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Document Type

Original Article

Abstract

Introduction: Inguinal hernia, which often necessitate surgery, have a prevalence of 15–45 percent around the world, depending on age. The most common surgical treatment for inguinal hernia is mesh implantation. Current surgical options for mesh fixation involve, but are not limited to, sutures, tacks or staples, self-fixing meshes, fibrin, and other glues. Aim: To evaluate the performance of fibrin glues and sutures for fixing mesh during laparoscopic inguinal hernia repair. Patients and Methods: Forty adult male patients with inguinal hernias were randomly assigned to have either laparoscopic transabdominal pre-peritoneal repair or open repair at Al-Azhar university facilities. Individuals were separated into Group A, which utilized fibrin glue, and Group B, which utilized sutures, based on the mesh fixation technique they received. Results: There was no significant distinction in age among the groups. There was a significant variation in operative time among the groups, but no intraoperative problems occurred in any of the study populations. There are statistically substantial variations among the groups at every time point in terms of the severity of the pain scores reported after surgery. There are statistically significant disparities in length of hospital stay., There is a significant distinction in economic costs amongst the groups. There were no significant variations in the occurrence of early post-operative complications amongst the two groups. All groups showed no evidence of recurrence during the follow-up period. Conclusion: Based on the results of our research, utilizing fibrin glue to secure mesh is an equally efficient and cost-effective alternative. Our research shows that fibrin glue has many benefits, involving a short recovery time, shorter hospital stay, lower overall cost, fewer problems, and a low recurrence rate.

Keywords

Fibrin glue; Inguinal hernia; Pre-peritoneal; Suture; Trans-abdominal.

Subject Area

General Surgery

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