TPT 9.16 Skin Glue Alone Versus Skin Glue Plus Dressing in Open Inguinal Hernia Repair: Clinical Outcomes and Avoidable Environmental Impact
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ID: 324057
2026
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Abstract
Abstract Open inguinal hernia repair is a frequently performed day-case operation. Cyanoacrylate skin adhesive provides a waterproof, occlusive seal and, in principle, does not require any additional postoperative dressing. Despite this, practice varies considerably, with many surgeons continuing to apply dressings out of habit rather than clinical necessity. As healthcare systems increasingly recognize the environmental impact of surgical consumables, understanding whether these dressings offer measurable benefits is essential. This study compares glue-only closure with glue plus dressing, evaluating both clinical outcomes and avoidable carbon emissions. A retrospective comparative analysis was undertaken of elective open inguinal hernia mesh repairs performed at our trust. Eighty patients were included: 40 managed with glue alone and 40 with glue plus dressing. Data collected included postoperative wound complications and dressing use. No wound infections or dehiscence occurred in the glue-only group. In the glue plus dressing group, one superficial wound infection and one haematoma were recorded. There was no statistically significant difference in infection rates between groups (0/40 vs 1/40; Fisher’s exact test, p = 1.0). Overall complication rates were low. Patients receiving dressings generated additional waste, with variable provision of take-home dressings resulting in an estimated 150–450 g CO₂e per patient. Glue-only closure produced negligible dressing-related emissions. The addition of postoperative dressings conferred no clinical advantage yet introduced avoidable environmental harm. Omitting routine dressings when glue is used is a safe, simple, and immediately adoptable measure to improve the sustainability of open inguinal hernia repair.
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openalex_W7172497345
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| Authors | Nida Khan, Dominika Krasicka, Muhkil Rajendran, Premjithlal Bhaskaran, Christi Swaminathan, Victoria Pegna |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.284
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| URL | |
| Keywords | Keywords not found |
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