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A COMPARATIVE ASSESSMENT OF SKIN STAPLE AND POLYPROPYLENE SUTURE FOR POSTOPERATIVE PAIN OUTCOMES AMONG INGUINAL HERNIA PATIENTS

Dr. Umair Atta, Dr. Gulraiz Zahid, Dr. Tehmina Naz

Objective: The objective of this research was to compare skin staples and polypropylene suture in order to secure mesh among inguinal hernia patients. Material and methods: We carried out this comparative research at Jinnah Hospital, Lahore from August 2017 to March 2018 on a total of 266 inguinal hernia patients. These patients were evaluated for postoperative pain. These patients were evaluated for postoperative pain. The research included both male and female inguinal hernia cases in the age bracket of 20 years to 60 years. All those patients were categorized as inguinal hernia cases who presented non-tender and reduceable inguinoscrotal swelling. We did not include all those patients who presented irreducible inguinal hernia, strangulated inguinal hernia, obstructed inguinal hernia, diabetes mellitus, bleeding disorder, chronic renal failure, immunocompromised and bilateral recurrent inguinal hernia. Results: The patients were in the age of 20 years to 60 years with a mean age of (34.37 ± 10.95) years. Mean VAS and hernia duration were respectively (4.54 ± 2.811) and (5.52 ± 3.312) years. Patients were divided into two groups I and II. Group – I included 39 patients (29.3%) with postoperative pain and Group – II included 59 patients (44.4%) with postoperative pain (P-Value = 0.02). Conclusion: The outcomes of this research present that Polypropylene group presented higher postoperative pain frequency than skin staple group. The difference between males was significant between both groups; whereas, the difference between females was insignificant in both the groups. In the same way, the difference was significant in the young age group; whereas, the difference in the older age was insignificant in both the groups. Key Words: Lichtenstein Inguinal Hernioplasty, Polypropylene Suture, Skin Staples, Mean Operative Time and Postoperative Pain.

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