A comparative study of Desarda technique versus Lichtenstein mesh repair for inguinal hernia at a tertiary care centre

Nidhi Sahay; Manawwor Ahsan; Santosh Kumar Sharma

doi:10.18203/2349-2902.isj20250027

Authors

Nidhi Sahay Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
Manawwor Ahsan Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
Santosh Kumar Sharma Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India

DOI:

https://doi.org/10.18203/2349-2902.isj20250027

Keywords:

Inguinal hernia, Hernioplasty, Mesh repair, Desarda repair, Lichtenstein repair

Abstract

Background: Inguinal hernias are one of the most common surgical maladies of all times. Surgical repair of inguinal hernias remains to be an ever-evolving field. Although Lichtenstein mesh repair is most commonly practiced now it is associated with chronic groin pain and higher cost. Desarda’s tissue based repair is a novel technique which is simple to perform, has low cost of procedure and low recurrence rates. The objective of this study was to evaluate the surgical outcomes in Desarda versus mesh repair of inguinal hernia.

Method: This was a prospective observational study. 70 patients were included out of which 35 patients who underwent mesh repair were placed in Group A and other 35 who underwent Desarda were placed in Group B. Duration of surgery, post-operative pain, surgical complications, duration of hospital stay and time taken to return to normal activity were assessed and compared.

Results: Post-operative complications were significantly less in Group B. Most common complications being seroma formation in both the groups. Duration of hospital stay was lesser in group B (5.05±1.1 days) than Group A (6.45±2.83 days). Patients in Group B also took less time to return to normal work than patients in Group A (p-value:0.00059). There was no recurrence in either groups.

Conclusion: Desarda repair is easy to perform and there is no risk of complications associated with a foreign body as in case of Lichtenstein mesh repair. It is better than mesh repair in terms of lesser post-operative complications, shorter duration of hospital stay and earlier return to normal activity. Desarda repair is comparable to mesh repair for inguinal hernia surgery.

Metrics

Metrics Loading ...

References

Wantz GE. The Canadian repair: personal observations. World J Surg Surg. 1989;13(5):516-21.” DOI: https://doi.org/10.1007/BF01658864

Simons MP, Aufenacker T, Bay-Neilsen M, Bouillot JL, Campanelli G, Conze J, et al, European Hernia Society guidelines on the treatment of inguinal hernia in adult patients, Hernia. 2009;13(4):343-403.” DOI: https://doi.org/10.1007/s10029-009-0529-7

Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003;362()9395:1561-71.” DOI: https://doi.org/10.1016/S0140-6736(03)14746-0

Testini M, Lissidini G, Poli E, Gurrado A, Angela G, Domenica L, Giuseppe P. A single surgeon randomised trial comparing sutures, N-butyl-2-cyanoacrylate and human fibrin glue for mesh fixation during primary inguinal hernia repair. Can J Surg. 2010;53(3):155-60.”

Dublin HB. Trends in hernia surgery in the land of Astley Cooper. In: Soper NJ, ed. Problems in general surgery vol 12. Philadelphia, PA: Lipincott-Raven. 1995:85-92.”

Samir A, Shawn S, Fagan P. Current approaches to inguinal hernia repair. Am J Surg. 2004;188:9-16.” DOI: https://doi.org/10.1016/j.amjsurg.2004.09.007

Aasvang EK, Møhl B, BayNielsen M, Kehlet H. Pain related sexual dysfunction after inguinal herniorrhaphy. Pain, 2006;122(3):258-63.” DOI: https://doi.org/10.1016/j.pain.2006.01.035

Hamy A, Paineau J, Savigny JL, Vasse N, Visset J. Sigmoid perforation, an exceptional late complication of peritoneal prosthesis for treatment of inguinal hernia. Int Surg. 1997;82(3):307-8.”

Desarda MP. Surgical physiology of Inguinal hernia repair -a study of 200 cases. BMC Surg. 2003;3:1-9.” DOI: https://doi.org/10.1186/1471-2482-3-2

Desarda MP, New method of inguinal hernia: a new solution, ANZ J. Surg. 2001;71(4):241-4.” DOI: https://doi.org/10.1046/j.1440-1622.2001.02092.x

Ahmed S, Hassan A, Fady F, Desarda vs Lichtenstein technique for the treatment of primary inguinal hernia. Egypt J Surg. 2020;39(1):157-65. DOI: https://doi.org/10.4103/ejs.ejs_165_19

Gedam BS, Bansod PY, Kale VB, Shah Y, Akhtar M. A comparative study of Desarda’s technique with Lichtenstein mesh repair in the treatment of inguinal hernia: A prospective cohort study. Int J Surg. 2017;39:150-5.” DOI: https://doi.org/10.1016/j.ijsu.2017.01.083

Ahmed AE, Ahmed WB, Omar MA, Redwan AA. Dersada versus Lechtenstein repair for inguinal hernia: a randomized, multicenter controlled trial with promising results. Int Surg J. 2018;5:2723-6.” DOI: https://doi.org/10.18203/2349-2902.isj20183191

Moghe D, Ramlal P, Amay B, Monty KM. Comparative study of tissue repair Desarda technique versus Lichtenstein’s mesh repair in inguinal hernia. Cureus. 2022;14(4):e23998.

Syed O. Desarda’s versus Lichtenstein technique of inguinal hernia repair. Int Surg J. 2018;5(1):92-7.” DOI: https://doi.org/10.18203/2349-2902.isj20175553

Ameer A, Rashid A, Shahzad Y. Outcome of Desarda vs Lichtenstein repair for inguinal hernia in terms of operative time, seroma formation, return to normal activity and cost. PJMHS. 2017;11(1):93-6.”