Comparative Study of Suture Techniques in Reducing Recurrence Rates and Postoperative Complications in Hernia Repair

Syed Saad Kakakhel¹, Asmatullah², Mohsin Hassan³, Muhammad Tayyab Khan^3*, Mohammad Ibrahim Rasool⁴, Muhammad Shamoon Khan², Musa Afridi³, Misbah Ullah^5
1Department of Neurosurgery, Lady Reading Hospital, Peshawar, Pakistan.
²Department of General Surgery, MTI, Khyber Teaching Hospital, Peshawar, Pakistan.
³Department of General Surgery, MTI, Hayatabad Medical Complex, Peshawar, Pakistan.
⁴Department of General Surgery, Naseer Teaching Hospital, Peshawar, Pakistan.
⁵Department of General Surgery, Ayub Teaching Hospital, Abbottabad, Pakistan.

Correspondence to: Muhammad Tayyab Khan, Department of Neurosurgery, Lady Reading Hospital, Peshawar, Pakistan. Email: tayyabk001@gmail.com
Received date: March 01, 2025; Accepted date: March 19, 2025; Published date: March 25, 2025
Citation: Kakakhel SS, Asmatullah, Hassan M, et al. Comparative Study of Suture Techniques in Reducing Recurrence Rates and Postoperative Complications in Hernia Repair J Med Res Surg. 2025;6(2):40-43. doi: 10.52916/jmrs254165
Copyright: ©2025 Kakakhel SS. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Background: Hernia repair is still one of the most frequent operations worldwide, and different types of sutures are used with the goal of lowering the recurrence rates and postoperative complications. Surgical choice can greatly impact on patient conditions, but literature comparing the various methods of suture is rather scarce.
Methodology: The current prospective, randomized controlled trial was carried out at a tertiary teaching hospital between January 2024 and December 2024. A total of 200 patients undergoing hernia repair were randomly assigned to two groups: Group A included patients subjected to tension-free mesh repair through interrupted stitches of Lichtenstein, and Group B included patients operated through laparoscopic herniarorrhaphy with continuous stitches. The principal end points were recurrence rates and operative complications, infection, seroma formation, and chronic pain. SPSS software, version 25, was used, along with chi-square tests for categorical variables and independent t-tests on continuous variables.
Results: Group A indicated a 3% recurrence rate, while on Group B it was only 1% (p=0.45). The rates of postoperative complications were 12% (Group A) and 8% (Group B); p=0.32. New or worsening chronic pain was noted in 18 of Group A patients as opposed to 4 of Group B patients (p=0.28). While Group A identified a slightly lower recurrence and complication rate than Group B these differences were not statistically significant.
Conclusion: Interrupted and continuous techniques in hernia surgery show that they reduce the recurrence rate and postoperative complications. Continued suture technique can perhaps provide the slightest gain over optimal mesh fixation and knot tying in terms of laparoscopic repair.

Keywords:

Hernia repair, Suture techniques, Recurrence rate, Postoperative complications, Lichtenstein, Laparoscopic surgery.

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