Revista chilena de cirugía
versión On-line ISSN 0718-4026
ROCHA G, MARCOS. Tension-free hemioplasty: Experience with adhesive N-butil-cianoacrilate. Rev Chil Cir [online]. 2008, vol.60, n.2, pp. 98-102. ISSN 0718-4026. doi: 10.4067/S0718-40262008000200003.
Background: Lichtenstein hemioplasty is one of de most popular methods for inguinal hernia repair, due to its low rate of complications and recurrence. However it has some postoperative problems such as pain and local chronic irritations attributed to sutures for mesh fixation. Aim: To report the short term results of the use of a biodegradable adhesive to fix the mesh in Lichtenstein technique, instead of sutures. Material and Methods: Prospective study of 13 patients aged 25 to 62 years (11 men) with inguinal hernia, 5 bilateral, who were subjected to 18 hernia repair procedures, using Lichtenstein tension-free technique. The mesh fixed with the tissue adhesive, N-butyl-cyanocrylate. According to Nyhus hernia classification, 50% were type II, and 39% type Ilia. Femoral and recurrent hernias were excluded. A lineal analogue scale, from 0 to 10 was used to evaluate postoperative pain. The median follow-up was 8 months (range 1-18 months). Results: Mean hospital stay was 1.5 days. Mean pain score was 1.8 + 1.1 in the first postoperative day, and 0 at the 7th day. All had a good postoperative evolution. One patient had a hematoma that resolved spontaneously. No adhesive-related complications and no recurrences were seen. Conclusions: Good short term results were obtained using the he adhesive N-butyl-cyanocrylate, to fix the mesh in Lichtenstein hernioplasty
Palabras clave : Lichtenstein hernioplasty; N-butyl-cyanocrylate; inguinal hernia.