Comparison of post operative pain in self gripping mesh (PROGRIP) repair versus fixation of mesh in Lichtenstein repair for inguinal hernia.

Abstract

Objective: To compare post-operative pain outcomes between self-gripping mesh repair and prolene sutured mesh fixation in Lichtenstein repair for inguinal hernia at a tertiary care hospital in Karachi. Study Design: Randomized Controlled Experiment. Setting: Surgical Unit 3, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan. Period: April 2023 to September 2023. Methods: A full six months of research were dedicated to the topic. Methodology: A total of 100 male patients aged 18 to 60 years undergoing elective inguinal hernia repair were randomly allocated into two groups: Group 1 received self-gripping mesh repair, and Group 2 received prolene sutured mesh repair. Pain scores were assessed post-operatively at 8 hours, 24 hours, and on the 5th day using the Visual Analogue Scale (VAS). Demographic and clinical data were analyzed using SPSS version 20, and comparison of pain scores between the groups was performed using the independent t-test with significance set at P < 0.05. Results: Total 100 patients admitted for inguinal hernia repair were included. The mean age was 31.840+3.606 years. The mean post-operative pain score (at 8 hours, 24 hours & at 5^th day) in group 1 was 4.640+0.631, 2.640+0.622 & 1.540+0.542 respectively while in group 2 it was 6.640+1.045, 5.580+0.730 & 3.780+0.932 respectively. Conclusion: In conclusion the mean post-operative pain in self gripping mesh repair was significantly low as compared to prolene sutured mesh repair. So self-gripping mesh repair method is superior over prolene sutured mesh repair method.