Comparison of Mesh Fixation with Prolene Suture and Staple Gun in Terms of Post-Operative Outcome Following Inguinal Hernioplasty

Objectives

To compare the efficacy of using prolene suture and staple gun during mesh fixation in terms of post-operative outcomes during Lichtenstein repair for inguinal hernias.

Study Design

Prospective comparative study.

Setting

Department of Surgery, Khyber Teaching Hospital, Peshawar.

Duration

From 1st January, 2023, to 31st December, 2023.

Methodology

After attaining approval from the Hospital ethical committee, the patients were allocated in two groups through blocked randomization: Group A (use of prolene suture for mesh fixation) and Group B (using staple gun for mesh fixation). Outcomes such as seroma formation, surgical site infection, post-operative ileus and mean operative time were studied. Results were analyzed on Statistical Package for Social Sciences (SPSS) Version 23 and depicted in the form of description, statistical tables and charts.

Results

The mean age of the patients was 44.40 years ± 1.85 and all were males. Equal number of patients in both groups had surgical site infection (n=3,6%) while none of them had post-operative ileus. Seroma formation was seen more in group B (n=6,12%) and mean operative time was comparatively less in the same group (46 ± 8.20 minutes).

Conclusion

In terms of post-operative complications there is no noticeable difference between the two techniques of mesh hernioplasty other than duration of surgery which is relatively better in the staple gun technique.