Evaluatio
Evaluation of fibrin glue in inguinal hernioplasty
Mohamed S. Teama.
Department of Surgery, Faculty of Medicine, Al-Azhar University, Egypt.
Abstract: Background: Chronic pain is considered the most serious complication of inguinal hernioplasty after surgical site infection. One of the proposed solutions to this problem is to use tissue adhesive for mesh fixation, which prevents nerve and tissue damage. Aim: The aim of this study was to compare the postoperative pain, complications, and hernial recurrence after polypropylene mesh inguinal hernioplasty using fibrin sealant versus sutures for fixation. Method: This study was carried out on 60 male patients with primary unilateral inguinal hernia between September 2011 and June 2012. Patients were assigned randomly to either a mesh fixed with suture group A (n = 30) or a mesh fixed with fibrin sealant group B (n = 30). Postoperative pain was evaluated. Complications and hernia recurrence were recorded. Results: The two groups were equivalent for inclusion, exclusion criteria and preoperative data. The complication rate was high in suture group. The operative time was shorter in the fibrin sealant group by 8 min. (p = 0.001). There was no hernia recurrence in the fibrin sealant or suture group after follow-up for 12 months. Conclusions: This study confirms the effectiveness and advantagesof fibrin glue over sutures in reducing post operative and chronic inguinal pain, numbness, discomfort with fewcomplications. It should be considered as a first-line option for mesh fixation in hernioplasty in the future as there are promising and encouraging initial results.
[Mohamed S. Teama. Evaluation of fibrin glue in inguinal hernioplasty. J Am Sci 2013;9(6):632-638]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 80
Keywords: Hernia repair, mesh fixation, chronic inguinal pain, fibrin glue. Full
