Securing Mesh With Staples is Safe and Time Saving in Lichtenstein Inguinal Hernioplasty

Attaullah, Syed Ali Haider, Akram Rajput, Saeed Ahmed, Muhammad Abid Owais, Wardah Jabeen

Abstract

Objective

To compare the operative time and early postoperative complications of securing mesh with skin staples versus polypropylene suture in Lichtenstein inguinal hernioplasty.

Study design

Comparative study.

Place & Duration of study

Department of Surgery, Dr. Ruth K.M. Pfau Civil Hospital Karachi, from March 2015 to September 2017.

Methodology

All diagnosed cases of inguinal hernia of either gender between 18 to 70 years of age were randomly allocated in two groups. In group A, the mesh was secured with skin staples, while in group B, the mesh was secured with polypropylene suture. Operative time, postoperative pain scores and complications were recorded. On the fifth postoperative day, the surgical site was examined for infection and graded with the Southampton scoring system. Chi square and student t tests were applied for determining statistical significance.

Results

Out of total 112 patients, the mean age of the patients in group A was 45.73 ±13.24 year and 47.27 ±14.16 year in group B. The rate of complication was same in both the groups and no significant difference was found. However operative time was short in group A (p=000).

Conclusion

The mesh fixation technique with skin staples is safe and less time consuming than with polypropylene sutures.

Key words

Hernioplasty, Mesh fixation, Staple, Inguinal hernia, Surgical site infection (SSI).