Polypropylene suture versus skin staples for securing mesh in lichtenstein inguinal hernioplasty.
OBJECTIVE
To compare polypropylene suture and skin staples for securing mesh in Lichtenstein inguinal hernioplasty in terms of mean operating time and postoperative pain.


METHODS
Randomized clinical trial.


METHODS
Surgical Ward, Combined Military Hospital, Kharian, from August 2011 to February 2012.


METHODS
All individuals fulfilling inclusion criteria underwent elective Lichtenstein inguinal hernioplasty as admitted patients, under spinal anaesthesia and with aseptic measures. In group 1, during the operation, mesh fixation was done with 2/0 polypropylene suture and skin was closed with subcuticular 2/0 polypropylene suture whereas in group 2, the anchorage of mesh was done with skin staples and skin was closed with staples from the same stapler. Mean operative time and postoperative pain, assessed on a visual analog score, were compared between the groups.


RESULTS
The overall postoperative pain was lower (p = 0.026) when staples were used to anchor mesh. Moreover, operative time was also lower (37.42 ± 2.69 minutes) in staple group versus (42.44 ± 2.55 minutes in polypropylene group).


CONCLUSIONS
Mean operating time and postoperative pain is less in securing mesh with skin staples as compared to polypropylene suture in Lichtenstein inguinal hernioplasty.
Department of Surgery, Combined Military Hospital, Kharian.
Awais Ali
AA
Khan
Department of Surgery, Combined Military Hospital, Kharian.
Shahid
S
Majeed
Department of Radiology, Combined Military Hospital, Rawalpindi.
Maria
M
Shahzadi
Department of Surgery, Combined Military Hospital, Rawalpindi.
Syed Mukarram
SM
Hussain
Department of Surgery, Combined Military Hospital, Kharian.
Mujahid Zulfiqar
MZ
Ali
Department of Surgery, Combined Military Hospital, Kharian.
Khalid
K
Siddique
D000328:Adult; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology / Q000209:etiology; D010154:Pakistan / Q000453:epidemiology; D011126:Polypropylenes; D013526:Surgical Mesh; D017792:Surgical Stapling / Q000009:adverse effects / Q000379:methods*; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome
D011126:Polypropylenes