Comparing Staples Versus Polypropylene Sutures for Mesh Fixation in Inguinal Hernia Repair in Terms of Postoperative Pain

Comparative Study of Staples Versus Polypropylene Sutures for Mesh Fixation in Lichenstein's Tension-free Inguinal Hernia Repair in Terms of Postoperative Pain

This randomized controlled trial aims to compare postoperative pain between staples and polypropylene sutures used for mesh fixation in patients undergoing elective Lichtenstein tension-free inguinal hernia repair.

Inguinal hernia repair is one of the most common general surgical procedures worldwide. The standard method for mesh fixation during Lichtenstein tension-free hernioplasty uses polypropylene sutures. However, skin staples have recently been introduced as a faster and potentially less painful alternative. This randomized controlled trial compares both methods in terms of postoperative pain, measured using the Visual Analogue Scale (VAS), and operative time.

Inclusion Criteria:

• Male patients aged 20 to 60 years.
• Patients undergoing elective Lichtenstein tension-free mesh repair for unilateral, uncomplicated inguinal hernia (direct or indirect).
• Body Mass Index (BMI) between 19 and 30 kg/m².
• ASA physical status I, II, or III.
• Patients willing to participate and provide informed consent.

Exclusion Criteria:

• Diabetic patients (on medical records).
• Bilateral or recurrent inguinal hernia.
• Complicated hernia (irreducible, obstructed, or strangulated).
• Patients unwilling to participate or who fail to complete follow-up.