Comparative study between outcomes of traditional lichenstein and sutureless inguinal mesh hernioplasty

Background: inguinal hernia is one of the most common diseases requiring surgical intervention. nowadays,the application of prolene mesh is the technique most widely used in hernia repair. although they are simple and rapid to perform,and lower the risk of recurrence,these techniques may lead to complications. methods: this was a randomized controlled trial conducted at surgical unit-i,ii & iii,lahore general hospital,lahore. total 300 patients were included in the study. patients were randomly divided into 2 groups. each group consists of 150 patients each. those patients undergoing lichtenstein repair was grouped as a and those undergoing suture less repair was grouped as b. hernioplasty was done under general anesthesia. results: at 7th day post operative in group-a 12 patients had hematoma while in group-b 3 patients had hematoma. hematoma formation in both treatment groups at 7th day was statistically different i.e.,p-value (7th day)=0.017. in group-b rate of hematoma formation was less as compared to group-a. at 7th day mean pain score in group-a was 4.6±1.3 and in group-b was 3.5±1.0 respectively. pain score in both treatment groups was statistically different at 1st,2nd,4th and at 7th day post operatively. patients in group-b had less pain score as compared to group-a patients. conclusion: sutureless hernia repair is a promising and superior approach as compared to lichtenstein technique for inguinal hernia surgery in terms of postop pain and hematoma formation.