Comparative Study of Skin Staples and Polypropylene Sutures for Securing the Mesh in Lichtensein Tension Free Inguinal Hernia Repair
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Background: Since time immemorial, inguinal herniorrhaphy is one of the oldest and commonest operations in the surgeon’s technical armamentarium. Since the first true herniorrhaphy was performed by Bassini as early as 1887 AD, modifications and surgical techniques have shared a common disadvantage: suture line tension. To use this already defective tissue particularly under tension is counter-productive and total reinforcement with a sheet of mesh securing the areas much beyond the boundary of Hasselbach's triangle is much more effective procedure3 . With the use of modern mesh prosthetics, it is now possible to repair all adult inguinal hernias without distortion of normal anatomy and with no suture line tension. Aims and Objectives: To compare the use of skin staples versus polypropylene sutures to fix the mesh. Settings and design: This is a prospective study carried out in SSG Hospital from July 2002 to April 2005. Materials and Methods: This study comprised of 54 patients undergoing 60 repairs randomized into stapler group and polypropylene group. Results: The duration of surgery and length of hospital stay in the group wit mesh fixation by staples was less as compared to mesh fixed by polypropylene sutures. Also the complication rate was less as compared to the other group. Conclusion: It can be concluded that in a set up like ours, catering to poor and rural patients, this technique of mesh fixation is as effective as conventional fixation with polypropylene sutures with an important added advantage, which was significant, and that is reducing the operative time, being less painful and providing good fixation of mesh and the most important, early return to work.
Authors and Affiliations
Dr Sushil M. Damor
Keywords
Related Articles
- EP ID EP285222
- DOI -
- Views 53
- Downloads 0
Spectrum of Histopathological Changes of Endometrium in Dysfunctional Uterine Bleeding - A Hospital Based Study
DUB is the most common complaint in gynaecology outpatient department. Histopathological evaluation of endometrial tissue plays a significant role in the diagnosis of DUB. The study was carried out to determine the spect...
Mandibular Condylar Hyperplasia: Diagnosis and Management
Background and Objectives: Excessive growth of mandibular ramus, condyle and body elicits facial asymmetry is named-Mandibular condylar hyperplasia. Its therapeutic management is not a consensus and, due to its complexit...
Prevelence of Consumption of Tobacco/Tobacco-Products and Associatoion with Educational Status among Patients from Rural-Urban Areas of Jaipur District in Rajasthan – A Cross Sectional Study
BACKGROUND: Tobacco consumption is a major Public Health issue due to its high risk and in view of its high prevalence especially in rural sector with poor financial background and poor literacy. This epidemic needs to b...
Relative Efficacy and Safety of Prasugrel and Clopidogrel in Medically Managed Patients of High Risk Unstable Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI)
Background: The patients of unstable angina / non-ST-elevation myocardial infarction (UA/NSTEMI) who are managed medically continue to have high risk of future adverse clinical outcomes and remain an understudied populat...
A Study of Nasociliary Motility in Patients with Bilateral Bronchiectasis and in Smokers
Diseases of ciliary motility may be congenitally acquired and lead to recurrent sinopulmonary infections and bronchiectasis. Tobacco smoking also leads to various acquired disorders of ciliary function. It is possible to...