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Introduction: A hernia occurs when tissue or an organ, like the bowel, protrudes through the normal cavity wall. Various techniques for mesh implantation involving sutures are used to secure the mesh in place and prevent migration, wrinkling, and curling. Aim: To enhance the quality of life for patients and decrease complications of inguinal hernia repair, specifically chronic groin pain, without impacting the recurrence rate. Methodology: Seventy patients admitted to our institute with proven diagnosis of inguinal hernia and admitted from 1st August 2022 to 31st January 2024 were included in the study, and were subjected to delayed absorbable or non- absorbable monofilament suture for mesh fixation in lichtenstein tension free hernioplasty, with follow up. Chronic groin pain in post op assessed by VAS score, seroma formation, and wound infection was compared in both groups. Results: Among the participants subjected to Prolene suture, 7/35 (20%), 8/35 (22.9%) and 1/35 (2.9%) showed wound infection on day 4, 5, and 15, respectively. Among the participants subjected to PDS material, 5/35 (14.3%), 6/35 (17.1%) and 1/35 (2.9%) showed wound infection on days 4,8 and 15, respectively. The p value was found to be > 0.05. Among the participants subjected to Prolene, 7/35 (20%) showed seroma formation on day 8, as compared to this complication noted in only 1 case (2.9%) among PDS group. Prolene group accounts to major occurrence of scrotal edema as compared to PDS group. The two cases who underwent repair using Prolene material showed recurrence on post-operative days 30 and 90 (1/35;2.9% each). Conclusion: This study concludes that the use of absorbable suture such as PDS has superior benefit over non-absorbable suture Prolene, in preventing the post-operative complications after Lichtenstein Tension-Free Hernia repair.
Dr Bhuvaneshwari Gachinmath (Thu,) studied this question.
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