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Postoperative Pain Comparison between Sutures and Cyanoacrylate Glue for Mesh Fixation in Inguinal Hernia Repair

Ashrith Iyanahally, Assistant Professor, Department of Surgery, Mount Zion Medical College,Trivandrum, Kerala 605036, India , Abhilash Gautham Ramesha , Ashrith Iyanahallyb

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New Indian Journal of Surgery 9(2):p 119-122, March - April 2018. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.1

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Abstract

Inguinal hernia repair is the most frequently performed operation in any general surgical unit [3]. Hernioplasty is most commonly performed surgery for hernia. Mesh fixation is a major step in hernioplasty regularly mesh is fixed with nonabsorbable prolene sutures as there is longer operative time, more pain during post-operative period and foreign body sensation, sutures are replaced by nbutyl-2-cyanoacrylateglue mesh fixation in Lichtenstein hernia repair. To study the outcome of n-butyl-2-cyanoacrylateglue versus sutured mesh fixation in Lichtenstein hernia repair with respect to postoperative pain.

Materials and Method: 50 cases in each group is considered who are presenting to surgical opd in B.L.D.E.U’s Shri B.M. Patil Medical College Hospital in the period of June 2014 to May 2015.

Results: The number of patients with chronic pain who underwent hernioplasty with glue fixation is less (10%) when compared to number of patients with chronic pain who underwent Lichtenstin’s hernioplasty with sutures (26%). This association is found to be statistically significant in our study as compared to other studies in which there was no significant change in pain with glue and suture fixation of mesh. Use of N butyl cyanoacrylate glue for Lichtenstein hernia repair is more efficacious than regularprolene suture mesh fixation and also has the potential to reduce the incidence of chronic inguinodynia and foreign body sensation. There is less chronic pain after 12months in n butyl cyanoacrylate group mesh fixation. 

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.1

Keywords

Postoperative Pain; Mesh; Cyanoacrylate Glue.

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