Original CommunicationNBCA medical adhesive (n-butyl-2-cyanoacrylate) versus suture for patch fixation in Lichtenstein inguinal herniorrhaphy: A randomized controlled trial
Section snippets
Methods
This randomized, single-blind study was conducted at the Hernia and Abdominal Wall Surgery department of Beijing Chao-Yang Hospital, Capital Medical University, between January 2010 and April 2010. Patients were enrolled if they met the inclusion criteria, including: (1) clinical diagnosis of primary unilateral inguinal hernia; (2) age >18 years; and (3) no significant cardiopulmonary, hepatic, or renal impairment, and no contraindications for surgery. Exclusion criteria included: (1) bilateral
Results
Of 450 patients with inguinal hernias who were seen at our department between January 2010 and April 2010, 110 met the inclusion and exclusion criteria and were enrolled in this study. Patient demographic and disease characteristics shown in Table I, Table II groups were comparable.
In the experimental group, there were 45 males and 10 females with a mean age of 63 ± 10 years (range, 40–78). Their mean body mass index (BMI) was 25 ± 2 kg/m2 (range, 22–29 kg/m2). With respect to comorbidities, 10
Discussion
In our study, we compared the effectiveness and safety of a chemical adhesive with traditional suture for mesh patch fixation in Lichtenstein inguinal herniorrhaphy. The results showed that in terms of operation time, pain 24 hours after surgery, and postoperative complications, the chemical adhesive exhibited advantages over traditional sutures.
Most cases of chronic pain after tension-free inguinal herniorrhaphy arise from suture tension and subsequent nerve compression.2, 4 Therefore, the
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