the transversalis fascia in the Lichtenstein repair. After the introduction of tension-free surgical repair with the use of prosthetic mesh, patients' comfort was reported to be significantly improved over that acquired by traditional, tension-producing procedures. The use of cyanoacrylate (CA) to secure the mesh may result in better results and reduce tension on the pubis, muscles, and nerves. Objectives: Our study aimed to clarify the efficacy and complications of cyanoacrylate glue and nonabsorbable sutures for mesh fixation in Lichtenstein hernia repair techniques. Matrials and Method: Prospective observational study for 6 months at General Surgery Department, Zagazig University Hospitals. 24 patients were divided into two groups. Group A undergoes hernioplasty using glue for mesh fixation and group B using sutures fixation. Patients were followed for 6 months for post-operative pain, recurrence, and complication. Results: In our analysis the mean age of glue group was 50 ± 7 years, while in the sutures group it was 49.3 ± 6.7 years. Mean operation time in the glue group was 41.2 ± 5.1 min, while in the sutures group it was 47.6 ± 4.9 min with statistically significantly higher mean operation time in the sutures group. There was no substantial difference between the two groups after a considerable period of follow-up. Conclusion: Histoacryl glue appears to be a promising alternative for mesh attachment in Lichtenstein inguinal hernia repair. According to our data, it showed replication of tissue integration and mechanical behavior of sutures while requiring less time to do. It's also associated with a decrease in persistent inguinal pain. [ABSTRACT FROM AUTHOR]