Post-Operative Events Following Mesh Fixation By Pds Tackers Vs Vicryl Polypropylene 1-0 Suture In Transabdominal Preperitoneal Inguinal Hernia Repair: A Randomized Control Trial

Abstract

Background: The deployment of laparoscopic inguinal hernia repairs requires mesh fixation by two distinct options between sutures and tackers. The method of mesh attachment influences both the emergence of postoperative pain and duration of surgical procedure and associated hospitalization time and complications. The examination evaluated the postoperative patient outcomes between absorbable PDS tackers and Vicryl polypropylene 1-0 sutures in TAPP inguinal hernia repair procedures.

Methods: The control trial study accepted 60 adult patients who required planned TAPP surgical repair for their groin hernias which either occurred individually or both sides simultaneously. Following enrollment the participants were distributed into two specific groups with thirty participants in each subgroup. The subjects in the “tacker group” underwent mesh fixation with PDS tackers yet the “suture group” required Vicryl polypropylene 1-0 sutures for mesh fixation. IBM SPSS Version 23.0 analyzed all gathered data from patient population characteristics until the duration of surgery and VAS pain scores and hospital stay time and complications data. The research established 0.05 or lower p-values as its threshold criterion to indicate statistical significance.

Results: All initial group-related variables remained similar. Patients who received Tacker tacks needed 74.0±24.0 minutes for their operations but patients who received sutures needed 82.0±31.5 minutes according to statistical data (p=0.27). The tacker group experienced the same degree of post-operative pain across days 1, 7 and 14. The pain scores from patients who received sutures decreased more than those who received tackers measurements at both the first month and third month (p=0.02). Hospitalization duration and immediate postoperative complications displayed no significant differences between both groups based on the p values above 0.05. Patients with sutures experienced moderately improved pain management compared to other patients throughout their long recovery times.

Conclusion: Following TAPP hernia procedures with Vicryl polypropylene 1-0 suture mesh fixation patients demonstrated decreased pain levels during later stages yet they had similar operating times and short-term complications like patients using PDS tacker fixation. Research confirms that suture closure techniques help reduce postoperative pain without affecting the processing outcomes of the treatment.