Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study

<p><strong>Background and Objective:</strong> Inguinal hernia is one of the most common type of hernia affecting both genders. New surgical interventions to repair hernia are being developed for the better outcome of patients by reducing the operative time and postoperative complic...

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Main Authors: Muhamamd Nasir Iqbal, Akhtar Mahboob, Umar Farooq, Sajid Mukhtar, Waqas Hussain, Arooj Ahmad
Format: Article
Language:English
Published: Discover STM Publishing Ltd 2021-06-01
Series:BioMedica
Online Access:https://biomedicapk.com/10.51441/BioMedica/5-280
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author Muhamamd Nasir Iqbal
Akhtar Mahboob
Umar Farooq
Sajid Mukhtar
Waqas Hussain
Arooj Ahmad
author_facet Muhamamd Nasir Iqbal
Akhtar Mahboob
Umar Farooq
Sajid Mukhtar
Waqas Hussain
Arooj Ahmad
author_sort Muhamamd Nasir Iqbal
collection DOAJ
description <p><strong>Background and Objective:</strong> Inguinal hernia is one of the most common type of hernia affecting both genders. New surgical interventions to repair hernia are being developed for the better outcome of patients by reducing the operative time and postoperative complications. The objective of this study was to compare the prolene sutures and skin staples for mesh fixation in inguinal hernioplasty with mean operative time and post-operative pain as outcome determinants.</p> <p><strong>Methods:</strong> This randomized controlled trial was conducted in the Department of General Surgery, DHQ Teaching Hospital, Sahiwal Medical College, Pakistan from January 1st, 2019 to December 31st, 2019. A total of 180 patients admitted for hernioplasty were recruited after institutional ethical approval. The study participants were randomized into group A and B. Mesh fixation was done by using prolene suture in group A, while skin staples were used in group B. The duration of procedure and post-operative pain after 1 week was noted using visual analogue scoring system. The comparison between groups was done through independent sample t-test. p-value &lt; 0.05 was considered to be statistically significant.</p> <p><strong>Results: </strong>Mean age of the patients in group A and B was 39.21 &plusmn; 11 years and 40.16 &plusmn; 5.72 years respectively. The mean operative time was 52.15 &plusmn; 9.78 minutes in group A and 36.92 &plusmn; 3.95 minutes in group B (p = 0.000). Post-operative pain after 1 week was reported in 26.7% cases in group A while it was seen in only 10% cases in group B (p = 0.004).</p> <p><strong>Conclusion:</strong> The outcome determinants of mean operative time and postoperative pain after inguinal hernioplasty were better achieved in cases treated by skin staples as compared to prolene sutures.</p>
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spelling doaj.art-5f56bbfb6aab4bc08bf0855dad2602352023-11-13T14:11:21ZengDiscover STM Publishing LtdBioMedica2710-34712021-06-0137211912210.51441/BioMedica/5-280Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative StudyMuhamamd Nasir Iqbal0Akhtar Mahboob1Umar Farooq2Sajid Mukhtar3Waqas Hussain4Arooj Ahmad5Department of General Surgery, Sahiwal Medical College/DHQ Teaching Hospital, Sahiwal - Pakistan.Department of General Surgery, Sahiwal Medical College/DHQ Teaching Hospital, Sahiwal - Pakistan.Department of General Surgery, Allama Iqbal Medical College Lahore - Pakistan.Department of General Surgery, Sahiwal Medical College/DHQ Teaching Hospital, Sahiwal - Pakistan.Department of General Surgery, Sahiwal Medical College/DHQ Teaching Hospital, Sahiwal - Pakistan.Department of Forensic Medicine, Fatima Jinnah Medical University, Lahore - Pakistan.<p><strong>Background and Objective:</strong> Inguinal hernia is one of the most common type of hernia affecting both genders. New surgical interventions to repair hernia are being developed for the better outcome of patients by reducing the operative time and postoperative complications. The objective of this study was to compare the prolene sutures and skin staples for mesh fixation in inguinal hernioplasty with mean operative time and post-operative pain as outcome determinants.</p> <p><strong>Methods:</strong> This randomized controlled trial was conducted in the Department of General Surgery, DHQ Teaching Hospital, Sahiwal Medical College, Pakistan from January 1st, 2019 to December 31st, 2019. A total of 180 patients admitted for hernioplasty were recruited after institutional ethical approval. The study participants were randomized into group A and B. Mesh fixation was done by using prolene suture in group A, while skin staples were used in group B. The duration of procedure and post-operative pain after 1 week was noted using visual analogue scoring system. The comparison between groups was done through independent sample t-test. p-value &lt; 0.05 was considered to be statistically significant.</p> <p><strong>Results: </strong>Mean age of the patients in group A and B was 39.21 &plusmn; 11 years and 40.16 &plusmn; 5.72 years respectively. The mean operative time was 52.15 &plusmn; 9.78 minutes in group A and 36.92 &plusmn; 3.95 minutes in group B (p = 0.000). Post-operative pain after 1 week was reported in 26.7% cases in group A while it was seen in only 10% cases in group B (p = 0.004).</p> <p><strong>Conclusion:</strong> The outcome determinants of mean operative time and postoperative pain after inguinal hernioplasty were better achieved in cases treated by skin staples as compared to prolene sutures.</p>https://biomedicapk.com/10.51441/BioMedica/5-280
spellingShingle Muhamamd Nasir Iqbal
Akhtar Mahboob
Umar Farooq
Sajid Mukhtar
Waqas Hussain
Arooj Ahmad
Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study
BioMedica
title Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study
title_full Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study
title_fullStr Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study
title_full_unstemmed Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study
title_short Outcome of Prolene Sutures and Skin Staples for Mesh Fixation in Inguinal Hernioplasty - A Comparative Study
title_sort outcome of prolene sutures and skin staples for mesh fixation in inguinal hernioplasty a comparative study
url https://biomedicapk.com/10.51441/BioMedica/5-280
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