Image description

Published yearly: 

4 Issues


ISSN: 2320-964X (Online) 

ISSN: 2320-7817  (Print)



Dr. Santosh Pawar 




Int. Journal of Life Sciences, 2018; 6(1): 1-5       |                 Available online, January 04, 2018

Histoacryl Glue versus Polypropylene Suture Mesh Fixation in Lichtenstein Inguinal Hernioplasty


Ahmed Raafat and Gamal Osman                                                                


General Surgery Department, faculty of Medicine, Zagazig University, Egypt.    

Received: 11. 11.2017   |   Accepted: 13.12.2017    |    Published : 04.01.2018

Background: Inguinal hernia repair is one of the most common operations in general surgery. The Lichtenstein tension-free operation has become gold standard in open inguinal hernia repair. Despite    the low recurrence rates; pain and discomfort remain a problem for a large number of patients. 

Aim: This study was to compare suture fixation vs. histoacryl sealing using a monofilament prolene mesh.  

Patient and Methods: A total of 100 patients randomly underwent primary inguinal hernia Lichtenstein repair fixing the mesh by prolene suture or by histoacryl; in both cases the mesh was fixed to the posterior wall of the inguinal canal and to the inguinal ligament. Follow-up time was 6 months.  

Results: Significantly, less postoperative pain was reported in histoacyl sealant group compared to the suture group Additionally, trends toward a higher postoperative quality of life, a   faster surgical procedure, and a shorter hospital stay were seen in the sealant group.

Conclusion: A widespread technique for the treatment of inguinal hernia is the application of a mesh using Lichtenstein procedure, the prosthesis can be fixed by traditional suture or using a new method of sutureless fixation with adhesive materials that shows an excellent local tolerability and lack of adverse effects and contraindications.


Keywords: Polypropylene mesh, Lichtenstein inguinal hernioplasty, histoacryl, postoperative pain, quality of life.


Editor: Dr.Arvind Chavhan


Cite this article as:

Ahmed Raafat and Gamal Osma T (2018) Histoacryl Glue versus Polypropylene Suture Mesh Fixation in Lichtenstein Inguinal Hernioplasty; International J. of Life Sciences, 6 (1): 1-5. 


Conflicts of interest: The authors stated that no conflicts of interest.



Copyright: © 2018 | Author(s), This is an open access article under the terms of the Creative Commons Attribution-Non-Commercial - No Derives License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.



Albala DM, Lawson JH (2006) Recent clinical and investigational applications of fibrin sealant in selected surgical specialties. J Am Coll Surg. ;202(4):685-697.

Amato G, Sciacchitano T, Bell SG, Romano G, Cocchiara G, Lo Monte AI, et al. (2009) Sphincter-like motion following mechanical dilation of the internal inguinal ring during indirect inguinal hernia procedure. Hernia.13(1): 67-72.

Campanelli G, Champault G, Pascual MH, Hoeferlin A, Kingsnorth A, Rosenberg J, et al. (2008) Randomized, controlled, blinded trial of Tissucol/Tisseel for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: rationale and study design  of the TIMELI trial. Hernia.  12(2):159-165.

Canonico S, Santoriello A, Campitiello F, Fattopace A, Corte AD, Sordelli I, et al. (2005) Mesh fixation with human fibrin glue (Tissucol) in open tension-free inguinal hernia repair: a preliminary report. Hernia. 9 (4):330-3.

Colvin HS, Rao A, Cavali M, Campanelli G, Amin AI (2013) Glue Versus Suture Fixation of Mesh During Open Repair of Inguinal Hernias: A Systematic Review and Meta-analysis. World J Surg. 37 (10): 2282-92.

Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E  Wiebe N (2002) Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev. (3): CD003326.

Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP (2011) Validity of four pain intensity rating scales. Pain.152 (10): 2399-404.

Fortelny RH, Petter-Puchner AH, Glaser KS, Redl H (2012) Use of fibrin sealant (Tisseel/Tissucol) in hernia repair: a systematic review. Surg Endosc.26 (7): 1803-12.

Gagliese L, Weizblit N, Ellis W, Chan VW (2005) The measurement of postoperative pain: a comparison of intensity scales in younger and   older surgical patients. Pain. 117 (3): 412-420.

Hartrick CT, Kovan JP, Shapiro S (2003) The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract.;3(4):310-366.

Hidalgo M, Castillo MJ, Eymar JL, Hidalgo A (2005) Lichtenstein inguinal hernioplasty: sutures versus glue. Hernia.9 (3): 242- 4.

Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al (2011) European Palliative Care Research Collaborative (EPCRC). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage.41 (6): 1073-93.

Just E, Botet X, Martínez S, Escolà D, Moreno I, Duque E (2010) Reduction of the complication rate in Liechtenstein hernia repair. Int J Surg. 8 (6): 462-5.

Keng TM, Bucknall TE (1998) A clinical trial of tissue adhesive (histoacryl) in skin closure of groin wounds. Med J Malaysia, 44: 122e128.

Lichtenstein IL, Shulman AG, Amid PK, Montllor MM (1989) The tension-free hernioplasty. Am J Surg. 157 (2): 188-93.

Maione C, Gambino G, Di Bona A, Luna E, Turco D, Scio A, et al. (2006) PTFE mesh in renal allograft compartment syndrome. Transplant Proc.38 (4): 1049-50.

Malangoni MA, Gagliardi RJ, Townsend CM,  Beauchamp RD, Evers BM, Mattox KL (2004) editors. Sabiston’s Textbook of Surgery. 17th edition. Philadelphia: Elsevier-Saunders, 1199-218.

Nowobilski W, Dobosz M, Wojciechowicz T, Mionskowska L (2010) Lichtenstein inguinal hernioplasty using butyl-2-cyanoacrylate versus sutures. Preliminary experience of a prospective World J Surg. 34 (4): 632-4.

Paajanen H, Varjo R (2010) Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents. BMC Surg. 10:24.

Quinn JV, Drezwiecki A, Li MM, Stiell IG, Sutcliffe, Elmsie TJ, and Wood WE (1993) A Randomized, Controlled Trial Comparing Tissue Adhesive With Suturing in the Repair of Pediatric Facial Lacerations,” Annals of Emergency Medicine.22 (7): 1130-1135.

Smietanski M, Smietanska IA, Modrzejewski A, Simons MP, Aufenacker TJ (2012) Systematic review and meta-analysis on heavy and lightweight polypropylene mesh in Lichtenstein inguinal hernioplasty. Hernia.16 (5): 519-28.

Spotnitz WD (2010) Fibrin sealant: past, present, and future: a brief review. World J Surg. ;34(4):632-664.

Timerbulatov VM, Iamalov RA, Faiazov RR, Kunafin MS,   Trukhanov OG (2011) Experience with hernioplasty after Lichtenstein in inguinal hernias. Vestn Khir Im I I Grek. 170 (4): 93-5.

Williamson A, Hoggart B (2005) Pain: a review of three commonly used pain rating scales. J Clin Nurs.14 (7):798-804.






    Origin & Evolution

    Print ISSN : 2320-7817 

    Online ISSN:2320-964X

    UGC Approved Journal No. 48951


    46, Guruwandan, Jawahar Nagar, 

    VMV Road, Amravati- 444604

    Maharashtra, India.

    Tel  + 91- 9970559438  |   9420775527  

    Email: |