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@article{Sangolli. M.S2, Gogate A.S2, Sindhuri. G, Hiremath. M.B_2010, title={Comparision of Properitoneal Non Tension Sutured Mesh Repair Versus Conventional Mesh Repair for Reducing Postoperative Pain in Direct Inguinal Hernia - A Randomised Control Trial}, volume={2}, url={https://www.updatepublishing.com/journal/index.php/rrst/article/view/503}, abstractNote={<div class="Section1"><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; letter-spacing: -0.2pt; font-size: 12pt;">Abstract</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Background: </span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Numerous repairs exist for direct inguinal hernias.<span style="mso-spacerun: yes;">  </span>These repairs are limited by the shortcomings of their respective technique. Each study has its own self limitations for the reduction of postoperative pain. With the introduction of<span style="mso-spacerun: yes;">  </span>Properitoneal<span style="mso-spacerun: yes;">  </span>nontension sutured mesh repair, the postoperative pain has been lessened,proving efficacy in terms of decreased hospital stay, patient comfort and early return to activities. Hence there is need for comparing Properitoneal nontension sutured mesh repair with Conventional mesh repairs for the reduction of postoperative pain.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Materials and Methods:</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">A Randomized clinical trial was designed with a sample size of 60 patients, which were divided into 2 groups; Group A (properitoneal non tension sutured mesh repair) & Group B (conventional mesh repair). These two groups were analyzed for postoperative pain (visual analogue score) from 2 weeks to 12 weeks.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Results:</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">On analysis, three months follow up pain score is significantly less in the group A patients at 2week and even upto 8weeks, thereafter<span style="mso-spacerun: yes;">  </span>no patients experienced any pain. In group B the pain is significantly more than Group A and minimal pain persisted until 11weeks. </span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Conclusion:</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">The results of the new technique demonstrate that it provides less postoperative pain than has been reported in other nontension mesh repairs. There is apparent advantage in the use of properitoneal nontension sutured mesh repair compared to conventional mesh repair. Short term follow up of the study did not allow any conclusion regarding recurrence rates, thus larger cohorts with longer follow up are needed.</span></p><p class="MsoNormal" style="text-align: left; text-indent: 0in; margin: 6pt 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;" align="left"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Keywords</span></strong><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">: hernia repair, properitoneal<span style="mso-spacerun: yes;">  </span>nontension sutured mesh repair, lichenstein mesh repair</span></p></div><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN; mso-bidi-font-family: ’Times New Roman’; mso-ansi-language: EN-US; mso-bidi-language: AR-SA;"><br style="page-break-before: always; mso-break-type: section-break;" /></span>}, number={8}, journal={Recent Research in Science and Technology}, author={Sangolli. M.S2, Gogate A.S2, Sindhuri. G, Hiremath. M.B, Ajay kumar. G1,2*,}, year={2010}, month={Oct.} }