Comparative Study of Skin Staples and Polypropylene Sutures for Securing the Mesh in Lichtenstein’s Inguinal Hernia Repair: A Prospective Randomized Controlled Clinical Trial
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 8
Abstract
Background: Fixation of the mesh in Lichtenstein's inguinal hernioplasty is traditionally performed with polypropylene sutures. A modification of this technique uses skin staples for securing of the mesh. This study compared two methods of mesh fixation. Material and Methods: Forty six patients undergoing fifty repairs were randomized into two groups. In control group polypropylene mesh was secured with 2/0 polypropylene sutures and skin closed with 2/0 ethilon. In study group polypropylene mesh was secured with skin staples and skin was closed with staples from the same stapler. Duration of surgery, post-operative complications, recurrence and costs were compared. Results: The operation was significantly shorter when staples were used (mean 36 minute versus 52 minute, P < 0.001). There was no significant difference in the incidence of postoperative complications. There were no recurrences in either group in the follow up period (median 3 months). Conclusion: The use of skin staples to secure mesh in Lichtenstein inguinal hernioplasty significantly reduced the duration of surgery and was as effective as conventional mesh fixation with polypropylene in the short term One more advantage of using skin stapler for mesh fixation in HIV and hepatitis B positive patients is to reduces the operating time thus reduces the duration of exposure to infected blood as well as it reduces the chances of needle prick injury.
Authors and Affiliations
Dr Ramgopal Meena
Keywords
Related Articles
- EP ID EP529083
- DOI -
- Views 58
- Downloads 0
Gitelman's Syndrome Presenting with Features of Hypomagnesemia
Gitelman's syndrome is primary renal tubular hypokalemic metabolic alkalosis with hypocalciuria and magnesium deficiency. It commonly presents with muscular symptoms which reflect hypokalemia. We present a case of 65 yea...
Solid Pseudopapillary Tumor: A Rare Neoplasm of the Pancreas with Excellent Outcome – A Case Report
Solid pseudopapillary tumor is an uncommon primary neoplasm of the pancreas that typically affects young women. SPN is generally considered as a tumor of low malignant potential which rarely metastasizes. It is important...
Impact of Adiposity Markers on Peak Expiratory flow Rate in Young Adults
Obesity is a commonly encountered health problem in the young adult population of today. It is negatively associated to the pulmonary functions. Weight and body mass index (BMI) are used as the measures of overall adipos...
Prognostic Value of Acute Hyperglycaemia in Non-Diabetic Acute Myocardial Infarction Patients
In recent years, much attention has been given to the evidence that the concomitant occurrence of hyperglycaemia in patients admitted to intensive care units with an acute myocardial infarction (AMI) enhances the risk of...
A Study on Extended Spectrum Β -Lactamases in Coliforms
This study was done to detect extended spectrum β –lactamases (ESBL) in Coliforms from various clnical samples collected in the department of Microbiology laboratory, Government Medical College Kozhikode. A total of 150...