The Glubran 2 glue for mesh fixation in Lichtenstein’s hernia repair: a double-blind randomized study

Stanisław Dąbrowiecki; Stanisław Pierściński; Wojciech Szczęsny

doi:10.5114/wiitm.2011.27429

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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2/2012
vol. 7

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Original paper

The Glubran 2 glue for mesh fixation in Lichtenstein’s hernia repair: a double-blind randomized study

Stanisław Dąbrowiecki

,

Stanisław Pierściński

,

Wojciech Szczęsny

Videosurgery and Other Miniinvasive Techniques 2012; 7 (2): 96-104

DOI: https://doi.org/10.5114/wiitm.2011.27429

Online publish date: 2012/03/27

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Introduction: With an average incidence rate of 11%, chronic pain is considered the most serious complication of inguinal hernioplasty after surgical site infection. One of the proposed solutions to this problem is to use tissue adhesive for mesh fixation, which helps prevent nerve and tissue damage.

Aim: The goal of this study was to compare mesh fixation with the use of sutures vs. adhesive in Lichtenstein’s inguinal hernia repair in a randomized, double-blind one-center study.

Material and methods: The study group consisted of 41 males with primary inguinal hernia undergoing Lichtenstein’s repair (20 – adhesive; 21 – suture) and remaining in follow-up from July 2008 to November 2010. Randomization took place during the operation. The follow-up was performed by one surgeon (blinded) according to a pre-agreed schedule; the end-of-study unblinding was performed during the last follow-up visit, usually 16 months postoperatively.

Results: In 1 patient from the “adhesive” group, a recurrence was observed one year after the initial repair. The early postoperative pain was less intense in this group. In later postoperative periods the method of mesh fixation had no influence on the pain experienced by the patient. Other complications were not correlated with the method of mesh fixation.

Conclusions: In this randomized, one-center double-blind clinical study of males with primary inguinal hernia it has been show during follow-up that the use of Glubran 2 cyanoacrylate adhesive for mesh implant fixation yields similar recurrence and chronic pain rates as the classical suture technique. In the early postoperative period, the pain reported by these patients was relatively weaker; patients undergoing adhesive mesh fixation experienced a quicker return to daily household activities.

keywords:

The Glubran 2 glue for mesh fixation in Lichtenstein’s hernia repair: a double-blind randomized study

Stanisław Dąbrowiecki , Stanisław Pierściński , Wojciech Szczęsny

inguinal hernia, Lichtenstein procedure, tissue adhesive

Stanisław Dąbrowiecki

,

Stanisław Pierściński

,

Wojciech Szczęsny