Volume 8 Issue 10 (October, 2020)

Original Articles

Assessment of efficacy of Sutureless mesh repair in patients with inguinal hernia
Vidyadhar Vasant Tayshete, Kannikanti Nageswara Rao, Gangadhar Sansuddi, Sarvesh Suhas Tayshete

Background: Hernia is generally defined as the protrusion of a viscus from the cavity in which it is normally contained or more precisely, as the protrusion of a loop or knuckle of an organ or tissue through an abnormal opening. Improvement in surgical techniques, together with the development of new prosthetic materials and a better understanding of how to use them, have significantly improved the outcome for many patients. Hence; the present study was undertaken for assessing the new technique of sutureless mesh repair. Materials & methods: A total of 25 patients scheduled to undergo elective surgery for inguinal hernia were enrolled. Only male subjects within the age range of 25 to 55 years having uncomplicated inguinal hernia and fit for spinal anaesthesia were included in the study. Inguinal hernia repair was performed by placing mesh on posterior inguinal wall and without applying fixation suture or glue. Sutures were removed on 7th post op day and all the participants were examined for complications. Results: Mean postoperative pain among patients at 1 hour postoperatively, 6 hours postoperatively, 12 hours postoperatively, and 24 hours postoperatively was found to be 4.75, 3.66, 2.15 and 1.36 respectively. A significant reduction in postoperative pain was observed. Scrotal swelling and seroma was seen in 1 patient each. Conclusion: Sutureless tension free mesh repair in the treatment of inguinal hernia cases is an effective technique. Key words: Sutureless, Mesh, repair

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