Jain S K, Vindal A
Department of Surgery, Maulana Azad Medical College, Associated Lok Nayak Hospital, New Delhi, 110002, India.
Hernia. 2009 Jun;13(3):299-304. doi: 10.1007/s10029-009-0474-5. Epub 2009 Feb 19.
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.
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.
The post-operative pain was found to be significantly less in the study group as compared to the control group.
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.
在开放性腹股沟疝修补术中，用于固定人工补片的方法多种多样。我们描述了一种在李金斯坦疝修补术中使用组织胶水[明胶 - 间苯二酚 - 甲醛（GRF）胶水]固定补片的新方法，并将其与使用不可吸收缝线固定补片的传统方法进行比较。
80例无并发症的腹股沟疝患者被交替分配到两组，每组40例，即对照组（传统李金斯坦修补术）和研究组（使用GRF胶水修补）。主要终点是通过视觉模拟评分法测量的术后疼痛以及术后镇痛需求。
研究组的术后疼痛明显低于对照组。
在李金斯坦疝修补术中使用组织（GRF）胶水固定人工补片是一种可行的方法，并且比不可吸收缝线更好。
