Comparative Study between Suture versus Sutureless Mesh Fixation in Open Inguinal Hernioplasty

Background: Inguinal hernia repair is one of the most commonly performed procedures in surgical practice. The aim of our study is to compare the effect of suture and sutureless mesh fixation open inguinal hernioplasty. Patients and Methods: Forty patients with inguinal hernias who were hospitalized to the general surgery department of Alzahraa University Hospital between March 2023 and March 2024 were included in this research. A comparison was made between the two groups' mean operational time, intraoperative complications, post-surgical discomfort, length of hospital stay, postoperative complications and recurrence rates.Results: Group A received suture mesh fixation, whereas Group B received suture-less mesh fixation. With a p value of.0005, group B's mean operating time was lower than group A's.At the first, seventh day, and first month after surgery, group B's post-operative pain score was lower than group A's, with a p value of less than.05. The rates of recurrence, hospital stay and post-operative complications were nearly the same in both groups.Conclusion: We conclude that the modification of standard Lichtenstein mesh hernioplasty, which does not need suture mesh fixation, may be used on a routine basis.