A prospective study of laparoscopic repair of inguinal hernia by intraperitoneal onlay mesh technique using fibrin glue

Abstract

Background:Inguinal hernia repair is one of the most commonly performed operations worldwide. Laparoscopic repair is rapidly becoming the procedure of choice with increasing availability of resources. The present work focuses on the advantages and benefits of the fibrin glue and IPOM procedure in hernia repair.

Methods: A total of 16 cases were included operated by a single surgeon. IPOM technique was adopted for hernia repair with use of fibrin glue for mesh fixation along with tackers. Patients with reducible hernia were included, while those with irreducible, obstructed or strangulated hernia were excluded.

Results:All the patients were male with right indirect inguinal hernia being the most common presentation. The post-operative complications were none on one year follow up, without any recurrence or obstructions. All patients returned to normal activity within one day. Patients showed better compliance with reduced complaint of post-operative pain, early return to activity and work and less sick day leave. Intra-operative risk of damage to vital structures was also greatly reduced with the use of fibrin glue.

Conclusions:Laparoscopic IPOM hernia repair is feasible, easy to learn, has a high patient acceptance rate, reduce operating time and low complication rate. Use of fibrin glue for mesh fixation lead to reduce post-operative pain, early return to activity and less intra-operative risk.