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International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 3, Issue 3, Part B (2019)

Long term results of cyanoacrylate glue versus suture fixation for mesh in Lichtenstein hernia repair: A prospective randomized controlled trial

Author(s): Arshad Rashid, Asim Rafiq Laharwal and Ajaz Ahmad Wani
Abstract: Background:Controversies exist as to the best method of mesh fixation in Lichtenstein hernioplasty. The aim of this study was to compare cyanoacrylate glue fixation with suture fixation of mesh, with regards to recurrence rate and chronic groin pain.
Methods: This was a prospective randomized controlled study conducted in a perpheral hospital over a period of seven years. One hundred and fifty six patients of Lichtenstein hernia repair were included. Mesh was fixed by sutures and cyanoacrylate glue in 78 patients each. Only those patients were completed the follow up of 4 years were included in the final analysis.
Results: The mean operative time in suture fixation was 62.56 + 10.31 versus 52.12 + 8.68 minutes in glue fixation (p<0.0001). The intra-operative complication rates did not differ significantly between the two techniques (p = 0.7613). The post-operative pain scores were significantly lesser in the glue group [5.78 + 0.17 versus 6.71 + 0.29, p = 0.0341]. Among the suture fixation group four (12.90%) patients had chronic groin pain, at the end of four-year follow up, as compared to three (10.71%) patients in the glue group (p = 0.7342). The severity of chronic groin pain was also not found to be statistically different [5.23 + 0.09 in suture group versus 5.18 + 0.11 in glue group, p = 0.7954]. The recurrence rates were similar between the two groups.
Conclusion: The frequency and severity of chronic groin pain, and recurrence rate do not depend on the method of mesh fixation.
Pages: 73-76  |  1030 Views  217 Downloads
How to cite this article:
Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani. Long term results of cyanoacrylate glue versus suture fixation for mesh in Lichtenstein hernia repair: A prospective randomized controlled trial. Int J Surg Sci 2019;3(3):73-76. DOI: https://doi.org/10.33545/surgery.2019.v3.i3b.149
International Journal of Surgery Science