Fibrin glue versus sutures for mesh fixation in open repair of inguinal hernia

Abstract

Background: A hernia is characterized as a vesicle or portion of a vesicle protruding through an irregular gap in the walls of the cavity it is contained in. Of all the hernia types, inguinal hernias are the most prevalent. Aim & Objectives: To evaluate the duration of the procedure, discomfort after the procedure, length of hospital stay following the procedure, return to normal life, and recurrence of the hernia, two polypropylene mesh fixation techniques for inguinal hernia repair, as described by Lichtenstein, are being compared: fibrin glue and suture fixation. Patients and Methods: This prospective study was carried out in the Department of Surgery, El-Zhraa University Hospital, Al-Azhar University, from April 2021 to May 2023, on 80 patients who were divided into two groups: group A (40 cases used fibrin glue mesh fixation in open inguinal hernia repair) and group B (40 cases used suture mesh fixation in open inguinal hernia repair). Results: Regarding hospital stays and operating times, there was a notable distinction between the two groups: the prolene suture group’s operating time was longer than the fibrin glue group’s. When comparing the speed of return to normal life between the groups receiving fibrin glue and prolene suture, there was a statistically significant difference. Patients receiving fibrin glue returned to normal life more quickly than those receiving prolene suture. Conclusion: Fibrin glue is a safer and more acceptable option for mesh fixation than prolene suture in Liechtenstein hernioplasty procedures, but it comes at a hefty price.