Atraumatic Mesh Fixation in IPOM-Plus Repair: Does Glue Outperform Tackers?
Bandaru Sai Kishan, Suresh Chandra Hari, Guduru Deepak SharmaAbstract
Aim:
This study compares the outcomes of mesh fixation using surgical glue versus tackers in laparoscopic intraperitoneal onlay mesh repair of ventral hernias.
Materials and Methods:
A prospective analysis was conducted on 50 patients undergoing laparoscopic ventral hernia repair, divided equally into glue fixation (
Results:
The two groups were comparable in age (mean value- glue: 41.86 years; tacker: 43.08 years) and gender distribution (38% female, 62% male). All hernia defects were <6 cm, with mean sizes of 3.4 ± 1.1 cm (glue) and 3.5 ± 1.0 cm (tacker). The operative time was slightly longer with glue fixation (42.4 min) than with tacker fixation (38.7 min). No intraoperative complications occurred. Postoperatively, the glue group experienced seroma formation in 4% and ileus in 4%. The tacker group showed seroma in 8%, hematoma in 4%, and ileus in 4%. Pain at 24 h was significantly lower with glue (Visual Analog Scale [VAS] 2.8) compared with tackers (VAS 6.5). Glue fixation also resulted in shorter hospital stay (1.2 vs. 1.4 days) and quicker return to normal activity. No recurrence was observed in either group.
Statistical Analysis Used:
Chi-square test, Unpaired Student
Conclusion:
Overall, glue fixation resulted in reduced pain, shorter hospitalization, and faster recovery, although the fixation choice should consider surgeon preference, cost, and resource availability.