Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study

Muhamamd Nasir Iqbal,Waqas Hussain,Akhtar Mahboob,Arooj Ahmad,Sajid Mukhtar,Umar Farooq

doi:10.51441/biomedica/5-280

Muhamamd Nasir Iqbal, Waqas Hussain + Show 4 more

Open Access

https://doi.org/10.51441/biomedica/5-280

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Abstract

Background and Objective: Inguinal hernia is one of the most common type of hernia affecting both genders. New surgical interventions to repair hernia are being developed for the better outcome of patients by reducing the operative time and postoperative complications. The objective of this study was to compare the prolene sutures and skin staples for mesh fixation in inguinal hernioplasty with mean operative time and post-operative pain as outcome determinants. Methods: This randomized controlled trial was conducted in the Department of General Surgery, DHQ Teaching Hospital, Sahiwal Medical College, Pakistan from January 1st, 2019 to December 31st, 2019. A total of 180 patients admitted for hernioplasty were recruited after institutional ethical approval. The study participants were randomized into group A and B. Mesh fixation was done by using prolene suture in group A, while skin staples were used in group B. The duration of procedure and post-operative pain after 1 week was noted using visual analogue scoring system. The comparison between groups was done through independent sample t-test. p-value &lt; 0.05 was considered to be statistically significant. Results: Mean age of the patients in group A and B was 39.21 &plusmn; 11 years and 40.16 &plusmn; 5.72 years respectively. The mean operative time was 52.15 &plusmn; 9.78 minutes in group A and 36.92 &plusmn; 3.95 minutes in group B (p = 0.000). Post-operative pain after 1 week was reported in 26.7% cases in group A while it was seen in only 10% cases in group B (p = 0.004). Conclusion: The outcome determinants of mean operative time and postoperative pain after inguinal hernioplasty were better achieved in cases treated by skin staples as compared to prolene sutures.

Highlights

Inguinal hernia repair is among the most commonly performed surgical procedures in the world
In group A, mesh fixation was done by using prolene sutures, while skin staples were used in group B
The duration of disease was slightly higher in group B and the difference in duration of disease between two groups was statistically significant (p = 0.040) (Table 1)

Summary

Introduction

Inguinal hernia repair is among the most commonly performed surgical procedures in the world. Inguinal hernia is an opening in the myofascial plain of the oblique and transversalis muscles causing the herniation of intraabdominal or extraperitoneal organs [1]. It can be indirect or direct, based on relation to the underlying epigastric vessels. Groin hernias are more common in males than females occurring at the extremes of ages; 1 year and after 50 years of age [3,4]. Both symptomatic and asymptomatic hernias are repaired through surgery either through laparoscopy or open surgery. The objective of this study was to compare the prolene sutures and skin staples for mesh fixation in inguinal hernioplasty with mean operative time and post-operative pain as outcome determinants

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