Application of cyanoacrylate for mesh fixation in open inguinal hernia repair

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Abstract

Aim
This work aimed to identify the outcomes of mesh fixation using cyanoacrylate in open inguinal hernia repair with regard to long-standing groin pain, operative time, rate of recurrence, degree of postoperative pain, and other complications.
Patients and methods
This was a prospective cross-sectional analytic study on 54 patients complaining of unilateral inguinal hernia that evaluated the usage of cyanoacrylate in open inguinal hernioplasty as a material for mesh fixation. The study was conducted in the General Surgery Department between November 2016 and February 2018. Male patients with denovo unilateral inguinal hernia suitable for elective open mesh repair were involved in the study and gave informed consent. Follow-up was carried out during a period ranging from 1 to 6 months. The primary outcome was early complications including early postoperative pain, bleeding, infection, seroma, and operative time. Secondary endpoints were long-standing groin pain and recurrence rate.
Results
About 48 cases of 54 (88.9%) needed less than 4 min for mesh fixation in open inguinal hernia repair. An overall 44% of cases have reported no early postoperative pain. Only 5.6% of cases have reported a status of chronic groin pain, and no cases have been reported for recurrence.
Conclusion
The results have led us to recommend the usage of cyanoacrylate for fixation of mesh in inguinal hernia repair to decrease the occurrence of postoperative complications in inguinal hernioplasty, generally, and the long-standing groin pain particularly, especially in patients who are more prone to experience pain.

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