OUTCOME OF STAPLES IN MESH FIXATION IN LICHTENSTEIN’S INGUINAL HERNIA REPAIR IN ABBASI SHAHEED HOSPITAL

Abstract

BACKGROUND : Inguinal hernia is an important diagnosis and the kind of repair done holds importance in the surgical outcome and its impact on recovery.

OBJECTIVE To analyze the mean operative time and frequency of moderate to severe pain in patients who receive mesh fixation by staples during Lichtenstein’s inguinal hernia repair.

METHODS it is a descriptive study, conducted at the department of Surgery, Abbasi Shaheed Hospital Karachi, from 10th Nov 2020 to 10th May 2021. Severity of post-op pain was observed and recorded via proforma at 24th post-op hour as injectable analgesics were switched to oral tablets, patients were fully mobilized and most of them were discharged.  Included were 95 patients having elective inguinal hernia repairs. The mean age was 53.115+8.199 years.

RESULTS The mean operative time was 30.926+6.656 minutes. The severity of post-operative pain at 24hrs was mild in 36 patients (37.9%), moderate in 11(11.6%) & severe in 5(5.3%). Operative time in majority of the patients was half an hour. The majority of patients experienced mild to moderate postoperative pain following staple fixation of  mesh in Lichtenstein's inguinal hernioplasty.Therefore, the purpose of this study is to ascertain how staples in mesh fixation affect the result of inguinal hernia repair in Lichtenstein. This study will highlight the benefits and significance of  more efficient and superior technique and will serve as guide for surgeons in future. A novel approach to treating inguinal hernias has been devised, in which staples, rather than polypropylene suture, are used to secure prolene mesh .