背景腹股沟疝是印度最常见的疾病之一,历史上记录了许多修复技术。尽管无张力疝修补术被接受为黄金标准,但术后疼痛仍然是一个问题。手术持续时间的增加不仅会使患者遭受不必要的网状物感染机会的增加,而且如果持续下去,还会降低外科医生的生产力。在这项研究中,主要目的是比较聚丙烯网的固定技术与在腹股沟疝手术中,在手术持续时间方面,术后疼痛,血清肿,复发,异物感,和伤口感染。方法这是一个前瞻性的,比较,以及在普外科的SriRamachandra高等教育研究所进行的定量研究。该研究包括患有OPD腹股沟疝的患者。本研究中使用的抽样技术很简单,方便采样。因此,误差幅度和置信水平的计算可能很困难。然而,样本准确地代表了人口。患者分为两组:研究组(25),使用自紧网进行疝修补术的患者,和对照组(25),使用常规缝合用聚丙烯网片进行疝修补术的患者。手术的持续时间,术后疼痛,血清肿,复发,异物感,并对两组患者伤口感染情况进行比较分析。结果在这项研究中,对照组(聚丙烯)的3名患者(12%)的手术持续时间少于1小时,与研究组中的13名(52%)患者(自我抓紧)相比,具有统计学意义。对照组8例(32%)患者和研究组2例(8%)患者的POD0术后早期疼痛大于4(视觉模拟评分)。慢性疼痛没有显着差异,复发率,血清肿率,或两组间伤口感染。结论在我们的研究中,我们得出的结论是,在腹股沟疝手术中,自扣紧网片优于聚丙烯网片。尽管没有统计学意义,但术后即刻的疼痛也有所减轻。两组在血清肿形成方面没有显着差异,伤口感染,异物感,和复发。
Background Inguinal hernia is one of the most common conditions in India, and history has many repair techniques recorded in it. Postoperative pain still remains a problem despite tension-free hernioplasty being accepted as the gold standard. Increased duration of surgery not only exposes the patient to unwanted increased chances of mesh infection but also reduces the surgeon\'s productivity if continued persistently. In this study, the main aim was to compare the fixation techniques of polypropylene mesh vs. self-gripping mesh in inguinal hernia surgery in terms of duration of surgery, postoperative pain, seroma, recurrence, foreign body sensation, and wound infections. Methods It is a prospective, comparative, and quantitative study conducted at Sri Ramachandra Institute of Higher Education and Research in the Department of General Surgery. Patients presenting with inguinal hernia to the OPD were included in the study. The sampling technique used in this study is simple, convenient sampling. As a result, the calculation of the margin of error and confidence levels may be difficult. Nevertheless, the sample accurately represents the population. Patients were divided into two groups: the study group (25), patients undergoing hernioplasty with self-gripping mesh, and the control group (25), patients undergoing hernioplasty with polypropylene mesh using conventional suturing. The duration of surgery, postoperative pain, seroma, recurrence, foreign body sensation, and wound infections were compared and analyzed between the two groups. Results In this study, the duration of surgery was less than one hour for three patients (12%) in the control group (polypropylene), compared to 13 (52%) patients in the study group (self-gripping), which is statistically significant. The early postoperative pain on POD 0 was greater than 4 (visual analogue score) in 8 (32%) patients in the control group and two (8%) patients in the study group. There were no significant differences in chronic pain, recurrence rate, seroma rate, or wound infection between the two groups. Conclusions In our study, we conclude that self-gripping mesh is superior to polypropylene mesh in surgery of inguinal hernia in terms of shorter duration of surgery. There is also reduced pain in the immediate postoperative period though not statistically significant. There is no significant difference in both the groups in terms of seroma formation, wound infection, foreign body sensation, and recurrence.