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COMPARISON OF POST-OPERATIVE PAIN BETWEEN SKIN STAPLES AND POLYPROPYLENE SUTURE IN PATIENTS OF INGUINAL HERNIA FOR SECURING MESH

Dr. Shahid Hussain, Dr. Asiya Shabbir, Muhammad Faisal khan

Objective: To compare the polypropylene suture and skin staples for securing mesh in Lichtenstein inguinal hernioplasty in terms of post-operative pain. Material and methods: This comparative study was conducted at Department of Surgery, Bahawal Victoria Hospital, Bahawalpur from May 2019 to November 2019 over the period of 6 months. Total 266 patients of inguinal hernia were selected and randomly divided into two equal groups. Patients of group A were managed with skin staples and patients of group B were managed with polypropylene suture. Post-operative pain was assessed between the two groups. Results: Total 266 patients’ inguinal hernia were selected for this study. Mean age of the patients was 34.37 ± 10.95 years, mean weight, height, BMI, duration of hernia and VAS was 69.26 ± 16.690 Kg, 160.65 ± 9.368 cm, 26.79 ± 5.879, 5.52 ± 3.312 years and 4.54 ± 2.811 respectively. Comparison of frequency of post-operative pain between both groups was done. Pain was noted in 39 (29.3%) patients of group A and in 59 (44.4%) patients of group B. Statistically significant (P = 0.0155) difference between the frequency of post-operative pain was noted Conclusion: Results of this study showed there is a significant difference between Polypropylene suture and skin staples for securing mesh in lichtenstein inguinal hernioplasty in term of post-operative pain. Statistically significant difference was noted between the post-operative pain in male patients of both groups but the difference was insignificant in female patients. Key words: Lichtenstein inguinal hernioplasty. Polypropylene suture. Skin staples. Postoperative pain