Key result
Mesh fixation with polyglactin sutures significantly reduced mean postoperative pain scores compared to polypropylene sutures in patients undergoing open inguinal hernia repair (0.77 vs 1.30, p=0.0023).
Why the study?
Mesh repair can lead to chronic groin pain from inflammatory reactions or nerve entrapment, but the comparative effectiveness of suture materials in reducing postoperative pain remains unclear.
Does mesh fixation with polyglactin sutures reduce postoperative pain compared to polypropylene sutures in adult patients undergoing open inguinal hernia repair?
Cohort (n=60)
No
Does mesh fixation with polyglactin sutures reduce postoperative pain compared to polypropylene sutures in adult patients undergoing open inguinal hernia repair?
Absolute Event Rate: 0.77% vs 1.3%
p-value: p=0.0023
Using polyglactin sutures for mesh fixation in Lichtenstein hernia repair significantly reduces postoperative chronic groin pain and foreign body sensation compared to polypropylene sutures.
May support absorbable sutures to lessen chronic groin pain; leaves open RCT confirmation and should not yet change practice.
Background: Globally, Inguinal hernia forms the major entity among all other hernias .Chronic groin pain can be a result of nerve entrapment while operating.Mesh repair leads to an inflammatory reaction over a period of time, though the exact cause of pain remains elusive.This study aims to compare the effectiveness of polyglactin vs prolene sutures in the reduction of postoperative pain in inguinal hernia surgeries.Methods: A one year hospital prospective study in Government Vellore Medical College.A total of 60 adult patients were divided into two groups of 30 each .Mesh fixation with polyglactin sutures was Group A (30) and prolene sutures was Group B (30) and their post operative pain was assessed.Follow up was for 3 months.Collected data was analyzed using Chi square test and T test Results: Our analysis showed that the incidence of postoperative groin pain in the polyglactin research group was significantly lower .From the start of the first follow up to the fourth, the mean pain score decreased on average more in Group A (0.770.63) than in group B (1.300.79) with a significant difference (p=0.0023)Conclusion: The post operative chronic groin pain was significantly reduced in the study group in whom polyglactin sutures were placed instead of prolene sutures and hence routine usage of polyglactin sutures to fix a mesh is a safe and effective alternative to polypropylene sutures in Lichtenstein hernia repair
No takes yet. Share an insight, caveat, or question.
A 2023 study conducted a cohort in Inguinal hernia (n=60). Polyglactin sutures (Vicryl) vs. Polypropylene sutures (Prolene 2-0) was evaluated on Mean pain score (p=0.0023). Mesh fixation with polyglactin sutures significantly reduced mean postoperative pain scores compared to polypropylene sutures in patients undergoing open inguinal hernia repair (0.77 vs 1.30, p=0.0023).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: