Mesh Fixation with Cyanoacrylate Glue vs. Conventional Sutures in Inguinal Hernias
DOI:
https://doi.org/10.52783/jns.v14.2236Keywords:
Inguinal hernia, Mesh fixation, Cyanoacrylate glue, Sutures, Postoperative outcomes, Hernia recurrence, Pain managementAbstract
Background: Inguinal hernia repair is one of the most common surgical procedures. While conventional sutures are widely used for mesh fixation, they can lead to increased postoperative pain and complications. Cyanoacrylate glue has emerged as a potential alternative for non-traumatic fixation.
Objective: To compare the outcomes of mesh fixation using N-Hexyl cyanoacrylate glue versus conventional sutures in inguinal hernia repair.
Methods: A prospective randomized comparative study was conducted with 100 patients divided into two groups: Group A (Glue) and Group B (Sutures). Parameters such as operation time, postoperative pain (VAS score), seroma formation, surgical site infection (SSI), hospital stay, and recurrence rates were evaluated.
Results: The mean procedure time was significantly lower in the Glue group (65.86 ± 7.75 minutes) compared to the Sutures group (81.12 ± 9.50 minutes; p < 0.0001). Postoperative pain (VAS scores) was lower in the Glue group on days 3, 5, and 8. Seroma and SSI rates were reduced in the Glue group. Recurrence rates at 6 months were also lower for the Glue group (0%) compared to Sutures (6%; p = 0.04).
Conclusion: Cyanoacrylate glue is a safe and effective alternative for mesh fixation in inguinal hernia repair, offering reduced operation time, pain, and complications.
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References
Zaidan et al., Comparative study on mesh fixation methods, 2020.
Haroon et al., The impact of glue fixation on recovery, 2019.
Yassin et al., Long-term outcomes of glue vs. suture mesh fixation, 2018.
Koning & Vriens, Effectiveness of Cyanoacrylate Glue in Hernia Repairs, International Surgery Journal, 2020.
Liu et al., Systematic Review of Mesh Fixation Methods, British Journal of Surgery, 2021.
Barber et al., Cyanoacrylate Glue in Surgical Applications: Advances and Challenges, Journal of Surgery, 2022.
Staal et al., Chronic Pain Outcomes in Hernia Surgery, Surgery Today, 2020.
Hoyuela et al., Visual Analog Scale Comparisons in Mesh Fixation Techniques, Hernia Journal, 2019.
Shestakova et al., Meta-Analysis of Glue vs. Sutures in Hernia Repairs, Annals of Surgery, 2017.
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