A Comparative Study Between Vertical Mattress and Subcuticalar Sutures In Inguinoscrotal Surgeries

Introduction: Hernia repair is one of the most common surgical procedure performed by general surgeons. There are many techniques available for inguinal hernia repair The two main techniques of skin closure used by surgeons, are removable skin staples and skin sutures. We decided to study the various skin closure techniques in hernia surgery. Material and Method: The present study was a comparative study carried out at a tertiary care hospital over a period of two years. Total 100 patients of hernia were included in the present study. Patients were divided into 2 groups based on the method of skin closure applied. Main parameters investigated were postoperative pain, postoperative wound infection rates, cosmetic acceptability of scar and time required for skin closure. Statistical analysis was used wherever applicable. Results: The incidence of hernia is common in the younger age group, the mean age being in the 41years. The majority of cases were unilateral (right side); right sided indirect inguinal hernia was the most frequent type observed in this study. At 48hrs subcuticular group experienced only mild, nagging pain. At discharge Subcuticular closure group has significantly less pain. At 48 hrs, highest wound infection rate was in subcuticular group (60%). At time of suture removal, highest number of wound complication occur in subcuticular group. Conclusion: Subcuticular closure of inguinal skin incision gives best cosmetic scar to patients. Subcuticular skin closure technique is painless. Skin Stapler is most rapid method of skin closure