Objectives: The Lichtenstein technique is currently the first to repair unilateral primary groin hernias. We aimed
to conduct long lateral chain cyanoacrylate as tissue adhesive glue for open inguinal hernias mesh Fixation.
Methodology: 60 patients of inguinal hernia repair were divided randomly into two groups, Group A, sutures did
mesh fixation. Group B, mesh fixation was done with cyanoacrylate glue.
Postoperative pain was measured with VAS by direct interview or phone call at 24 hours, 48 hours, seven days, 15
days, one month, three months, and six months after the operation.
Results: There was a statistically significant difference regarding the postoperative pain with a p-value <0.05
between two study groups after 24 hours of operation and after 15 days, 1, 3, and 6 months, with a low mean
score among the glue group, which indicated low pain score among glue group.
There was a statistically significant difference with p-value <0.05 between the two study groups regarding operative
time with low mean duration among group used glue, which indicated that using glue instead of suture will
consume less time in operation.
Conclusion: Mesh fixation with glue causes less postoperative pain, both acute and chronic, than the classical
suture fixation, with similar morbidity and recurrence rates.