Long Term Outcome After Open Inguinal Hernia Repair by Continous Suture Versus Interrupted Suture to Fix the Mesh

Abstract

BACK GROUND:Meshplasty is a must in adult patient. Prolene mesh is widely used and is fixed with prolene suture as well. The aim of this study was to compare the quality of life and pain felt in postoperative phase for 2 years after open inguinal hernia repair by interrupted sutures versus continous sutures. METHODS: From Jan 2010 -Dec 2010 , 15 patients were operated using prolene mesh and this mesh was fixed with prolene 2'0' in continous way starting at pubic tubercle and continues along inguinal ligament beyond deep inguinal ring and then lateral to deep inguinal ring and above it along conjoint tendon and ends at the pubic tubercle with only single knot , and were compared with 15 patients who underwent same procedure using prolene mesh fixed with prolene suture but in interrupted way and this creates a lot of knots ( 10-12 Average ). Patients were examined and followed in OPD for 2 years. RESULTS: In the long run the patients treated with continous suture were having comparatively better quality of life with less pain and less foreign body sensation of mesh and knots & knots were not felt percutaneously, where as in routine procedure patients were complaining of painful sensation due to pressing of knots in subcutaneous space. CONCLUSION: In this study the quality of life in open hernia repair with prolene suture using continous suture technique versus interrupted suture technique is definitely better, less painful and feeling less foreign body sensation.