Comparative Study of Skin Staples Versus Polypropylene Sutures for Mesh Fixation in Lichtenstein Inguinal Hernioplasty at BMC Hospital, Quetta
DOI:
https://doi.org/10.61919/jhrr.v4i2.1765Keywords:
Inguinal Hernia, Lichtenstein Hernioplasty, Mesh Fixation, Polypropylene Sutures, Skin Staples, Post-operative Pain, Operative TimeAbstract
Background: Inguinal hernia repair using Lichtenstein hernioplasty requires secure mesh fixation, traditionally achieved with polypropylene sutures. However, suture fixation increases operative time and may contribute to post-operative pain. Skin staples offer an alternative with potentially reduced operative time and lower pain levels, yet comparative evidence remains limited.
Objective: This study aimed to compare polypropylene sutures versus skin staples for mesh fixation in Lichtenstein inguinal hernioplasty in terms of mean operative time and mean post-operative pain scores.
Methods: A randomized controlled trial was conducted at Surgical Unit-III, Bolan Medical College/SPH, Quetta. A total of 120 patients with inguinal hernia meeting inclusion criteria were randomized into two groups: Group A (mesh fixation with polypropylene sutures, n=60) and Group B (mesh fixation with skin staples, n=60). Post-operative pain was assessed using the Visual Analog Scale (VAS) on day 3, and operative time was recorded intraoperatively. Ethical approval was obtained. Statistical analysis was performed using SPSS v25.0, with independent sample t-tests applied for group comparisons (p ≤ 0.05 considered significant).
Results: The mean operative time was significantly lower in the Skin Staples group (40.5 ± 9.4 min) compared to the Polypropylene Suture group (50.5 ± 9.9 min, p=0.002). Mean post-operative pain scores were also significantly lower in the Skin Staples group (2.47 ± 0.60) than in the Polypropylene Suture group (3.35 ± 0.20, p=0.002).
Conclusion: Skin staple fixation in Lichtenstein inguinal hernioplasty significantly reduces operative time and post-operative pain compared to polypropylene sutures. These findings suggest that skin staples may be a preferable option for mesh fixation, improving surgical efficiency and patient comfort.
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