Comparative study of open mesh repair and Desarda’s no-mesh repair for inguinal hernia, in GMKMCH, Salem, India

Prakash ., Padmalakshmi Bharathi Mohan


Background: Mesh repair has gained popularity among the surgical repair of hernias but has limitations. This study is being carried out to compare the effectiveness of Desarda’s no mesh repair, with Lichtenstein’s tension free repair.

Methods: This prospective study was carried out in GMKMCH, Salem, over a period of 2 years. A total of 60 cases with inguinal hernia were included in the study. 30 patients were randomly subjected to Desarda’s technique and 30 patients underwent Lichtenstein’s repair. After surgery, patients were followed up and noted for complications like groin pain, surgical site infections, duration of hospital stay, duration to return to normal activity.

Results: Operative time was 45 minutes in Desarda’s group and 50 minutes in the Lichtenstein group which was highly significant (p<0.01). On 2-year follow-up there were no recurrences in both groups. There were no surgical site infections in the Desarda’s group, compared to whereas Lichtenstein’s repair where had 4 (10%) recurrences. The occurrence of complications like loss of sensation over the groin, scrotal edema, abdominal wall stiffness was not seen in Desarda’s group, whereas its occurrence was highly significant (p<.01) in Lichtenstein’s group.

Conclusions: Desarda’s no mesh technique is easy to learn and simple when compared to other no mesh repair techniques and requires no mesh. It can be used in a contaminated surgical field, in young individuals and in cases of financial constraints. Hence, Desarda’s no mesh repair is favourably comparable with Lichtenstein’s mesh repair.


Desarda, Inguinal hernia, Mesh repair

Full Text:



Das S. A Manual of clinical surgery. S Das Publication; 2008;38:594.

Schwartz's Principles of Surgery. 10th edition. McGraw Hill Education; 2014;37.

Manyilirah DW. Comparison of non-mesh (Desarda) and mesh (Lichtenstein) methods for inguinal hernia repair at Mulago hospital (Doctoral dissertation, Makerere University).

Rodríguez P, Herrera PP, Gonzalez OL, Alonso JR, Blanco HS. A randomized trial comparing lichtenstein repair and no mesh desarda repair for inguinal hernia: a study of 1382 patients. East Central Af J Surg. 2013;18(2):18-25.

Desarda MP. Physiological repair of inguinal hernia: a new technique (study of 860 patients). Hernia. 2006 Apr 1;10(2):143-6.

Desarda MP. Inguinal herniorrhaphy with an undetached strip of external oblique aponeurosis: a new approach used in 400 patients. Europ J Surg. 2001 Jun 1;167(6):443-8.

Szopinski J, Dabrowiecki S, Pierscinski S, Jackowski M, Jaworski M, Szuflet Z. Desarda versus Lichtenstein technique for primary inguinal hernia treatment: 3-year results of a randomized clinical trial. World J Surg. 2012 May 1;36(5):984-92.

Situma SM, Kaggwa S, Masiira NM, Mutumba SK. Comparison of Desarda versus modified Bassini inguinal Hernia repair: a randomized controlled trial. East Central Af J Surg. 2009;14(2):70-6.

Ghosh A, Desarda MP. Comparative Study of Open Mesh Repair and Desarda's No-Mesh Repair in a District Hospital in India.

Desarda MP. Surgical physiology of inguinal hernia repair-a study of 200 cases. BMC Surg. 2003 Dec;3(1):2.

Desarda MP. Physiological repair of inguinal hernia: a new technique (study of 860 patients). Hernia. 2006;10(2):143-6.