LONG TERM OUTCOME AFTER OPEN INGUINAL HERNIA REPAIR BY CONTINOUS SUTURE VERSUS INTERRUPTED SUTURE TO FIX THE MESH
English

Kuldeep Raj Sarangal, Goel R.K., Ranendar Choudhary
2013 Journal of Evolution of Medical and Dental Sciences  
BACKGROUND: Meshplasty for hernia repair 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 continuous sutures. METHODS: From Jan 2010 -Dec 2010, 15 patients were operated for hernia using prolene mesh and this mesh was fixed with prolene 2'0' in continuous waystarting at pubic
more » ... cle and continued along inguinal ligament beyond deep inguinal ring, then lateral to deep inguinal ring, aboveit along conjoint tendon andending at the pubic tuberclewith only single knot. This type of repair was compared with 15 patients who underwent same procedure using prolene mesh fixed with prolene suture but in interrupted waywhich creates alot of knots (10-12Average).Patients were examined and followed up in OPD for 2 years. RESULTS: In the long run the patients treated with continuous suture had 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 complained 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 with feeling of less foreign body sensation.
doi:10.14260/jemds/1678 fatcat:evkudo47pjh5fbxshf4cfpnxbq