Gelatin-resorcin-formalin (GRF) tissue glue as a novel technique for fixing prosthetic mesh in open hernia repair.
OBJECTIVE
Various methods for the fixing of prosthetic mesh in open inguinal hernia repair are in vogue. We describe a novel way of fixing the mesh in Lichtenstein's method of hernia repair using tissue glue [gelatin-resorcin-formalin (GRF) glue] and compare it with the traditional method of fixing the mesh using non-absorbable sutures.


METHODS
Eighty patients with uncomplicated inguinal hernia were alternately assigned to one of two groups of 40 patients each, i.e., control group (conventional Lichtenstein repair) and study group (repair using GRF glue). The primary end point was post-operative pain measured by the visual analog score and post-operative analgesic requirement.


RESULTS
The post-operative pain was found to be significantly less in the study group as compared to the control group.


CONCLUSIONS
Using tissue (GRF) glue to fix the prosthetic mesh in Lichtenstein's method of hernia repair is a feasible and better alternative to non-absorbable sutures.
Jain
S K
SK
Department of Surgery, Maulana Azad Medical College, Associated Lok Nayak Hospital, New Delhi, 110002, India. sudhirkumar11@gmail.com
Vindal
A
A
D000328:Adult; D000368:Aged; D004338:Drug Combinations; D005240:Feasibility Studies; D005557:Formaldehyde; D005780:Gelatin; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain; D019736:Prostheses and Implants; D012118:Resorcinols; D013526:Surgical Mesh; D013536:Suture Techniques; D014014:Tissue Adhesives; D055815:Young Adult
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin