COMPARATIVE STUDY BETWEEN N-BUTYL-2-CYANOACRYLATE VERSUS SUTURED MESH FIXATION IN INGUINAL HERNIA

DR BADAREESH KOGANTI; DR A S PRASAD; DR V RADHA KRISHNA MURTHY

Volume : VII, Issue : VI, June - 2018

COMPARATIVE STUDY BETWEEN N-BUTYL-2-CYANOACRYLATE VERSUS SUTURED MESH FIXATION IN INGUINAL HERNIA

Dr Badareesh Koganti, Dr A S Prasad, Dr V Radha Krishna Murthy

Abstract :

Introduction: Lichtenstein tension free Hernioplasty is currently the first choice to repair primary groin hernias. However, complications associated with sutured mesh fixation following open groin hernia repair, such as chronic irritation and painare commonly seen. To avoid these problems and reduce the risk of chronic pain, different methods of mesh fixation have been considered and mainly tissue compatible glues like N-butyl 2-cyanoacrylate glues. This study is designed to evaluate to demonstrate that the use of cyanoacrylate glue can reduce post-herniorraphy pain.

Material and methods: A total of 100 patients were studied. Patients are categorised into 50 for each group.Group A: Suture mesh fixationGroup B: Glue mesh fixation

Results:Mean age was of 50.88 � 9.67 years in standard prolene suture group&44.9 � 14.3 yearsin N-butyl cyanoacrylate group. Patients presented with swelling in the groin with or without pain or only with pain ranging from <6 months to >5 years.

Highest number of patients were in the age group of 40-49 years in N butyl cyanoacrylate group and in the age group of 50-59 years in standard prolene fixation of mesh group. Hospital stay in cases group was 4.82 days and in control group was 6.48 days. Pain after 1 month was seen only in 5 patients in N butyl cyanoacrylate mesh fixation group and whereas it was more in Standard ProleneMesh fixation group i.e.16 patients. Hence, the case group is superior to control group.

Conclusion: Use of N butyl cyanoacrylate glue for Lichtenstein hernia repair is more efficacious than regular prolene suture mesh fixation and also has the potential to reduce the post-operative pain and duration of hospital stay.