A comparative study of postoperative chronic pain after tension free inguinal hernia repair using absorbable versus non absorbable sutures for mesh fixation

Abstract

Background: Inguinal hernia is a one of common diagnosis which is frequently encountered in routine clinical practice. The Lichtenstein technique (tension free mesh repair) is currently the gold standard in open inguinal hernia repair. Currently chronic groin pain (Inguinodynia) is one of the common complications after hernia repair and it may affect quality of life and it has been reported in 16% to 62% of the patients.Methods: This prospective, randomized study was conducted in the department of general surgery in S.M.S. Medical College and attached group of hospitals, Jaipur from May 2014 to December 2015. All patients of 18-80 years old, who were admitted for elective inguinal hernia repair, were included for the study. Patients with bilateral, recurrent, irreducible or incarcerated hernia, pregnant patients and patients with co morbid conditions, were excluded from the study.Results: Mean age was 46.5 years in absorbable group and 45.4 years in non absorbable group. Male to female ratio was 142:13 in absorbable group and 143:12 in non absorbable group. Post operative pain was measured by VAS score. Mean postoperative pain (VAS score) was lower in absorbable sutures group as compared to non absorbable group at 3 months (0.92±0.879 vs. 1.23±1.2; p=0.013) and at 6 months (0.48±0.57 vs. 0.77±0.65; p≤0.001), which was significant.Conclusions: Patients with absorbable suture for mesh fixation has less groin pain as compared to non-absorbable suture in hernia repair during 6 months follow up period.

Suture mesh fixation versus glue mesh fixation in open Lichtenstein inguinal hernia repair

“…As compare to other studies Group B was statistically significant. 1,9,11,13 Kim-Fuchs et al Paajanen et al, Jeroukhimov et al, Kharadi et al Paajanen et al Paajanen et al found the incidence of chronic pain in Group A and in Group B was statistically not significant. 2,3,8,10,12,20 In our study incidence of chronic pain in group A (n=40) at 3 month was 1.27 and 1.06 in group B (n=40) with p value 0.048.…”

A comparative study of inguinal hernia using monofilament non-absorbable suture versus monofilament absorbable suture in Lichtenstein tension free hernia repair at tertiary care government hospital

“…13 Meena et al study mean age group in group A was 45.4 years while in group B was 46.5 years, which are comparable. 4 Paajanen et al study mean age group in group A was 53 years while in group B was 53 years with p=0.679, which was not statistically significant. 13 1 Jenaw et al study mean post-operative pain score in group A was 0.30±0.65 while in group B was 0.08±0.27 with p value=0.045, which was statistically significant.…”

Comparison of Postoperative Chronic Groin Pain After Repair of Inguinal Hernia Using Nonabsorbable Versus Absorbable Sutures for Mesh Fixation

“…Study results concluded that absorbable suture material does not appear to cause less neuropathic pain than nonabsorbable sutures [ 12 ]. In a contrary study by Meena et al, it was concluded that absorbable sutures for mesh fixation had less groin pain as compared to nonabsorbable sutures in hernia repair, with 155 participants in each group [ 14 ].…”