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Papers by sushil damor

Background: Control of post spinal shivering is essential for optimal perioperative care, which c... more Background: Control of post spinal shivering is essential for optimal perioperative care, which can be achieved either by oral or parental medications. The present study is designed to evaluate the efficacy and safety of intravenous low - dose clonidine an d tramadol in the treatment of post spinal shivering. Materials and Methods: In this prospective, a double blind, randomized study, 90 ASA grade I or II, patients aged 18 – 35 years, undergoing operations under spinal anaesthesia, who subsequently developed shivering grade 3 or 4, were randomized into two groups, to receive either clonidine or tramadol. The efficacy and response rate of the study drugs were evaluated and recorded. Side effects like, nausea, vomiting, hypotension, bradycardia, dry mouth, sedation, skin rash and headache, if present, were recorded. All data were analyzed by using the Chi square test and the Z - test. Results: There were significant differences in the respon se rate between the drugs ( P < 0.05). ...

Fibroadenomas are among the most common tumours of the female breast, occurring most frequently i... more Fibroadenomas are among the most common tumours of the female breast, occurring most frequently in women of child-bearing age, especially those under 30 years. We report a case with a total of 13 fibroadenomas presenting bilaterally of a 23-year-old woman. The histopathologic and immunophenotypic features of the fibroadenomata are described. Most fibroadenomas are present as single mass, however the presence of multiple fibroadenomata can be seen in 15-20% of the patients. It has been reported that the average number of masses in cases of multiple fibroadenomas is 3-4 in a single breast but occurrence of more than five fibroadenomas in an individual patient is much less common. There are few reports of multiple fibroadenomas. We report this case hoping to expand the literature and to provide insight to aetiology of multiple fibroadenoma formation and advice on management.

BACKGROUND: Tetralogy of Fallot (TOF) is one of the most common congenital cyanotic heart disease... more BACKGROUND: Tetralogy of Fallot (TOF) is one of the most common congenital cyanotic heart disease and continues to be a major source of morbidity. Our aim is to evaluate the feasibility of computed tomography CT angiography to define the pulmonary arteries abnormalities in Tetralogy of fallot patients. In patients with Tetralogy of Fallot, characterization of anatomy, size and morphology of pulmonary arborisation, which is essential for surgical management. MATERIALS AND METHODS: This study was carried out on 38 paediatric patients diagnosed with Tetralogy of fallot. All these patients were underwent CT pulmonary angiography before the corrective surgical intervention. RESULTS: CT findings of the pulmonary artery morphology showed: 23 (60.5 %) patients had confluent fair/normal size pulmonary arteries, 12 (31.6%) patients had confluent hypo plastic arteries, 2 (5.3%) patients had absent pulmonary arteries and 1 (2.6%) patient had markedly dilated pulmonary arteries. CONCLUSION: With...

Objective. To determine the value of the filarial dance sign as a diagnostic sign of scrotal fila... more Objective. To determine the value of the filarial dance sign as a diagnostic sign of scrotal filarial infection and to recognize unsuspected scrotal filariasis by this sign. Methods. Five symptomatic patients in whom the filarial dance sign was shown on high resolution ultrasonography were studied, investigated, and followed after treatment with diethylcarbamazine citrate. Two patients underwent fine - needle aspiration. Results. Multiple foci (nests) of motile (live) filarial worms were observed in most patients. Fine needle aspiration of the dilated lymphatic vessels in 2 patients confirmed the presence of microfila riae. Four of 5 patients had a favorable response to treatment with diethylcarbamazine citrate. Conclusions. High - resolution ultrasonography is a useful technique for diagnosing scrotal filariasis in symptomatic patients and is very useful in the follow - up period for assessing the response of worms to treatment.

BACKGROUND: MRI has become a valuable diagnostic modality for the evaluation of knee joint. The a... more BACKGROUND: MRI has become a valuable diagnostic modality for the evaluation of knee joint. The aim of the study were to study the various traumatic consequences of knee joint injury, to study specific primary and secondary signs on MRI pertaining the specific type of injury and also to establish the continuing relevance and growing importance of MRI in evaluation of the knee joint injury and Role of MRI in operative management of the patients with knee injury. MATERIALS AND METHODS: A prospective study of 50 patients were done. Study group consist of patients who come for treatment of knee injury and undergone MRI investigation previously and afterwards. RESULTS: Meniscal injury is the most common injury seen in knee injury. Medial meniscus is more prone to injury than lateral meniscus. ACL is more prone to tear then PCL in knee injury. Associated finding with ligament injury are joint effusion, bone edema and contusion, fracture. CONCLUSION: MRI plays an important role in making a...

