Fibrin Glue versus Sutures for Mesh Fixation in open Repair of Uncomplicated Inguinal Hernia

Abstract

In this study, forty (40) patients suffering from uncomplicated inguial hernia were repaired by tension free hernioplasty (Lichtenstien),was done in Bolak Aldakror General Hospital and Ahmed Maher teaching hospital , they randomly assigned into 2groups:group (A):with fibrin glue fixation and group (B):with suture fixation, the main aim of the study was to compare between sutures and fibrin glue for mesh fixation in openinguinal hernioplasty with evaluation of operative time,post-operative pain, hospital stay and return to normal life activity. The presented results show that the mesh fixation with fibrin glue in open tension free repair by Lichtenstein is simple, safe and effective. This method of fixation show distinct advantages over suture fixation, with slight possibility of chronic pain, and complications. During polypropylene mesh fixation with fibrin glue minimal retraction is required. Greater retraction, as in suture methods, leads to increased tissue contusion and short-term pain. Therefore, consistent with our results, a small contusion of soft tissues associated with minimal postoperative pain is what makes this method more advanced