DOI: 10.36347/sjams.2017.v05i12.039

Pages: 4985-4988

The open mesh hernioplasty is currently remains the first choice of surgeon for groin hernia. To diminish the troubles and reduce the risk of postoperative discomfort different method of mesh fixation have been considered and mainly with tissue compatible glue. In our opinion, long lateral-chain cyanoacrylate represent best choice for mesh fixation in open mesh hernia repair. In this study firstly we publishing with primary endpoint of the study is Post-Operative Pain. Our study conducted between March 2016- February 2017 at RUHS – CMS and attached Jaipuria Hospital. Total 60 patients were included in our study. In which we randomized by sealed envelope. The envelopes were open intraoperatively. Primary outpoint were early and late post-operative pain. A total of 60 male patients was included in the trial.30 patients were allotted to the sutured mesh fixation in group 1 and 30 patients to the suture less mesh fixation in group 2. At 1 month follow-up – 15 patients in group 1 reported pain in groin pain compared 9 in group 2. At 3 month follow up – Number of patient with pain decreased in both 15 to 6 in group 1 and 9 to 2 in group II. In our study demonstrate that mesh fixation with glue causes less post-operative pain in chronic pain than classical suture fixation technique, with similar if not better recurrence and morbidity.