COMPARITIVE STUDY BETWEEN CYANOACRYLATE GLUE AND NON–ABSORBABLE SUTURE FOR MESH FIXATION IN LICHTENSTEIN INGUINAL HERNIA REPAIR.

Dr Abhishek Kumar; Dr Asif Meman; Dr Harish Chauhan

Volume : IX, Issue : II, February - 2020

COMPARITIVE STUDY BETWEEN CYANOACRYLATE GLUE AND NON–ABSORBABLE SUTURE FOR MESH FIXATION IN LICHTENSTEIN INGUINAL HERNIA REPAIR.

Dr Abhishek Kumar, Dr Asif Meman, Dr Harish Chauhan

Abstract :

Objectives: To compare the short–term effects of mesh fixation in Lichtenstein inguinal hernia repair. Materials and methods: Prospective, randomized and unicentric study of patients undergoing primary, unilateral inguinal hernia, operated under the Lichtenstein technique; comp� the mesh fixation with n–butyl–2–cyanoacrylate (group I) versus non–absorbable suture (group II). The study variables in the postoperative period focused on the incidence of pain, complications and hernia recurrence. Results: 240 patients have been included, from January 2018 to December 2019. 30 patients in each treatment group. In group I pain was recorded (EVA ≥3) at 24h in 38 patients, at 30 days in 18 patients and at 90 days in 2 patient, against 44, 30 and 12 patients in group II (p= 0, 56; p= 0.17, p= 0.048, specifically). The incidence of morbidity at 90 days was 15% in the cyanoacrylate group and 13.33% in the suture fixation group, p= 0.79. Repairs were 5.8 minutes faster in the glue group (p= 0.02). There were no early recurrences in either group. Discussion: There were no differences in the incidence of acute pain evaluated at 24 hours after the intervention or at 30 days, but there was a lower incidence in favor of the glue at the 90–day assessment p= 0.048. There were no statistically significant differences in complications at 90 days, we objective reduction in surgical time of 5.8 minutes in favor of the cyanoacrylate. There were not early recurrence.