A Comparative Study between Cyanoacrylate Glue and Suture for Mesh Fixation in Open Inguinal Hernioplasty.

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]