Suture mesh fixation versus glue mesh fixation in open Lichtenstein inguinal hernia repair

Abstract

Background: This randomized controlled trials was conducted for systematic comparison of suture mesh fixation (SMF) versus glue mesh fixation (GMF) in open inguinal hernia repair with regards to chronic groin pain, recurrence, operative time, post operative pain and postoperative complications.Methods: This study was a single-center, prospective randomized, controlled trial of two groups. It compared post-operative outcomes of mesh fixation with suture (Group A) versus glue (Group B). It was done at Baroda Medical College and S.S.G. Hospital, from May 2018 to January 2019 for case study, intervention and followed up for 9 months till October 2019.Results: Intra operative time duration for mesh fixation is less in Group B (glue mesh fixation) as compare with Group A (suture mesh fixation) with the statistically significant p value of 0.003. Post-operative pain score (mean VAS score) is significantly less in group B. Mean VAS in group A was 1.27 at 3 month while in group B was 1.06 with the p value of 0.048 on 3 month, which is statistically significant. It suggests that chronic groin pain (pain at or after 3 month) significantly less in group B as compared with group A.Conclusions: Mesh fixation by glue has advantage of less intra operative time duration and less post-operative pain and chronic groin pain as compare to mesh fixation by suture.