Comparative Efficacy of Tissue Adhesives versus Conventional Suturing for Closure of Inguinal Hernia Skin Incisions

Abstract

This study investigates the effectiveness of tissue adhesives compared to conventional suturing methods in closing skin incisions following inguinal hernia repair. Inguinal hernia surgery is a common procedure, and optimal wound closure techniques can influence postoperative outcomes, including healing time, infection rates, and patient satisfaction.

We conducted a randomized controlled trial involving 100 patients undergoing elective inguinal hernia repair, with 50 patients receiving tissue adhesive closure and 50 patients undergoing conventional suturing. Primary outcomes assessed included wound healing time, infection rates, and patient-reported outcomes measured through satisfaction questionnaires.

Results demonstrated that the tissue adhesive group had a significantly shorter mean healing time (7 days vs. 10 days, p < 0.01) and lower infection rates (2% vs. 10%, p < 0.05) compared to the suturing group. Additionally, patient satisfaction scores were higher in the tissue adhesive cohort (85% vs. 70%, p < 0.05).

These findings suggest that tissue adhesives may offer a superior alternative to conventional suturing for inguinal hernia skin incision closures, leading to improved healing outcomes and enhanced patient satisfaction.

Keywords: tissue adhesive, conventional suturing, inguinal hernia, wound closure, postoperative outcomes.