COMPARATIVE STUDY ON THE POST-OPERATIVE PAIN AND OUTCOMES OF MESH FIXATION WITH NON-ABSORBABLE SUTURES VERSUS ABSORBABLE SUTURES IN LICHTENSTEIN INGUINAL HERNIA REPAIR
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Keywords
Hernia repair, Open inguinal hernia, Delayed-absorbable suture, Mesh fixation
Abstract
Objective: To evaluate the outcomes of the mesh fixation with non-absorbable sutures versus absorbable sutures in Lichtenstein inguinal hernia repair at a tertiary care setting.
Background: An inguinal hernia is an abnormal protrusion of all or part of a tissue into an abnormal orifice in its surrounding cavity. It is a common problem among surgical outpatients. Repairing this hernia is one of the most common surgical operations performed worldwide. Most surgeons now prefer to do tension-free mesh repairs. The Lichtenstein tension-free hernioplasty is now the world's most popular surgical procedure.
Study design: A randomized control trial
Place and Duration: This study was conducted in Ziauddin Hospital Keamari from November 2022 to November 2023
Methodology:Using total population sampling technique, all the patients aged above eighteen year undergoing Lichtenstein tension free inguinal hernioplasty were made part of the study. After seeking the formal consent we divided the patients into two groups, Patients were divided in 2 groups each of 65 patients. In group-I we performed mesh fixation with non-absorbable suture material (proline 1-0) and we used delayed absorbable suture material (vicryl 2-0) in group-II. We used SPSS version 26.0 for data entry and analysis.
Results: In this study, the most of the patients (52.31%) were aged between 41 to 60 years, followed by 44 (33.85%) patients aged between 18-40 years. Postoperatively, the pain was observed in in higher frequency in group-I, 22 (33.85%), 16 (24.62%) and 7 (10.77%) patients reported postoperative pain on 7th day, one month and 3 months respectively. However, in group-II, only 18 (27.69%), 8 (12.31%) and 3 (4.62%) patients reported to experience pain at on 7th day, one month and 3 months respectively.
Conclusion: Absorbable sutures are safe and successful option. While comparing with the traditional fixation methods, there is comparatively increased complaint of post-operative pain paresthesia. Although the difference in both groups has not been marked significant statistically.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Rihan Aslam Khan
Post Graduate Trainee General Surgery, Ziauddin Hospital Keamari Karachi Pakistan.
Syed Moin Islam Shah
Assistant Professor General Surgery, Sulaman Roshan Medical College TandoAdam Pakistan.
Shahbaz Zahoor
Shahbaz Zahoor, Senior Medical Officer General Surgery, Peoples University of Medical and Health Sciences Nawabshah Pakistan
Sandesh Kumar
Sandesh Kumar, Assistant Professor General Surgery, Liaquat University of Medical and Health Sciences Jamshoro Pakistan
Karim Bux
Karim Bux, Senior Registrar General Surgery, Liaquat University of Medical and Health Sciences Jamshoro Pakistan
Ahmed Hussain Pathan
Ahmed Hussain Pathan, Associate Professor General Surgery, Liaquat University of Medical and Health Sciences Jamshoro Pakistan