A comparative study between lichenstein and sutureless inguinal mesh hernioplasty

Aim: to compare the outcome of lichtenstein vs. suture less inguinal hernioplasty in patients with inguinal hernia methods: this was a randomized controlled trial conducted in the department of surgery,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. patients were followed by researcher himself at 7th post-operative day for assessment of hematoma and pain. results: mean age in group-a and group-b was 45.46±7.62 and 43.81±7.78 years. in group-a 25(16.7%) patients had direct and 125(83.3%) had indirect hernia. in group-b 20(13.3%) patients had direct and 130(86.7%) had indirect hernia. 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. 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.