Arulmozhivarman, S (2021) Comparative study between Tacker Mesh Fixation and Suture Mesh Fixation in Laparoscopic Hernia Repair. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
|
Text
220101021arulmozhivarman.pdf Download (2MB) | Preview |
Abstract
BACKGROUND: Randomised trials show that laparoscopic repairs are more efficacious than open surgeries. A number of issues related to laparoscopic surgery have been resolved like access to abdominal cavity, size of mesh, extent of overlap, etc. However, the prosthetic material and the technique of fixation are yet to be studied in details. AIM AND OBJECTIVE: The study aims to compare the cost effectiveness, duration of surgery, duration of hospital stay and post-operative complications in patients undergoing laparoscopic hernia repair by using tacker and suture fixation of mesh. MATERIAL AND METHODS: From November 2018 to October 2020, a comparative study was done among 50 patients presenting with reducible inguinal hernia and planned for laparoscopic hernia repair. Data was collected with regards to age, sex, demographic characteristics, socio economic status, detailed history and duration of complaints. A detailed general examination was done. Data was extracted from the patient’s history, clinical examination and follow up. Data was then analysed using IBM SPSS v25. Statistical comparison was done using parametric tests RESULTS: The mean age of all cases is 43.4 years with a standard deviation of 11.5 years. Comparison of age between the two groups showed that they do not differ significantly in the age distribution and the two groups are comparable. All the 50 participants of the study are males the mean duration of surgery in the suture fixation group is 73.6 minutes while in th tacker fixation group, the mean duration is 51.4 minutes. The two groups differ significantly (p<0.05). Hence, the duration of surgery differs between suture fixation and tacker fixation group. The mean duration of hospital stay in the suture fixation group is 2.3 days while in th tacker fixation group, the mean duration is 2.2 days. There was no difference in the post-operative pain and discomfort in the two groups. Only one case had seroma (n=1, 2%). One case in suture fixation had Seroma. None of the cases in tacker fixation had Seroma. Out of 50 cases, 46 cases came for regular follow-up and none of them had recurrence as well as intestinal obstruction. CONCLUSIONS: Both the surgical techniques are equally effective. But suture fixation is cost-effective than tacker fixation whereas the duration of surgery is less in tacker mesh fixation.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221811402 |
| Uncontrolled Keywords: | Tacker Mesh Fixation, Suture Mesh Fixation, Laparoscopic Hernia Repair, Comparative study. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 16 May 2021 18:08 |
| Last Modified: | 09 Jan 2022 15:21 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16888 |
Actions (login required)
 |
View Item |
