Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty

Sun, Ping; Cheng, Xiang; Deng, Shichang; Hu, Qingxi; Sun, Yi; Zheng, Qichang

doi:10.1002/14651858.cd010814.pub2

Cited by 47 publications

(43 citation statements)

References 45 publications

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“…[19] Quyn et al found a significantly lower acute and chronic pain with the use of glue. [20] A lower immediate and chronic post-operative pain with the use of glue was also concluded in the study by Sun P et al [21] The usage of glue in mesh fixation has significantly proved its efficacy with regard to decreasing the time needed for mesh fixation in open inguinal hernia repair, as the mean time taken for mesh fixation with glue was 1.73 minutes in our study. Helmy reported a significant decrease in the operative time using Glue mesh fixation for unilateral inguinal hernia repair where 51.2% (22/43) of cases were handled in less than 30 min.…”

Section: Discussionsupporting

confidence: 84%

N-Butyl-2-Cyanoacrylate Glue versus Suture for Mesh Fixation in Open Inguinal Hernioplasty

Shukla¹,

Mathur²,

Sheikh³

et al. 2019

jemds

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BACKGROUND One of the most common surgical issues presenting to the surgical clinics is inguinal hernia. Pain after inguinal hernia surgery is debilitating and hampers the quality of life in many patients. This has been found to be due to the trauma caused by fixation of mesh with sutures. This study compares the traumatic (sutures) and nontraumatic (glue) methods of mesh fixation in inguinal hernioplasty. We wanted to compare suture and N-butyl-2-cyanoacrylate glue in fixation of mesh in open inguinal hernia repair in terms of immediate & chronic post-operative pain, intraoperative time, recurrence, length of hospital stay & complications, if any. METHODS This study was done in the department of General Surgery after Institutional Scientific & Ethical Committee clearance. It is a prospective study conducted on 120 patients with two groups of 60 each for suture and glue (N-butyl-2-cyanoacrylate) fixation of mesh. Pain in Numerical Rating Scale, operative time and any complications were recorded with follow up at 1 week, 1 month, 3 months and 6 months. RESULTS It was observed that glue takes significantly lower time than suture for fixation of mesh, thereby reducing the intraoperative time significantly. Using glue reduced the mean fixation time for mesh from 10 minutes in conventional suture method to 1.7 minutes. There was also significant reduction in immediate and chronic postoperative pain in the glue group. The length of hospital stay was found to be comparable in both the groups. No post-operative complications or recurrence were recorded in either group. CONCLUSIONS This study confirms the effectiveness and superiority of glue over suture for mesh fixation in open inguinal hernia repair in terms of reduced immediate and chronic post-operative pain and operative time.

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Section: Discussionsupporting

confidence: 84%

N-Butyl-2-Cyanoacrylate Glue versus Suture for Mesh Fixation in Open Inguinal Hernioplasty

Shukla¹,

Mathur²,

Sheikh³

et al. 2019

jemds

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“…The authors found that overall postoperative chronic pain in the glue group was reduced by 37% (OR 0.63, 95% CI 0.44 to 0.91; 10 studies, 1418 participants, low-quality evidence) compared with the suture group. 17 Similar low incidence of chronic pain has been reported by the authors such as Quyn AJ et al 18 and Zhang C et al 19 Finally, the analysis of recurrence rates showed that during follow up period only 1 patient in group A reported recurrence whereas there was no case of recurrence in group B. Many authors have including Colvin HS have reported that the recurrence rates after using synthetic glue were comparable to sutures thereby making synthetic glue a better choice for fixation of mesh as compared to sutures.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Polypropylene Suture Versus Tissue Adhesive Sealing for Mesh Fixation in Hernioplasty: A Comparative Study

Mallikarjun¹,

Chandrasekaran²,

Raj³

2019

IJCMSR

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Inguinal hernia is one of the most common cause of consultations in surgery OPD particularly in male patients above 50 years of age. Hernia repair using a mesh is being frequently used in these patients. One of the most important concern in patients undergoing hernia repair is chronic post-operative pain which may be severe enough to affect the quality of life of the patients. Traditionally sutures were used to fix the mesh in this surgery but recently synthetic glue is also being frequently used for the purpose of fixing mesh. We conducted this study to compare time required for surgery, postoperative pain, complications and recurrence rates in patients in whom either polypropylene sutures or tissue adhesive sealing was used for fixing mesh during hernia repair. Material and Methods: This was a prospective study conducted in the department of surgery in a tertiary care medical college situated in an urban area. Institutional ethical committee approved the study and informed consent was obtained from the patients. Total 60 patients were included in this study on the basis of a predefined inclusion and exclusion criteria. Out of the 60 studied cases in 30 patients mesh fixation was done using polypropylene suture material (Group A) and in remaining 30 patients synthetic tissue adhesive glue was used for mesh fixation (Group B). Time required for surgery, postoperative pain, complications and recurrence rates in patients in whom either sutures or tissue adhesive glue was used for fixing mesh during hernia repair were compared. The statistical analysis was done using SSPS 21.0. P value less than 0.05 was taken as statistically significant. Results: In this study Out of 60 cases there were 48 (80%) males and 12 (20%) females with a M:F ratio of 1:0.25. The mean age of patients in group A and group B was found to be comparable with no statistically significant difference (P>0.05). The mean duration of surgery in group A and group B was found to be 52.32 +/-14.74 minutes and 43.92 +/-10.64 minutes respectively (P<0.05). Postoperative mean VAS scores were found to be comparable in both the groups with no statistically significant difference (P>0.05). Chronic postoperative pain was more common in suture group as compared to patients in glue group. Recurrence rates were found to be comparable (P>0.05). Conclusion: Fixation of mesh by synthetic tissue adhesive glue in inguinal repair is a superior choice as compared to fixation by polypropylene sutures as it is associated with reduced duration of surgery, better results in terms of chronic postoperative pain and comparable recurrence rates.

