Tack Versus Cyanoacrylate Mesh Fixation in Laparoscopic Inguinal Hernioplasty

Document Type : Original Article

Authors

1 Department of general surgery- Faculty of Medicine- Zagazig University.

2 department of general surgery, zagazig university

3 Departmentof general surgey, zagazig university

4 Department of general surgery, student insurance hospital, zagazig university

Abstract

Aim: The present work aimed to compare histoacryl glue versus spiral tacks mesh fixation in laparoscopic inguinal hernioplasty.
Subjects& Methods: The current study is a randomized prospective clinical trial conducted on thirty adult male patients. They were divided into two groups; group A included fifteen patients and was operated upon by laparoscopic transabdominal pre-peritoneal (TAPP) technique with fixation of the mesh with histoacryl, while group B included fifteen patients and were operated upon by TAPP with fixation of the mesh by clips. Patients were followed up by routine clinical examination for 12 months to calculate the incidence of postoperative complications and recurrence rate during the period of follow up.
Results: Mesh fixation using histoacryl glue gave superior results than fixation using tackers regarding intra-operative time, post-operative complications and post-operative pain.
Conclusion: Mesh fixation using the cheaper less invasive histoacryl glue is suggested instead of hazardous spiral tacks throughout TAPP technique

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