Inguinal Hernia Open Repair

The Lichtenstein technique is currently the first choice to repair unilateral primary groin hernias .despite the demonstration of low morbidirty and and good long term results, several recent artiles demonstrated an unacceptable high rate of hronic inguinal pain with an average incidence of 12% but sometimes reported high rates as high as53% .many studies considered chronic postoperative pain as a surgical primary outcome and few of them evaluated the social impact of post hernioraphy chronic pain, that has been reported to affect social and work life of up to 6% of patients. This study included 60 patients.they were divided randomly into two groups,group A and group B. Group A , mesh fixation was done by sutures . Group B ,mesh fixation was done with cyanoacrylate glue. Operative time was measured and recorded per each case from the time of the skin incision till the time of skin closure. post operative pain was measured with VAS by direct interview or by phone call at 24 hours, 48 hours, 7 days, 15 days, 1 month, 3 months and 6 months after the operation.