Cynoacrylate surgical glue as an alternative to suturing for mesh fixation in lichtenstein hernia repair

Background: Tension free repair using mesh in open hernia repair has become more popular in recent years. Chronic pain remains a frequent complication after Lichtenstein inguinal hernia repair. The use of sutures to fix the mesh has been implicated. Fixing the mesh using cynoacrylate glue could avoid this complication. The purpose of the present study is to study the incidence of pain and other complications following inguinal hernia repair performed by the Lichtenstein technique with mesh fixation by cyanoacrylate surgical glue.Methods: T This study was conducted at tertiary care hospital. Inclusion criteria were all patients coming to the hospital with inguinal or inguinoscrotal hernias diagnosed clinically. Exclusion criteria were all complicated inguinal hernia namely obstructed, strangulated, and large hernias with scrotal abdomen, recurrent hernia. Patient not fit for surgery or not consenting to join the study. The patients will be informed about the surgery and thereafter requested to sign an informed consent. Primary outcome was postoperative pain. Secondary endpoints were operating time, surgical site infection and recurrence rate.Results: Total number of 31 cases enrolled in the study of which twenty-two had unilateral and seven had bilateral inguinal hernias. Average pain score on POD 1, 3, 7 was 5.75; 4.53; 3.32 respectively. One patient developed seroma which was managed conservatively. No evidence of recurrence during study period.Conclusions: Cyanoacrylate surgical glue is a reliable method and can be used as an alternative for conventional Lichtenstein hernia repair.

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Comparison of Laparoscopic VS Open Inguinal Hernioplasty in a Tertiary Care Hospital

Journal of Enam Medical College ◽

10.3329/jemc.v10i1.45061 ◽

2020 ◽

Vol 10 (1) ◽

pp. 17-22

Author(s):

Md Mahfuzul Momen ◽

Ashok Kumar Sarker ◽

Deb Prosad Paul ◽

Debasis Das ◽

Sonia Akhter ◽

...

Keyword(s):

Inguinal Hernia ◽

Surgical Treatment ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Tertiary Care ◽

Laparoscopic Group ◽

Open Group ◽

Care Hospital ◽

Laparoscopic Hernioplasty ◽

The Mean

Background: Inguinal hernia repair is one of the most common surgical procedures in Bangladesh. The option of surgical treatment remains controversial. Laparoscopic hernia repair has all the benefits of a tension free repair. We aimed to compare postoperative outcome and cost between laparoscopic and open inguinal hernia repair. Objective: This study was conducted with an objective to compare the effectiveness of each procedure and complications if any. Materials and Methods: Fifty cases of inguinal hernia admitted in the tertiary care center were selected by nonprobability (purposive) sampling method. All patients with uncomplicated hernia treated by open or laparoscopic method were included. The age/sex, incidence, mode of presentation, surgical treatment and postoperative complications were evaluated and compared with standard published literature. Results: Postoperative wound infection developed in three cases of open hernioplasty and one case in laparoscopic surgery. Hematoma and seroma at the operated site were found in one case of laparoscopic hernioplasty and in two cases of open hernioplasty. Orchitis was more prevalent in the laparoscopic hernioplasty patient with incidence among two cases as compared to one in open group. The mean duration of hospitalization was 59.62±6.11 hours in case of laparoscopic hernioplasty while 53.33±8.26 hours in open hernioplasty. The mean duration of procedure was 72.33 minutes in laparoscopic group while 64.62 minutes in open surgery. The mean cost for the laparoscopic repair group was around taka 63000/= whereas in the open group it was around 42000/= only with significant difference. Prolonged groin pain was seen in four cases in open group as compared to one in laparoscopically operated cases. Conclusion: There were less post-operative complications in the laparoscopic group. J Enam Med Col 2020; 10(1): 17-22

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Comparative study of mean operating time and hospital stay in sutures and cyanoacrylate glue mesh fixation in inguinal hernia repair

International Surgery Journal ◽

10.18203/2349-2902.isj20180990 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1271

Author(s):

Ashrith Iyanahally ◽

Abhilash Gautham Ramesh

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Hospital Stay ◽

Inguinal Hernia Repair ◽

Mesh Fixation ◽

Operating Time ◽

Suture Fixation ◽

Cyanoacrylate Glue ◽

Tension Free ◽

Medical College

Background: Hernia is a protrusion of a viscus or part of a viscus through an abnormal opening in the walls of its containing cavity. A hernia is the bulging of part of contents of the abdominal cavity through a weakness in the abdominal wall. Inguinal hernia repair is the most frequently performed operation in any general surgical unit. To compare the mean operating time and total duration of hospital stay between sutures and cyanoacrylate glue mesh fixation in inguinal hernia repair in a medical college setup.Methods: All patients presenting to B.L.D. E. U’s Shri B. M. Patil Medical College Hospital and Research Centre Bijapur and admitted patients in whom the diagnosis of primary inguinal hernia is considered from October 2013 to June 2015.Results: Operating time was significantly less that is 36.52 min in cyanoacrylate group and 48.32 in suture fixation group. Hospital stay in cyanoacrylate group was 4.82 days and in suture fixation group was 6.48 days. Two days is considered as preoperative work up period in both the groups as it is a medical college setup.Conclusions: Lichtenstein tension free hernioplasty is always better option if mesh fixation done with N-butyl cyanoacrylate when compared with Lichtenstein’s tension free hernia repair with standard prolene suture fixation.