BACKGROUND: This disease (fistula in ano) which is considered to be a minor ailment has high morb... more BACKGROUND: This disease (fistula in ano) which is considered to be a minor ailment has high morbidity. The ideal treatment of any surgical wound is to close it with primary suture. The aims of the study were to compare the effectiveness, hospital stay, the morbidity, post operative pain of the procedure between open and primary closure method of fistulectomy. Study Design: prospective study MATERIALS AND METHODS: 25 patients underwent open fistulectomy and 25patients underwent primary closure with according to the inclusion and exclusion criteria of study. Post operative assessment of pain is done using VAS scale, Delayed wound healing, recurrence, Urinary retention, follow up noted. RESULTS: Mean hospital stay was 5.12 (P<0.0001), days in primary closure group and 12.88 days in open group. Mean duration of healing of fistula was 8.24 in primary closure (P<0.0001), and 21.24 days in open group. Where there was significant difference in pain on 1 st, 2 nd and 3 rd post operati...

BACKGROUND: This study was aimed to evaluate the superiority of Laparoscopic totally extraperiton... more BACKGROUND: This study was aimed to evaluate the superiority of Laparoscopic totally extraperitoneal patch (TEP) repair over open stoppa’s and Lichenstein tension free repair for bilateral inguinal hernia. MATERIAL AND METHODS: Total 80 patients of bilateral inguinal hernia was taken in present study. They were divided in three groups by closed envelope method. Total 27 patients in Laparoscopic TEP group, 28 in open Stoppa’s group & 25 in open Lichenstine group. Duration of surgery, Post-operative pain, hospital stay, intra & post operative complications and recurrence were recorded. RESULTS: The duration of surgery was the least in the Laparoscopic TEP group(40 min) as compared to Open Stoppa’s repair(42min) & open Lichtenstein group (50min). Minimal complications were noted in Laparoscopic TEP group(one incidence of balloon rupture) as compared to the stoppa’s & open inguinal hernioplasty ( post operative seroma, scrotal edema, urinary retention & wound infection). Major intra-ope...

International Surgery Journal, Jul 24, 2017

INTRODUCTION Laparoscopy (Gr: Laparo-abdomen, scopein-to examine) is the art of examining the abd... more INTRODUCTION Laparoscopy (Gr: Laparo-abdomen, scopein-to examine) is the art of examining the abdominal cavity and its contents. It requires insertion of a cannula through the abdominal wall, distention of the abdominal cavity with gas or air (pneumoperitoneum), and visualization and examination of the abdomen's contents with an illuminated telescope. Creation of the pneumoperitoneum is the first and most critical step of laparoscopic procedure because that access is associated with injuries to the gastrointestinal tract and major blood vessels and at least 50% of these major complications occurs prior to commencement of the intended surgery. This complication rate has remained the same during the past 25 years. 1,2 The number of vascular injuries in laparoscopy is 2 in 10,000 procedures and a serious complication associated with mortality occurs in 3.3 per ABSTRACT Background: Access into the abdomen is the one challenge of laparoscopy that is particular to the insertion of surgical instruments through small incisions. In the last three decades, rapid advances in laparoscopic surgery have made it an invaluable part of general surgery, but there remains no clear consensus as an on optimal method of entry into the peritoneal cavity. The objective of this study was to study the comparison and efficacy between closed (veress needle)and open method (Hasson's) of intraperitoneal access to create pneumoperitoneum in laparoscopic surgeries. Methods: All patients >18 year undergoing laparoscopic procedure at Sir Sayajirao Gaekwad Hospital attached to Medical College Baroda from November 2015 to November 2016, and include 160 patients. This was Prospective study and total 160 cases of Laparoscopic surgery was taken in 1-year period. Methods used to create pneumoperitoneum were of surgeon's choice in each case. Cases were performed by one method more than other method (63 patients by veress needle and 97 by open method). Student t test (two tailed, independent) had been used to find the significance of study parameters on continuous scale between two groups. All data were entered in Microsoft Excel sheet. Data calculation was done in software-Microsoft Excel and Medcalc statistical software 16.8.4.0. Results: The Mean operative time for access in veress needle group was 5.12 mins as compare to open method where it was 3.94 mins. Port site Gas leakage was slightly more in open method. There were no any major complications occurred in any group. There were minor complications occur in both methods at access like; omental injury, port site gas leakage, extra-peritoneal insufflations, loss of space and entry in wrong plane. Conclusions: For intraperitoneal access in laparoscopy, both the closed and the open methods are safe and the open technique had a time advantage over the closed method.

