Glue Versus Tacker Fixation of Mesh in Trans Abdominal Preperitoneal Laparoscopic Inguinal Hernial Repair

Document Type : Original Article

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Department of General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446580

Abstract

Background: Repair of inguinal hernia is one of the most commonly conducted procedures in the field of general surgery.
Aim: To assess uses of cyanoacrylate-based glue versus tacker for mesh fixation in laparoscopic trans abdominal preperitoneal (TAPP) inguinal hernia repair and assessment of postoperative pain, operative time, hospitalization, morbidity, cost, return to work, and recurrence rate.
 Patients and methods: This was a prospective randomized investigation performed on forty adult patients in the outpatient clinics of Al-Azhar University hospitals from August 2023 to August 2024,
Results: Ninety percent of cases in group A and sixty percent in Group B experienced pain relief within 7 days of surgery, while pain was scored one in two cases in group A and two in five cases in group B. Pain stopped in all cases within fourteen days. Postoperative complications, such as scrotal swelling, did not differ significantly among groups. Hospital stay analysis demonstrated that ninety-five percent of cases in the cyanoacrylate-based Group and eighty-five percent in the tacker group were discharged on the first postoperative day, with no significant difference. Recurrence was found in one case in the tacker group,
Conclusion: This study revealed that laparoscopic transabdominal preperitoneal repair for inguinal hernias is effective because it is a safe surgical technique that permits quick recovery and return to regular activities. Mesh fixation utilizing Cyanoacrylate-based glue is preferable to tackers due to its ability to generate less post-surgical pain and require less analgesia.
 

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