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2019 Month : December Volume : 8 Issue : 48 Page : 3575-3578

N-Butyl-2-Cyanoacrylate Glue versus Suture for Mesh Fixation in Open Inguinal Hernioplasty.

Arvind Shukla1, Raj Kumar Mathur2, Zafar Sheikh3, Vartika Jain4

Corresponding Author:
Dr. Zafar Sheikh,
G1 G2, Kasturi Apartments,
12 Shankar Nagar, Saket Extention,
Indore-452018, Madhya Pradesh, India.
E-mail: zafar18@gmail.com

ABSTRACT

BACKGROUND

One of the most common surgical issues presenting to the surgical clinics is inguinal hernia. Pain after inguinal hernia surgery is debilitating and hampers the quality of life in many patients. This has been found to be due to the trauma caused by fixation of mesh with sutures. This study compares the traumatic (sutures) and non-traumatic (glue) methods of mesh fixation in inguinal hernioplasty. We wanted to compare suture and N-butyl-2-cyanoacrylate glue in fixation of mesh in open inguinal hernia repair in terms of immediate & chronic post-operative pain, intraoperative time, recurrence, length of hospital stay & complications, if any.

METHODS

This study was done in the department of General Surgery after Institutional Scientific & Ethical Committee clearance. It is a prospective study conducted on 120 patients with two groups of 60 each for suture and glue (N-butyl-2-cyanoacrylate) fixation of mesh. Pain in Numerical Rating Scale, operative time and any complications were recorded with follow up at 1 week, 1 month, 3 months and 6 months.

RESULTS

It was observed that glue takes significantly lower time than suture for fixation of mesh, thereby reducing the intraoperative time significantly. Using glue reduced the mean fixation time for mesh from 10 minutes in conventional suture method to 1.7 minutes. There was also significant reduction in immediate and chronic post-operative pain in the glue group. The length of hospital stay was found to be comparable in both the groups. No post-operative complications or recurrence were recorded in either group.

CONCLUSIONS

This study confirms the effectiveness and superiority of glue over suture for mesh fixation in open inguinal hernia repair in terms of reduced immediate and chronic post-operative pain and operative time.

KEY WORDS

Inguinal Hernia, Inguinal Hernioplasty, N-Butyl-2-Cyanoacrylate Glue, Post-Operative Pain, Suture, Mesh Fixation

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