International Surgery Journal, Apr 22, 2017

Background: Diabetic foot ulcer is estimated to affect 15% of all diabetic individuals during the... more Background: Diabetic foot ulcer is estimated to affect 15% of all diabetic individuals during their lifetime. Management requires a multisystem approach. Various techniques have been tried to treat chronic ulcers, but none was proved to be ideal. Methods: This is a prospective randomised comparative study, where 56 patients with diabetic foot ulcers admitted in dept of surgery SSG hospital, Baroda, india were divided into two comparable groups. Of which 28 underwent topical phenytoin dressings, remaining 28 underwent Betadine dressing (5% w/v povidoneiodine solution). The variables were compared after 14 days based on rate of granulation tissue formation as percentage of ulcer surface area, wound culture-sensitivity and duration of hospital stay. Chi square test was used to compare the data at each of the assessment point in both groups. Results: In Phenytoin group, the mean rate of healthy granulation tissue formation was 60.71%, and mean hospital stay was 23.96 days with negative culture sensitivity was 54%. The Betadine group showed, the mean rate of granulation tissue formation was 11%, and mean hospital stay was 35 days with negative culture sensitivity was 18%. Conclusions: Topical phenytoin dressing considered as superior and cost effective in management of diabetic ulcers.

Background: Laparoscopic inguinal hernia repair has been shown to be slightly superior to open ap... more Background: Laparoscopic inguinal hernia repair has been shown to be slightly superior to open approaches. The aim of study is to compare advantages and disadvantages between two methods of extra peritoneal access for TEP repair of inguinal hernia using conventional balloon device method and using Dulucq method. Methods: This is a prospective study. It was conducted from June 2014 to November 2016 at SSG Hospital Vadodara. Total 50 patients of inguinal hernia taken for laparoscopic TEP repair among them patients were divided in two groups by envelop method of randomization, in 25 patients extra peritoneal space was created by balloon method and in 25 patients extra peritoneal space was created by veress needle or Dulucq method. Results: The mean time taken for extra peritoneal space creation by balloon method was 13.12 minutes and the mean time taken for extra peritoneal space creation by veress needle method was 9.32 minutes. The mean total operative time required for TEP by balloon method was 66.7 minutes and that for, TEP with veress needle method was 53 minutes. Conclusions: Total time for extraperitoneal space creation by Dulucq method is less as compared to balloon method of extraperitoneal space creation in laparoscopic TEP repair of inguinal hernia.

Journal of Medical Science And clinical Research

Background: Since time immemorial, inguinal herniorrhaphy is one of the oldest and commonest oper... more Background: Since time immemorial, inguinal herniorrhaphy is one of the oldest and commonest operations in the surgeon's technical armamentarium. Since the first true herniorrhaphy was performed by Bassini as early as 1887 AD, modifications and surgical techniques have shared a common disadvantage: suture line tension. To use this already defective tissue particularly under tension is counter-productive and total reinforcement with a sheet of mesh securing the areas much beyond the boundary of Hasselbach's triangle is much more effective procedure 3. With the use of modern mesh prosthetics, it is now possible to repair all adult inguinal hernias without distortion of normal anatomy and with no suture line tension. Aims and Objectives: To compare the use of skin staples versus polypropylene sutures to fix the mesh. Settings and design: This is a prospective study carried out in SSG Hospital from July 2002 to April 2005. Materials and Methods: This study comprised of 54 patients undergoing 60 repairs randomized into stapler group and polypropylene group. Results: The duration of surgery and length of hospital stay in the group wit mesh fixation by staples was less as compared to mesh fixed by polypropylene sutures. Also the complication rate was less as compared to the other group. Conclusion: It can be concluded that in a set up like ours, catering to poor and rural patients, this technique of mesh fixation is as effective as conventional fixation with polypropylene sutures with an important added advantage, which was significant, and that is reducing the operative time, being less painful and providing good fixation of mesh and the most important, early return to work.

