Evaluation of Post-Operative Wound Complications of Securing Mesh with Polypropylene Suture versus Staples in Lichtenstein Inguinal Hernioplasty; A Comparative Prospective Study
Ashraf Abdel-Moghney Mostafa, Karim Fahmy Abdel moaty, Mohammed Korayem Fattouh Hamed, Ahmed Mohammed Abdel-bar Hammad- General Medicine
Abstract
Background
Hernia is defined as a Protrusion of a viscus or a part of viscus through an abnormal opening in the wall of its containing cavity. It is estimated that the most common type of hernia is inguinal hernia with approximately 27% to 43% rate of occurrence in males and it is 3-6% in females. Inguinal hernia repair is one of the most common surgical procedure carried out world-wide, more than 20 million people undergo inguinal hernia repair annually.
Objective
To compare polypropylene suture and staples for securing mesh in Lichtenstein inguinal hernioplasty in terms of mean operating time and postoperative complications, mainly (Pain, Wound ecchymosis, Wound infection, Wound Hematoma, Wound Seroma, Wound Abscess, Scrotal edema, Scrotal Hematoma, Scrotal Abscess).
Patients and Methods
In a randomized prospective clinical trial we elected 50 patients equally subdivided in 2 groups, 25 patients in each group. In-group A we fixed the mesh with polypropylene sutures and in group B we used staplers for fixation.
Results
There's significant decrease in mean operative time in staples group compared to polypropylene group with comparable results between both groups as regard pain and postoperative complications.
Conclusion
Using staples for securing mesh in Lichtenstein inguinal hernioplasty significantly reduced operation time with comparable results as regard postoperative pain and complications.