A Multi-Centre, Prospective Observation Real- World Evidence study Comparing Mesh Fixation using Glue to Mesh fixation using tackers in patients undergoing Laparoscopic/Robotic Inguinal Hernia

Laparoscopic/robotic inguinal hernia repair has become a widely accepted surgical approach due to its advantages over open repair including reduced postoperative pain, faster recovery and better cosmetic outcomes  A critical aspect of this procedure is mesh fixation  which plays a key role in preventing recurrence but may also contribute to complications such as chronic postoperative pain Traditionally mechanical fixation using tackers has been the most common method however it is associated with tissue trauma neurovascular injury and an increased risk of chronic pain.

In recent years atraumatic mesh fixation with tissue adhesive has increasingly become the method of choice It is the recommended mesh fixation method by the International Hernia Society Guidelines for groin hernia management It offers a less invasive approach that may reduce nerve damage and tissue irritation with favorable biological properties including biodegradability hemostatic capability and strong tissue adhesion have the potential to enhance healing and minimize postoperative discomfort However despite its theoretical advantages there is lack of comprehensive evidence from India which directly compares the clinical outcomes of adhesive glue versus traditional mechanical fixation methods in laparoscopic or robotic inguinal hernia repair

This study aims to address this gap by comparing clinical outcomes including postoperative pain, complications and recurrence rates, between patients undergoing mesh fixation with n butyl 2 cyano acrylate glue and those treated with mechanical tackers during laparoscopic or robotic inguinal hernia repair