Background: Control of post spinal shivering is essential for optimal perioperative care, which c... more Background: Control of post spinal shivering is essential for optimal perioperative care, which can be achieved either by oral or parental medications. The present study is designed to evaluate the efficacy and safety of intravenous low - dose clonidine an d tramadol in the treatment of post spinal shivering. Materials and Methods: In this prospective, a double blind, randomized study, 90 ASA grade I or II, patients aged 18 – 35 years, undergoing operations under spinal anaesthesia, who subsequently developed shivering grade 3 or 4, were randomized into two groups, to receive either clonidine or tramadol. The efficacy and response rate of the study drugs were evaluated and recorded. Side effects like, nausea, vomiting, hypotension, bradycardia, dry mouth, sedation, skin rash and headache, if present, were recorded. All data were analyzed by using the Chi square test and the Z - test. Results: There were significant differences in the respon se rate between the drugs ( P < 0.05). ...

Fibroadenomas are among the most common tumours of the female breast, occurring most frequently i... more Fibroadenomas are among the most common tumours of the female breast, occurring most frequently in women of child-bearing age, especially those under 30 years. We report a case with a total of 13 fibroadenomas presenting bilaterally of a 23-year-old woman. The histopathologic and immunophenotypic features of the fibroadenomata are described. Most fibroadenomas are present as single mass, however the presence of multiple fibroadenomata can be seen in 15-20% of the patients. It has been reported that the average number of masses in cases of multiple fibroadenomas is 3-4 in a single breast but occurrence of more than five fibroadenomas in an individual patient is much less common. There are few reports of multiple fibroadenomas. We report this case hoping to expand the literature and to provide insight to aetiology of multiple fibroadenoma formation and advice on management.

BACKGROUND: Tetralogy of Fallot (TOF) is one of the most common congenital cyanotic heart disease... more BACKGROUND: Tetralogy of Fallot (TOF) is one of the most common congenital cyanotic heart disease and continues to be a major source of morbidity. Our aim is to evaluate the feasibility of computed tomography CT angiography to define the pulmonary arteries abnormalities in Tetralogy of fallot patients. In patients with Tetralogy of Fallot, characterization of anatomy, size and morphology of pulmonary arborisation, which is essential for surgical management. MATERIALS AND METHODS: This study was carried out on 38 paediatric patients diagnosed with Tetralogy of fallot. All these patients were underwent CT pulmonary angiography before the corrective surgical intervention. RESULTS: CT findings of the pulmonary artery morphology showed: 23 (60.5 %) patients had confluent fair/normal size pulmonary arteries, 12 (31.6%) patients had confluent hypo plastic arteries, 2 (5.3%) patients had absent pulmonary arteries and 1 (2.6%) patient had markedly dilated pulmonary arteries. CONCLUSION: With...

Objective. To determine the value of the filarial dance sign as a diagnostic sign of scrotal fila... more Objective. To determine the value of the filarial dance sign as a diagnostic sign of scrotal filarial infection and to recognize unsuspected scrotal filariasis by this sign. Methods. Five symptomatic patients in whom the filarial dance sign was shown on high resolution ultrasonography were studied, investigated, and followed after treatment with diethylcarbamazine citrate. Two patients underwent fine - needle aspiration. Results. Multiple foci (nests) of motile (live) filarial worms were observed in most patients. Fine needle aspiration of the dilated lymphatic vessels in 2 patients confirmed the presence of microfila riae. Four of 5 patients had a favorable response to treatment with diethylcarbamazine citrate. Conclusions. High - resolution ultrasonography is a useful technique for diagnosing scrotal filariasis in symptomatic patients and is very useful in the follow - up period for assessing the response of worms to treatment.

BACKGROUND: MRI has become a valuable diagnostic modality for the evaluation of knee joint. The a... more BACKGROUND: MRI has become a valuable diagnostic modality for the evaluation of knee joint. The aim of the study were to study the various traumatic consequences of knee joint injury, to study specific primary and secondary signs on MRI pertaining the specific type of injury and also to establish the continuing relevance and growing importance of MRI in evaluation of the knee joint injury and Role of MRI in operative management of the patients with knee injury. MATERIALS AND METHODS: A prospective study of 50 patients were done. Study group consist of patients who come for treatment of knee injury and undergone MRI investigation previously and afterwards. RESULTS: Meniscal injury is the most common injury seen in knee injury. Medial meniscus is more prone to injury than lateral meniscus. ACL is more prone to tear then PCL in knee injury. Associated finding with ligament injury are joint effusion, bone edema and contusion, fracture. CONCLUSION: MRI plays an important role in making a...

