309 Comparison of Lichtenstein Procedure with and Without Mesh Fixation for Inguinal Hernia Repair in Terms of Postoperative Pain
Ilyas Riaz, Sidra Rauf, Azaz Ayubi, Hamda Ajaz, Sheeza Mujahid, Fahim Sakhizada- Surgery
Abstract
Aim
Although advanced techniques have been adopted in inguinal hernia repair parallel to those in developing medical technologies, currently no consensus has been reached on the best method among all existing methods. Post-operative pain is the main reason far longer hospital stay and delay in return to daily routine work. Aim of study was to compare the mean post operative pain of Lichtenstein procedure with and without mesh fixation for inguinal hernia repair.
Methods
Randomized control trial was conducted for six months after approval of synopsis. After permission from the concerned authorities and ethical committee and informed consent, patients were selected from indoor-patient department. All patients were assessed by consultant surgeons with more than 2 years of experience after fellowship, and the patients were prepared for hernia repair. Two groups were formed, Group-A included those managed by without mesh fixation and Group-B who were managed withmesh fixation. All the patients were assessed for postoperativepain at 24 hours by visual analogue scale (VAS).
Results
In our study, comparison of mean post operative pain score in both groups shows 3.23+0.77 in Group-A and 3.98+0.76 in Group-B, p value was 0.0001.
Conclusion
We concluded that post-operative pain is less in patients managed by Lichenstein repair without mesh fixation as compared to patients managed with mesh fixation.