Comparison between Polypropylene Suture and Skin Staples for Securing Mesh in Lichtenstein Inguinal Hernioplasty

Authors

  • Usman Shah Bukhari Department of Surgery, Combined Military Hospital, Khuzdar/National University of Medical Sciences (NUMS) Pakistan
  • Aamir Ali Department of Surgery, Combined Military Hospital, Mailsi/National University of Medical Sciences (NUMS) Pakistan
  • Sohail Ilyas Department of Surgery, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) Pakistan
  • Hafiz Khalid Pervaiz NUMS
  • Farooq Shahid Department of Surgery, FC Hospital, Quetta Pakistan
  • Kamran Durrani Department of Surgery, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i4.8652

Keywords:

Inguinal hernioplasty, Polypropylene suture, Skin staples

Abstract

Objective: To compare Polypropylene suture versus skin Staples for securing the mesh in patients undergoing Lichtenstein inguinal hernioplasty in terms of operative time, post-operative wound infections and pain.

Study Design: Comparative cross-sectional study.

Place and Duration of Study: Surgical Department, Combined Military Hospital, Quetta Pakistan, from Dec 2018 to Jun 2020.

Methodology: A total of 220 patients with unilateral inguinal hernia were included in the study and divided into two equal groups of 110 patients each and were assigned either to the Polypropylene-Group or the Staples-Group. All the patients underwent Lichtenstein hernioplasty on the elective operation list. Both groups were compared regarding operative time, post-operative pain and wound infections.

Results: The mean operative time was 58.8±3.31 minutes in the Polypropylene-Group vs. 49.87±2.67 minutes in the StaplesGroup. The mean post-operative pain score was 2.73±2.07 in the Polypropylene-Group and 1.95±2.18 in the Staples-Group. Wound infection was observed in 26 patients (23.64%) of the Polypropylene-Group vs. eight patients (7.27%) of the StaplesGroup, respectively, (p<0.001).

Conclusion: In patients undergoing Lichtenstein inguinal hernioplasty, skin staples are better than Polypropylene sutures for securing mesh. Staple application is a swift and painless procedure with lesser post-operative pain and less frequency of wound infections.

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Published

31-08-2023

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Section

Original Articles

How to Cite

1.
Bukhari US, Ali A, Ilyas S, Pervaiz HK, Shahid F, Durrani K. Comparison between Polypropylene Suture and Skin Staples for Securing Mesh in Lichtenstein Inguinal Hernioplasty. Pak Armed Forces Med J [Internet]. 2023 Aug. 31 [cited 2024 Nov. 3];73(4):1091-0. Available from: https://www.pafmj.org/PAFMJ/article/view/8652