A Comparative Study of Fibrin Glue versus Sutured Mesh Fixation for Lichtenstein Inguinal Hernia Repair
Dr. Girish T U, Dr. Yetigadda Dinesh Reddy
Key Words – Fibrin glue, Lichtenstein hernioplasty, Post-operative pain, Foreign body sensationrnIntroduction- Inguinal hernia repair is one of the most frequently performed surgical operations. The most commonly performed inguinal hernia repair today is the Lichtenstein repair. In recent years, mesh fixation using fibrin glue instead of sutures has become popular. Both clinical and experimental trials demonstrate that fibrin sealant is a feasible option for mesh fixation in hernia repair.rnMethods- Cases were selected on the basis of randomised sampling technique. 50 patients had been enrolled in this 12-month observational study and were received either sutures or fibrin glue-Tisseel for hernia mesh fixation. Pain, post-operative analgesia requirement within 24 hours, local numbness, hematoma, seroma are evaluated by physical examination on days 3, 7 and 15 after surgery and long term outcomes like chronic pain, sensation of an extraneous body, recurrence, length of operation and time to return to work or normal activity have be assessed postoperatively at 1, 3, 6, and 12 months.rnResults- In our study the fibrin glue sealant group demonstrated a low incidence of short term outcomes like postoperative pain, post-operative analgesia requirement, seroma formation, and also low incidence of long term outcomes like chronic pain, sensation of an extraneous body with short hospitalization and no increased risk of hernia recurrence.rnConclusion - our study favors the use of human fibrin glue for hernia mesh fixation in Lichtenstein Hernioplasty which is better tolerated than sutures and is not associated with an increased risk of hernia recurrence.
Dr. Girish T U, Dr. Yetigadda Dinesh Reddy. A Comparative Study of Fibrin Glue versus Sutured Mesh Fixation for Lichtenstein Inguinal Hernia Repair. International Journal of Medical and Health Research, Volume 2, Issue 3, 2016, Pages 15-20