A Prospective Randomised Control Trial Comparing Tissue Adhesive To Conventional Suturing In The Closure Of Inguinal Hernia Skin Incisions

Abstract

Background and Objectives Wounds can be closed by a variety of methods. The data comparing tissue adhesive and conventional sutures for skin closure in the settings of open inguinal hernia is scant. This study was aimed to compare the incidence of post operative wound infection by Tissue adhesive versus conventional suturing in open inguinal hernia skin closure. Methodology This one year hospital based randomized controlled trial was conducted in the Department of General Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi. A total of 60 patients undergoing inguinal hernia repair from January 2015 to December 2015 were enrolled. Based on closed envelope method, these patients were randomly allocated into two groups method viz. Group A (skin closure with cyanoacrylate glue) and Group B (conventional skin closure). Results The clinical and demographic characteristics of the study population that is, sex, Mean Age, weight, pulse rate, systolic BP, and dialostic BP were comparable in group A and group B (p>0.050). Most of the patients in group A and group B had Right inguinal hernia (46.67%) and indirect inguinal hernia was note in 56.67% of the patients in Group A and 53.33% of the patients in group B (53.33%) (p=0.795). The mean duration of surgery was significantly low in group A (66.67±4.61 minutes) compared to group B (71.21±6.90 minutes) (p=0.004). Swelling, fever and discharge was noted in 6.67% of the patients in group A while in group B, was present in 16.67% of the patients (p=0.228). Redness was seen in 6.67% of the patients in group A while in group B it was present in 10.00% of the patients (p=0.640). Conclusion and interpretation Closure of skin incision with tissue adhesive in the settings of inguinal hernia repair is a faster method of wound closure and equally safe as that of subcuticular sutures.