www.ijcmr.com Section: Surgery International Journal of Contemporary Medical Research Section: Surgery ISSN (Online): 2393-915X; (Print): 2454-7379 | Volume 7 | Issue 12 | December 2020 L7 Comparative Study of Mean Operating Time and Hospital Stay in Sutures and Cyanoacrylate Glue Mesh Fixation in Inguinal Hernia Repair Rakesh Kumar Barath 1 , Pankaj Khandal 2 , Rakesh Kumar Sharma 3 ORIGINAL RESEARCH ABSTRACT Introduction: The treatment of inguinal hernias is integral to the history and current status of general surgery; evolution in the treatment of inguinal hernias has paralleled technologic developments in the feld. Success of groin hernia repair is measured primarily by the permanence of the operation, fewest complications, minimal costs, and earliest return to normal activities. To validate the use of cyanoacrylate glue in fxation of mesh, its comparison to the Lichtenstein’s repair with suture fxation of mesh - in these outcomes must be established. The purpose of this study was to compare mean operating time and hospital stay in sutures and cyanoacrylate glue mesh fxation in inguinal hernia repair. Material and methods: This was a prospective study, conducted over a period of 18 months. After obtaining detailed history, complete general physical and systemic examination, the patients was subjected to relevant investigations. The complete data was collected in a specially designed case recording form. The data collected was transferred into a master chart which is then subjected for statistical analysis. Results: The mean duration of the total surgery in Suture group was 36.56 ± 2.27 minutes while that in Glue Group was 31.68±3.31 minutes. Signifcant difference of 4.88 minutes with p value <0.001 (independent/unpaired t test) was present. In the present study the mean duration of hospital stay was 5.20±2.81and 4.12±1.83 days respectively in suture and glue group. Conclusion: The operating time for in glue fxation is lesser. The patients who underwent Glue fxation of mesh had earlier discharge (4.12 days) (painless ambulation) compared to the patients who underwent Suture fxation of mesh (5.20 days) Keywords: Surgery, Inguinal Hernias, Hospital Stay. INTRODUCTION The treatment of inguinal hernias is integral to the history and current status of general surgery; evolution in the treatment of inguinal hernias has paralleled technologic developments in the feld. The most signifcant advances to impact inguinal hernia repair have been the addition of prosthetic materials to conventional repairs and the introduction of laparoscopy to general surgical procedures. The surgical treatment of inguinal hernias has evolved through several stages to reach a modern and successful era. Even in the present generation suture based repairs like modifed bassini and shouldice are still used, they require considerable level of skill to master when compared to Lichtenstein’s technique. Similar shortcomes are faced in laparoscopic repairs like TEP (Totally Extraperitoneal repair) and TAPP (Transabdominal Preperitoneal repair) Which have a very steep learning curve and offer rates of recurrence similar to lichtenstein’s repair, while laparoscopic repairs may be indicated in certain conditions, Lichtenstein’s repair appears to be the main stay for hernia repair. 1-4 Success of groin hernia repair is measured primarily by the permanence of the operation, fewest complications, minimal costs, and earliest return to normal activities. To validate the use of cyanoacrylate glue in fxation of mesh, its comparison to the Lichtenstein’s repair with suture fxation of mesh - in these outcomes must be established. 5 The purpose of this study is to compare mean operating time and hospital stay in sutures and cyanoacrylate glue mesh fxation in inguinal hernia repair. The aim of this study was to compare the mean operating time and hospital stay in sutures and cyanoacrylate glue mesh fxation in inguinal hernia repair. MATERIAL AND METHODS This prospective study was conducted at MBS hospital, Govt Medical College Kota Rajasthan. Total 50 cases were enrolled in study and divided into 2 groups,with 25 patients nin each group. After obtaining detailed history, complete general physical and systemic examination, the patients were subjected to relevant investigations. The complete data was collected in a specially designed case recording form. The data collected was transferred into a master chart which was then subjected for statistical analysis. Patients were selected with following inclusion and exclusion criteria. Inclusion criteria • All patients with evidence of primary uncomplicated inguinal hernia admitted in Maharao Bhim Singh 1 Senior Resident, Department of General Surgery, PDUMC, Churu, Rajasthan, 2 Senior Resident, Department of General Surgery, GMC, Kota, Rajasthan, 3 Senior Professor & HOD, Department of General Surgery, GMC, Kota, Rajasthan, India Corresponding author: Dr Rakesh Kumar Barath, VPO - Nethwa, The-Ramgarh Shekhawati, District - Sikar, Rajasthan Pin-331024, India How to cite this article: Barath RK, Khandal P, Sharma RK. Comparative study of mean operating time and hospital stay in sutures and cyanoacrylate glue mesh fxation in inguinal hernia repair. International Journal of Contemporary Medical Research 2020;7(12):L7-L10. DOI: http://dx.doi.org/10.21276/ijcmr.2020.7.12.12