Comparison of Sutures with N-butyl 2-cyanoacrylate Glue for Mesh Fixation during Primary Inguinal Hernia Repair – A One-year Randomized Control Trial
Background: The Lichtenstein technique for open hernia repair is associated to a high rate of post-operative chronic groin pain, mainly related to the mesh fixation technique. This randomized controlled trial was aimed to compare the conventional suture fixation with glue fixation of the mesh.
Materials and Methods: Sixty patients with primary inguinal hernia were randomized to undergo open hernia repair with suture fixation (Group A) or n butyl 2-cyanoacrylate glue fixation of the mesh (Group B). Primary outcome was early and late post-operative pain. Secondary endpoint was days taken to return to daily activities.
Results: Early post-operative pain and pain between 48 h and 1 month after surgery were significantly lower in Group B compared to Group A and days taken to return to daily activities in Group B is less than the days taken to return to daily activities in Group A.
Conclusion: This study demonstrates that mesh fixation with glue is a safe procedure that causes less early and late post-operative pain than the classical suture fixation in primary open mesh repair of inguinal hernias.