Zahid Mehmood, Imran Ahmed, Syed Muhammad Shafqatullah.
Trans abdominal Preperitoneal Inguinal Hernia Repair: Mesh Fixation by Polyglactin Suture Versus Tacker.
J Surg Pak Jan ;22(3):76-8.

Objective: To compare operative time, postoperative pain and cost of procedure in trans abdominal preperitoneal (TAPP) inguinal hernia repair using polyglactin suture versus tacker, for fixing mesh and peritoneal closure. Study design: Quasi experimental study. Methodology: This study included 60 patients, divided into 2 groups. Each group had 30 patients. In group A polyglactin suture was used for mesh fixation and peritoneal closure while in group B metallic tacker was used. Operative time and pain score were compared between two groups. Cost incurred by the use of tacker and polyglycolic suture was also calculated. Results: Mean age in group A was 49.93 + 13.82 year and in group B 45.4 + 13.56 year. Operative time and pain scores were statistically significant between two groups. The operative time was more in group A than group B (p=.004), but pain score was much lower in group A (p=.001). Cost of tacker equipment was Rs. 10,000 and that of polyglycolic suture Rs. 500. Conclusion: Use of polyglactin suture for mesh fixation and peritoneal closure in TAPP is preferable due to less postoperative pain.

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