Desarda technique versus Lichtenstein repair for inguinal hernia in tertiary care centre: a prospective study

Authors

  • Harsha S. Poojary Department of General Surgery, A. J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India
  • Praveen Gudde Prasanna Department of General Surgery, A. J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India
  • Siddharth Mulki Department of General Surgery, A. J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20200543

Keywords:

Desarda, Hernia, Inguinal, Lichtenstein

Abstract

Background: Various techniques for treatment of inguinal hernia have been studied. The use of a mesh is costly and has its own complications. In Desarda’s technique- external oblique muscle aponeurosis is placed in the form of an undetached strip for inguinal hernia repair. The objective of this study is to compare the outcomes of Lichtenstein’s repair versus Desarda’s technique.

Methods: In this prospective study, 50 patients with inguinal hernia were enrolled at A. J. Institute of Medical Sciences and Research centre. 25 patients each were divided into two groups by randomization and were operated using Lichtenstein’s hernioplasty and Desarda’s technique. Patients were assessed for cost effectiveness, operation time, postoperative pain, hospital stay, foreign body sensation, return to non-strenuous activity, complications and recurrence rate in the postoperative period on day 1, 3, 5, 1 month and 6 months.

Results: With regards to pain, foreign body sensation and duration of surgery Desarda’s repair was better than Lichtenstein’s repair (p<0.05). Mean hospital stay in Desarda’s group was comparable to the Lichtenstein group (p=0.16). Return to normal non-strenuous activity after 7-15 days in Desarda was 80% and 64% in Lichtenstein. No case of recurrence or chronic groin pain in either group was found.

Conclusions: Based on the result, reduced cost of treatment, lesser post-operative pain and no mesh related complications authors can conclude that Desarda’s technique is equally effective as Lichtenstein’s repair for inguinal hernia and can consider it as the method of choice in treating inguinal hernia.

References

Malangoni MA, Rosen MJ. Hernias. In: Courtney M, Townsend JR, Beauchamp RD, Evers BM, Mattox K, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th Ed. Philadelphia, Pennsylvania: Elsevier; 2017: 1092-1093.

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

Desarda MP. New method of inguinal hernia repair: A new solution. ANZ J Surg. 2001;71(4):241-4.

Langley GB, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatol Inter. 1985;5(4):145-8.

Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension-free hernioplasty. Am J Surg. 1989;157(2):188-93.

Desarda Technique of repair. Available at: http://www.desarda.com/operation-technique. Accessed on 10 January 2018.

Ahmed AE, Ahmed WB, Omar MA, Redwan AA. Desarda versus Lichtenstein repair for inguinal hernia: a randomized, multi-center controlled trial with promising results. Inter Surg J. 2018;5(8):2723-6.

Imran A, Dwivedi AC, Srivastava SK, Singh HP, Singh AK. A Randomized Trial Comparing Lichenstein And Desarda Technique for Open Inguinal Hernia Repair-A Study Of 100 Patient. IOSR J Dental Med Sci. 2016;15(3):17-20.

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

Mitura K, Romańczuk M. Comparison between two methods of inguinal hernia surgery--Lichtenstein and Desarda. Polski Merkur Leka: Organ Polsk Towarzy Lekarsk. 2008;24(143):392-5.

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 36(5):984-92.

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

Downloads

Published

2020-02-26

Issue

Section

Original Research Articles