الفهرس 
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Abstract
The ideal target of inguinal hernia surgery is to provide a repair that is free from recurrence, pain and infection with minimal scarring and with improvement in patient’s quality of life. The introduction of meshes helped to achieve a recurrence rate of less than 5%. The current study included twenty patients complaining of uncomplicated inguinal hernia randomized into two groups according to the type of mesh fixation used in tension free Lichtenstein inguinal hernia repair. group I, patients received the standard Polypropylene mesh using sutures for its fixation. group II, patients received the histoacryl glue for fixation. As regard to the mesh fixation time was significantly shorter in group II (4 – 8 minutes) than in group I (13 – 22.0minutes) with p<0.001. The overall operative time was also significantly shorter in group II (40-80 minutes) than in group I (58-106 minutes) with p<0.001. The post-operative pain on (VAS) was significantly higher in group I (1-3) compared to (2-6) in group II. As regard to recurrence, no reported cases of recurrence in both groups with a follow up period. Compared to fixation with suture, our review shows that people undergoing Lichtenstein’s procedure has more benefit with glue fixation in terms of chronic pain, duration of operation, hematoma, seroma, and recovery time to daily activities. Conclusion: Inguinal hernia is commonly presented in the middle age group. The Liechtenstein tension free repair is the preferred surgery for 1ry hernia repair; it will not be a history one day. chronic pain is a long-term complication following groin hernia repair. The current study revealed a new method for mesh fixation; it is a modification within the original technique not an alternative. The use of histoacryl glue to fix the mesh instead of using sutures for fixation as with the standard Prolene mesh reflected obviously on the time needed for mesh fixation and in turn on the overall operative time. The mesh fixation time and the overall operative time were significantly shorter with glue.