Comparative study of use of self-gripping polyester mesh verses suture fixed polypropylene mesh in Lichtenstein hernioplasty in inguinal hernia

Abstract

Introduction: Inguinal hernia is a very common disease. It is estimated that at least 5% of the population will develop a groin hernia in their lifetime, making groin hernia repair one of the most common operations performed by general surgeons. The only way to treat inguinal hernia is surgery. AIM: The aim of our study is to compare the outcome after Lichtenstein’s inguinal hernia repair using conventional mesh v/s self-fixating Pro grip mesh. The primary endpoint of the study will be the incidence of post-operative pain. Objectives 1. To compare the outcome in terms of operative time. 2. To compare the postoperative pain. 3. To compare the duration of hospital stay. 4. To compare the incidence of inguinodynia. 5. To compare the incidence of recurrence. Methods: 60 patients with diagnosis of inguinal hernia underwent open hernioplasty after being randomized in to two groups, one half of them using Pro grip mesh and other group using Polypropylene mesh in a period of one year duration at Department of General surgery at IGIMS Patna. Operative data were recorded and the patients were followed-up accordingly. Result: The present study concluded that Self Gripping Mesh (Pro grip) repair is superior to Polypropylene Mesh in short term outcomes and in certain long terms outcomes like chronic groin pain. Conclusion: Open Inguinal hernioplasty using Self Gripping Mesh (Pro grip) has better outcome in terms of operative time, Post- operative pain, Hospital stay, Early return to professional life and chronic pain.