BACKGROUND: This disease (fistula in ano) which is considered to be a minor ailment has high morb... more BACKGROUND: This disease (fistula in ano) which is considered to be a minor ailment has high morbidity. The ideal treatment of any surgical wound is to close it with primary suture. The aims of the study were to compare the effectiveness, hospital stay, the morbidity, post operative pain of the procedure between open and primary closure method of fistulectomy. Study Design: prospective study MATERIALS AND METHODS: 25 patients underwent open fistulectomy and 25patients underwent primary closure with according to the inclusion and exclusion criteria of study. Post operative assessment of pain is done using VAS scale, Delayed wound healing, recurrence, Urinary retention, follow up noted. RESULTS: Mean hospital stay was 5.12 (P<0.0001), days in primary closure group and 12.88 days in open group. Mean duration of healing of fistula was 8.24 in primary closure (P<0.0001), and 21.24 days in open group. Where there was significant difference in pain on 1 st, 2 nd and 3 rd post operati...

BACKGROUND: This study was aimed to evaluate the superiority of Laparoscopic totally extraperiton... more BACKGROUND: This study was aimed to evaluate the superiority of Laparoscopic totally extraperitoneal patch (TEP) repair over open stoppa’s and Lichenstein tension free repair for bilateral inguinal hernia. MATERIAL AND METHODS: Total 80 patients of bilateral inguinal hernia was taken in present study. They were divided in three groups by closed envelope method. Total 27 patients in Laparoscopic TEP group, 28 in open Stoppa’s group & 25 in open Lichenstine group. Duration of surgery, Post-operative pain, hospital stay, intra & post operative complications and recurrence were recorded. RESULTS: The duration of surgery was the least in the Laparoscopic TEP group(40 min) as compared to Open Stoppa’s repair(42min) & open Lichtenstein group (50min). Minimal complications were noted in Laparoscopic TEP group(one incidence of balloon rupture) as compared to the stoppa’s & open inguinal hernioplasty ( post operative seroma, scrotal edema, urinary retention & wound infection). Major intra-ope...

International Surgery Journal, Jul 24, 2017

INTRODUCTION Laparoscopy (Gr: Laparo-abdomen, scopein-to examine) is the art of examining the abd... more INTRODUCTION Laparoscopy (Gr: Laparo-abdomen, scopein-to examine) is the art of examining the abdominal cavity and its contents. It requires insertion of a cannula through the abdominal wall, distention of the abdominal cavity with gas or air (pneumoperitoneum), and visualization and examination of the abdomen's contents with an illuminated telescope. Creation of the pneumoperitoneum is the first and most critical step of laparoscopic procedure because that access is associated with injuries to the gastrointestinal tract and major blood vessels and at least 50% of these major complications occurs prior to commencement of the intended surgery. This complication rate has remained the same during the past 25 years. 1,2 The number of vascular injuries in laparoscopy is 2 in 10,000 procedures and a serious complication associated with mortality occurs in 3.3 per ABSTRACT Background: Access into the abdomen is the one challenge of laparoscopy that is particular to the insertion of surgical instruments through small incisions. In the last three decades, rapid advances in laparoscopic surgery have made it an invaluable part of general surgery, but there remains no clear consensus as an on optimal method of entry into the peritoneal cavity. The objective of this study was to study the comparison and efficacy between closed (veress needle)and open method (Hasson's) of intraperitoneal access to create pneumoperitoneum in laparoscopic surgeries. Methods: All patients >18 year undergoing laparoscopic procedure at Sir Sayajirao Gaekwad Hospital attached to Medical College Baroda from November 2015 to November 2016, and include 160 patients. This was Prospective study and total 160 cases of Laparoscopic surgery was taken in 1-year period. Methods used to create pneumoperitoneum were of surgeon's choice in each case. Cases were performed by one method more than other method (63 patients by veress needle and 97 by open method). Student t test (two tailed, independent) had been used to find the significance of study parameters on continuous scale between two groups. All data were entered in Microsoft Excel sheet. Data calculation was done in software-Microsoft Excel and Medcalc statistical software 16.8.4.0. Results: The Mean operative time for access in veress needle group was 5.12 mins as compare to open method where it was 3.94 mins. Port site Gas leakage was slightly more in open method. There were no any major complications occurred in any group. There were minor complications occur in both methods at access like; omental injury, port site gas leakage, extra-peritoneal insufflations, loss of space and entry in wrong plane. Conclusions: For intraperitoneal access in laparoscopy, both the closed and the open methods are safe and the open technique had a time advantage over the closed method.

