Totally extraperitoneal laparoscopic hernioplasty (TEP) is an alternative surgery for inguinal hernia repair, but chronic pain is still a problem. The authors proposed the use of cyanoacrylate for mesh fixation instead of staples which might be the cause of chronic groin pain. The authors also innovated an instrument for delivery of cyanoacrylate for mesh fixation. The present article reported early experience in the first 15 patients who were treated with this technique. Early post-operative pain was comparable to a previous study, no recurrence and no chronic groin pain was detected after surgery.

Keywords: Laparoscopic surgery, Laparoscopic hernia, Hernia, Hernioplasty, Hernia repair, TEP, Cyanoacrylate