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Corresponding Author

Mohey el-deen al-bendary, Ahmed

Document Type

Original Article

Abstract

Introduction: Prevalence of inguinal hernia worldwide is 15%–45% at different ages that requires surgical repair. Currently, inguinal hernia repair with a mesh is the common method through surgical procedure. The current type of mesh including different materials, and surgical options for mesh fixation include, sutures, tacks or staples, self-fixing meshes and fibrin, or other glues. Aim: to assess and compare the efficacy of mesh fixation using fibrin glue, tacks and sutures during laparoscopic repair of inguinal hernia. Patients and Methods: Randomized study included 15 adult male patients presented with inguinal hernias at Al-Azhar university hospitals using laparoscopic trans-abdominal pre-peritoneal repair. According to the mesh fixation method, Patients were divided into three different groups: Group 1: using fibrin glue, Group 2: using staple, and Group 3: using sutures. The main findings of the study: Age were no statistically significant difference between groups. Operative time was highly statistically significant difference between groups there were no intra-operative complications in all groups. Post-operative pain score shows highly statistically significant differences between groups in all follow up time except after 6 months there were no statistically significant differences between groups. Early post-operative, hospital stay, Economic Cost complications were no statistically significant differences between groups. There was no Recurrence found at follow up in all groups Conclusion: Our study revealed that fibrin glue method is considered comparable, cost effective method for mesh fixation. According to our findings; observed that fibrin glue have fast recovery, less hospital stay, cost effective, less complications and low recurrence rate.

Keywords

Fibrin glue; Inguinal hernia; Pre-peritoneal; fixation; Trans-abdominal

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