International Surgery Journal, Apr 22, 2017

Background: Diabetic foot ulcer is estimated to affect 15% of all diabetic individuals during the... more Background: Diabetic foot ulcer is estimated to affect 15% of all diabetic individuals during their lifetime. Management requires a multisystem approach. Various techniques have been tried to treat chronic ulcers, but none was proved to be ideal. Methods: This is a prospective randomised comparative study, where 56 patients with diabetic foot ulcers admitted in dept of surgery SSG hospital, Baroda, india were divided into two comparable groups. Of which 28 underwent topical phenytoin dressings, remaining 28 underwent Betadine dressing (5% w/v povidoneiodine solution). The variables were compared after 14 days based on rate of granulation tissue formation as percentage of ulcer surface area, wound culture-sensitivity and duration of hospital stay. Chi square test was used to compare the data at each of the assessment point in both groups. Results: In Phenytoin group, the mean rate of healthy granulation tissue formation was 60.71%, and mean hospital stay was 23.96 days with negative culture sensitivity was 54%. The Betadine group showed, the mean rate of granulation tissue formation was 11%, and mean hospital stay was 35 days with negative culture sensitivity was 18%. Conclusions: Topical phenytoin dressing considered as superior and cost effective in management of diabetic ulcers.

Background: Laparoscopic inguinal hernia repair has been shown to be slightly superior to open ap... more Background: Laparoscopic inguinal hernia repair has been shown to be slightly superior to open approaches. The aim of study is to compare advantages and disadvantages between two methods of extra peritoneal access for TEP repair of inguinal hernia using conventional balloon device method and using Dulucq method. Methods: This is a prospective study. It was conducted from June 2014 to November 2016 at SSG Hospital Vadodara. Total 50 patients of inguinal hernia taken for laparoscopic TEP repair among them patients were divided in two groups by envelop method of randomization, in 25 patients extra peritoneal space was created by balloon method and in 25 patients extra peritoneal space was created by veress needle or Dulucq method. Results: The mean time taken for extra peritoneal space creation by balloon method was 13.12 minutes and the mean time taken for extra peritoneal space creation by veress needle method was 9.32 minutes. The mean total operative time required for TEP by balloon method was 66.7 minutes and that for, TEP with veress needle method was 53 minutes. Conclusions: Total time for extraperitoneal space creation by Dulucq method is less as compared to balloon method of extraperitoneal space creation in laparoscopic TEP repair of inguinal hernia.

Journal of Medical Science And clinical Research

Background: Since time immemorial, inguinal herniorrhaphy is one of the oldest and commonest oper... more Background: Since time immemorial, inguinal herniorrhaphy is one of the oldest and commonest operations in the surgeon's technical armamentarium. Since the first true herniorrhaphy was performed by Bassini as early as 1887 AD, modifications and surgical techniques have shared a common disadvantage: suture line tension. To use this already defective tissue particularly under tension is counter-productive and total reinforcement with a sheet of mesh securing the areas much beyond the boundary of Hasselbach's triangle is much more effective procedure 3. With the use of modern mesh prosthetics, it is now possible to repair all adult inguinal hernias without distortion of normal anatomy and with no suture line tension. Aims and Objectives: To compare the use of skin staples versus polypropylene sutures to fix the mesh. Settings and design: This is a prospective study carried out in SSG Hospital from July 2002 to April 2005. Materials and Methods: This study comprised of 54 patients undergoing 60 repairs randomized into stapler group and polypropylene group. Results: The duration of surgery and length of hospital stay in the group wit mesh fixation by staples was less as compared to mesh fixed by polypropylene sutures. Also the complication rate was less as compared to the other group. Conclusion: It can be concluded that in a set up like ours, catering to poor and rural patients, this technique of mesh fixation is as effective as conventional fixation with polypropylene sutures with an important added advantage, which was significant, and that is reducing the operative time, being less painful and providing good fixation of mesh and the most important, early return to work.