الفهرس 
- Surgical anatomy of inguinal regionOnly 14 pages are availabe for public view
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Abstract
Background: Hernia is defined as a Protrusion of a viscus or a part of viscus through an abnormal opening in the wall of its containing cavity. It is estimated that the most common type of hernia is inguinal hernia with approximately 27% to 43% rate of occurrence in males and it is 3-6% in females. Inguinal hernia repair is one of the most common surgical procedure carried out world-wide, more than 20 million people undergo inguinal hernia repair annually.
Objective: To compare polypropylene suture and staples for securing mesh in Lichtenstein inguinal hernioplasty in terms of mean operating time and postoperative complications, mainly (Pain, Wound ecchymosis, Wound infection, Wound Hematoma, Wound Seroma, Wound Abscess, Scrotal edema, Scrotal Hematoma, Scrotal Abscess).
Patients and Methods: In our study we compared 2 methods of mesh fixation in Lichtenstein inguinal hernioplasty (polypropylene sutures vs staples) as regard operative time, postoperative pain and complications (Wound ecchymosis, Wound infection, Wound Hematoma, Wound Seroma, Wound Abscess, Scrotal edema, Scrotal Hematoma, Scrotal Abscess). In a randomized prospective clinical trial we elected 50 patients equally subdivided in 2 groups, 25 patients in each group. In-group A we fixed the mesh with polypropylene sutures and in group B we used staplers for fixation. The study took place at Ain Shams University and Cairo University Hospitals between January and July 2021.
Results: We found a significant decrease in mean operative time in group B (staples group) by 14 minutes compared to group A (polypropylene group) and comparable results between both groups as regard pain and postoperative complications.
Conclusion: Using staples for securing mesh in Lichtenstein inguinal hernioplasty significantly reduced operation time