Shireen AA Ramzanali Damani, Sadiqa Haider, Syed Sagheer Hussain Shah.
Outcome of Mesh Anchoring Using Stainless Steel Skin Staples Versus Polypropylene Suturing in Lichtenstein`s Tension Free Inguinal Hernia Repair.
J Surg Pak Jan ;21(2):71-4.

Objective: To find out the effectiveness of anchoring mesh using stainless steel skin staples versus polypropylene sutures in inguinal hernia surgery with Lichtenstein`s technique in terms of operation time, postoperative pain and recurrence of disease. Study design: Randomized controlled trial. Place & Duration of study: Department of Surgery ward 26 surgery, Jinnah Postgraduate Medical Centre Karachi, from February 2014 to January 2016. Methodology: Patients above 18 year of age who underwent inguinal hernia repair using mesh were included. They were randomly assigned in to Group A in which the mesh was secured using stainless skin staples and Group B where mesh was anchored using polypropylene (Prolene) 2/0 sutures. The operative time was recorded in both the groups. All the patients were followed up in outpatient department for recording the postoperative pain on the visual analogue scale (VAS). Results: Sixty-four patients fulfilling the inclusion criteria were included. They were randomly divided into two groups of 32 patients each. The mean age of Group A and B patients was 45.85 ± 13.50 year and 48.56 ± 14.56 year respectively. Total operation time and from mesh placement to skin closure was found significant in favor of group A (p <0.001). At 7th postoperative day in Group A twelve patients had no pain, Fifteen had mild, four with moderate and one patient had severe pain. In Group B ten patients reported no pain, fourteen had mild, five moderate and three with severe pain. Three patients in group A and four in Group B developed seroma postoperatively. Wound infection developed in one patient in group B. There was neither mesh related infection nor recurrence of hernia in either of the groups. Conclusions: Operation time was shorter in patients where staples were used. Postoperative pain was also less in intensity in this group.

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