Comparison Of Sutures With N-Butyl 2-Cyanoacrylate Glue For Mesh Fixation During Primary Inguinal Hernia Repair- A One Year Randomized Control Trial

Abstract

Background: The Lichtenstein technique for open hernia repair is associated to a high rate of postoperative groin pain, mainly related to the mesh fixation technique. This randomized controlled trial was aimed to compare the conventional suture fixation with glue fixation of the mesh. Methods: Sixty patients with primary inguinal hernia were randomized to undergo open hernia repair with suture fixation (Group A) or n butyl 2- cyanoacrylate glue fixation of the mesh (Group B). Primary outcome was to compare the short-term outcomes (post operative Inguinal pain and time to return to daily activities) in patients who underwent a mesh procedure for open groin hernia repair with sutures and N-butyl-2-cyanoacrylate for mesh fixation. Results: Postoperative pain significantly lower in Group B compared to Group A and days taken to return to daily activities in group B is less than the days taken to return to daily activities in Group A. Total duration of surgery is less in Group B compared with Group A. Conclusion: This study demonstrates that mesh fixation with glue is a safe procedure, effective and less time consuming when compared with conventional method of suture mesh fixation during primary inguinal hernia repair.