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“…Es más importante el lugar anatómico y el número de fijadores colocados que su tiempo de absorción 18 . Como contraste, se ha reportado menos dolor fijando las mallas de forma no invasiva con pegamentos biológicos o sintéticos [19][20][21][22] .…”

Section: El Manejo Quirúrgico De Las Hernias Inguinales Cambió Debidounclassified

“…Por otra parte, el uso del cianocrilato parece producir menos dolor, menor requerimiento de analgésicos y un retorno algo más corto a las actividades habituales; resultados similares a los reportados en la literatura 19,[23][24][25] . Su empleo no se relacionó con un aumento de complicaciones ni recidivas, lo que sugiere que su empleo en las hernioplastias inguinales abiertas fue rápido, efectivo y seguro.…”

Section: El Manejo Quirúrgico De Las Hernias Inguinales Cambió Debidounclassified

Methods of mesh fixation in open and laparoscopic approach in inguinal hernia repair. Restrospective study in 195 patients

Acuña¹,

Elles²,

Carrasquilla³

et al. 2020

Rev Hispanoam Hernia

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Medios de fijación de mallas en la cirugía abierta y laparoscópica de la hernia inguinal. Estudio retrospectivo de 195 hernioplastias Methods of mesh fixation in open and laparoscopic approach in inguinal hernia repair. Restrospective study in 195 patients 10.20960/rhh.00211 Medios de fijación de mallas en la cirugía abierta y laparoscópica de la hernia inguinal. Estudio retrospectivo de 195 hernioplastias Methods of mesh fixation in open and laparoscopic approach in inguinal hernia repair. Restrospective study in 195 patients RESUMEN Introducción y objetivo: En la actualidad las hernioplastias inguinales con malla por vía abierta o por abordaje videoendoscópico son técnicas de elección. La fijación de la malla puede hacerse con sutura, sistemas de fijación invasivos y/o por medio de pegamentos, con resultados variables en cuanto al dolor posoperatorio. El objetivo del estudio fue evaluar de forma retrospectiva la posible influencia de los varios sistemas de fijación en cuanto al dolor posoperatorio, el requerimiento de analgesia adicional, el retorno a las actividades habituales y las posibles complicaciones. Pacientes y materiales: Se llevó a cabo un estudio retrospectivo, longitudinal, observacional y descriptivo en pacientes sometidos a hernioplastias inguinales abiertas y laparoscópicas durante un periodo de 12 meses. La malla fue fijada con sutura, fijación invasiva (fijadores metálicos o absorbibles) o pegamento sintético, de forma no protocolizada.Resultados: Se operaron a 195 pacientes, 58 por vía abierta y 137 por vía laparoscopia (TAPP). Aquellos a los que se les practicaron hernioplastias abiertas (malla fijada con sutura) experimentaron más dolor, requirieron más analgesia adicional y tuvieron un retorno a las actividades habituales más tardío que aquellos con mallas fijadas con pegamentos sintéticos (cianocrilato). Lo mismo ocurrió con las hernioplastias laparoscópicas con fijación invasiva cuando se comparó con la fijación con pegamentos sintéticos. Los pacientes intervenidos con técnicas abiertas experimentaron menos dolor a los 7 días, pero no así a los 30 y 60 días. Solo se presentó una recidiva en el grupo con fijación invasiva.Conclusiones: Los pacientes con hernioplastias con malla fijadas con pegamentos sintéticos tipo cianocrilato experimentaron menos dolor, requirieron menos analgesia y su retorno a las actividades habituales fue más precoz que aquellos con mallas fijadas con sutura por vía abierta o cuando se fijaron en forma invasiva con fijadores metálicos o absorbibles en los abordajes laparoscópicos. Palabras claves:Hernioplastia inguinal, fijación invasiva, fijación no invasiva, cianocrilato, dolor posoperatorio. ABSTRACT Introduction and objective: Actually, the optimal surgical technique for inguinal hernia repairs included the use of mesh using open or endoscopic approach. Mesh fixation can be done with sutures, tackers or glues; with different results in postoperative pain. The aim of this study was to evaluate retrospectively the possible influence of theses fixations systems in...

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Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty

Cited by 47 publications

References 45 publications

N-Butyl-2-Cyanoacrylate Glue versus Suture for Mesh Fixation in Open Inguinal Hernioplasty

N-Butyl-2-Cyanoacrylate Glue versus Suture for Mesh Fixation in Open Inguinal Hernioplasty

Outcome of Polypropylene Suture Versus Tissue Adhesive Sealing for Mesh Fixation in Hernioplasty: A Comparative Study

Methods of mesh fixation in open and laparoscopic approach in inguinal hernia repair. Restrospective study in 195 patients

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