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Research Paper | Surgery | India | Volume 13 Issue 12, December 2024 | Rating: 8.6 / 10
Comparative Analysis of Cyanoacrylate Glue versus Suture Mesh Fixation in Lichtenstein's Inguinal Hernia Repair
Dr. Arun Jhade, Dr. Abhilash Kumar Pithawa
Abstract: Lichtenstein's open tension - free inguinal hernia repair is a widely accepted surgical technique. The use of Cyanoacrylate glue for mesh fixation has emerged as a potential alternative to traditional suture fixation, offering the possibility of reduced operative time and improved patient outcomes. A Prospective Cohort study aimed to compare the clinical outcomes, including intraoperative and postoperative parameters, complications, and recovery profiles, between Cyanoacrylate glue mesh fixation and suture mesh fixation in Lichtenstein's inguinal hernia repair was carried out in Tertiary Care setting, which included 80 patients. Data were collected and analyzed using t - tests and chi - square tests, with a significance level of p < 0.05. Results: The Cyanoacrylate Glue group showed significantly shorter operative times (38.4 vs.47.3 minutes, p < 0.0001) and mesh fixation times (2.17 vs.10.26 minutes, p < 0.0001) compared to the Suture Mesh group. Hospital stay was shorter in the Cyanoacrylate Glue group (2 vs.3 days, p = 0.0145), and return to work was faster (4 vs.6 days, p < 0.0001). Postoperative pain was significantly lower in the Cyanoacrylate Glue group. Conclusion: Cyanoacrylate glue mesh fixation in Lichtenstein's inguinal hernia repair results in shorter operative time, faster recovery, and lower postoperative pain compared to suture mesh fixation. It is a safe and effective alternative, offering a favourable recovery profile with no increase in long - term complications.
Keywords: Lichtenstein's inguinal hernia repair, Cyanoacrylate glue, Suture mesh fixation, Postoperative pain, Mesh fixation, Surgical outcomes
Edition: Volume 13 Issue 12, December 2024,
Pages: 1483 - 1487