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The Comparison of Lichtenstein Procedure with and without Mesh-Fixation for Inguinal Hernia Repair

Surgery Research and Practice ◽

10.1155/2016/8041515 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Feyzullah Ersoz ◽

Serdar Culcu ◽

Yigit Duzkoylu ◽

Hasan Bektas ◽

Serkan Sari ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Early Stage ◽

Standard Procedure ◽

Mesh Fixation ◽

Cost Effective ◽

Repair Method ◽

Lichtenstein Hernia Repair ◽

Lichtenstein Procedure

Aim.Although inguinal hernia repair is the most frequently performed surgical procedure in the world, the best repair method has not gained acceptance yet. The ideal repair must be safe, simple, and easy to perform and require minimal dissection which provides enough exploration, maintain patient’s comfort in the early stage, and also be cost-effective, reducing operation costs, labor loss, hospital stay, and recurrence.Materials and Methods.There were eighty-five patients between the ages of 18 and 75, diagnosed with inguinal hernia in our clinic. Lichtenstein procedure for hernia repair was performed under spinal anesthesia in all patients. Forty-two patients had the standard procedure and, in 43 patients, the polypropylene mesh was used without fixation. All patients were examined and questioned on the 7th day of the operation in terms of pain, scrotal edema, and the presence of seroma and later on in the 6th postoperative month in terms of paresthesia, neuropraxia, and recurrence by a single physician.Results. Operative time and pain scores in the nonfixation group were significantly lower, without any increase in rates of recurrence.Conclusion.Based on these findings, in Lichtenstein hernia repair method, nonfixation technique can be used safely with better results.

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Early Outcome of Lichtenstein Technique for Inguinal Hernia Repair in Tertiary Care Hospital

Anwer Khan Modern Medical College Journal ◽

10.3329/akmmcj.v10i1.43660 ◽

2019 ◽

Vol 10 (1) ◽

pp. 62-69

Author(s):

ASM Anwarul Kabir ◽

Mahbuba Sharmin ◽

Khaleda Akhter ◽

Farjana Akhter ◽

Md Rashidul Haq ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Tertiary Care ◽

Oral Feeding ◽

Drain Tube ◽

Care Hospital ◽

Lichtenstein Technique ◽

Medical College

Background: Inguinal hernia repair are very common in day to day general surgical practice. Results of surgical repair are often satisfactory but recurrences following surgery is troublesome both for surgeon and patient. Lichtenstein technique is now the most widely performed technique in groin hernia repair. The aim of this study was to assess short term outcome of inguinal hernia repair by Lichtenstein technique. Methods and materials: In this prospective study, 30 inguinal hernia repairs were performed by Lichtenstein technique between January 2015 and December 2017 in surgery department of Holy Family Red Crescent Medical College Hospital. Patients were scheduled for follow up visits at 1st week, three months and six months in out- patient department. The main outcome measure was early recurrence, groin pain and other complications. Results: In this study age of the patients ranged from 30 years to 78 years, The mean age was 51.93 (±SD 10.12) years. Regarding personal habit, more than half of the patients of inguinal hernia were found to be non-smoker and about 37% of the patients were current smokers. Most of the hernia were of indirect type (18/30) followed by direct type (9/30). In indirect type 55.6% of the hernias were in the right side and the rest were in left side. On an average each operation lasted for 1.18 hours and oral feeding started 12.69 hours after the operation. Two patients (6.7%) had a prolonged recovery and presented with abdominal distention after operation. Postoperative hospital stay that was 2.27 days. 6 (20%) patients developed postoperative urinary retention. Scrotal haematoma formation was observed in 5(17%) cases and local haematoma or seroma formation in incision site was reported in 4 (13%) cases. In 6 patients (20%) we used suction drain tube at tissue plane where mesh was placed for draining of blood or seroma and that drain tube was removed 2nd or 3rd postoperative period. Periincisional skin echymosis, abdominal distension and superficial wound infection, postoperative pyrexia were the other complications reported. No recurrence or mesh rejection or mesh infection were observed within short time postoperative follow up period. Conclusion: Lichtenstein technique is easy to learn, simple to perform and very rationale to perform and recurrence rate is low. Multi-centre studies with larger sample and longer duration of study and more sound study design could bring more insight regarding this issue. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 62-69

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