Published: 2022-01-29

Desarda repair versus other inguinal hernia repairs: a review of global data of 35578 patients

Mohan P. Desarda


The aim of the present review study was to compare the outcomes of non-mesh Desarda technique with open mesh, Bassini and Lap repairs for inguinal hernia over a period of last 20 years. An internet search for RCTs/comparative studies comparing outcomes between Desarda and other repairs like open mesh, Bassini and Lap repairs were done. Search for individual studies was also conducted. RCT/comparative studies and individual non comparative studies comprising 35578 patients were found in search. All those published articles were downloaded from the internet. Some articles were directly obtained from the authors. Outcomes of these articles were evaluated and compared for recurrence, chronic pain, complications, free mobility, return to normal work and cost. A total number of 80 RCTs/comparative studies and 53 individual studies were included in this review with total number of 35578 patients. Recurrence 0.87% versus 5.6%, chronic pain 1.8% versus 22.5%, complications 6.87% versus 20.6%, free mobility 37.6 hours versus 77.2 hours, return to normal work 10.2 days versus 16.7 days and cost $40.8 versus $68.5 was seen in Desarda versus other repairs, respectively. Desarda repair showed much superior results over other repairs like open mesh, Bassini or Lap repairs in terms of recurrence, chronic pain, complications, free mobility, return to normal work and the cost.


Desarda, Bassini, Mesh, LAP, Inguinal hernias, Repairs, Review

Full Text:



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

Desarda MP. Concepts that prevent inguinal hernia formation-revisited. New concepts of inguinal hernia prevention. Ann Emerg Surg. 2017;2(1):1007.

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

Amid PK, Lichtenstein IL. Lichtenstein open tension free hernioplasty. In: Maddern GJ, Hiatt JR, Philips EH, eds. Hernia Repair (Open vs Laparoscopic Approaches). Edinburgh: Churchill Livingstone; 1997; 117-22.

Taylor SG, O’Dywer PJ. Chronic groin sepsis following tension free inguinal hernioplasty. Br J Surg. 1999;86(4):562-5.

Fawole AS, Chaparala RPC, Ambrose NS. Fate of the inguinal hernia following removal of infected prosthetic mesh. Hernia. 2006;10(1):58-61.

Emile SH, Elfeki H. Desarda’s technique versus Lichtenstein technique for the treatment of primary inguinal hernia: a systematic review and meta-analysis of randomized controlled trials. Hernia. 2018;22(3):385-95.

Lockhart K, Dunn D, Teo S, Ng JY, Dhillon M, Teo E, et al. Mesh versus non-mesh for inguinal and femoral hernia repair. Cochrane Database Syst Rev. 2018;9(9):011517.

Ren F. Non-mesh (Desarda) versus mesh (Lichtenstein) methods for inguinal hernia repair Meta-analysis and system review, 2016. China: Congress of the Asia Pacific Hernia Society; 2016.

Bracale U, Melillo P, Piaggio D, Pecchia L, Cuccurullo D, Milone M, et al. Is Shouldice the best non-mesh inguinal hernia repair technique? A systematic review and network metanalysis of randomized controlled trials comparing Shouldice and Desarda. Int J Surg. 2019;62:12-21.

Mohamedahmed AYY, Ahmad H, Abdelmabod AAN, Sillah AK. Non-mesh Desarda technique versus standard mesh-based lichtenstein technique for inguinal hernia repair: a systematic review and meta-analysis. World J Surg. 2020;44(10):3312-21.

Ge H, Liang C, Xu Y, Ren S, Wu J. Desarda versus Lichtenstein technique for the treatment of primary inguinal hernia: a systematic review. Int J Surg. 2018;50:22-7.

Ndong A, Tendeng JN, Diallo AC, Diao ML, Diop S, Dia DA, et al. Is Desarda technique suitable to emergency inguinal hernia surgery? A systematic review and meta-analysis. Ann Med Surg. 2020;60:664-8.

Desarda MP. Small/medium size midline ventral hernias: 4-layer suture repair on physiological principle. IOSR-JDMS. 2020;19(6):1-9.

Brown RK, Galleti G, Tumm KS. New technique for the cure of inguinal hernia: by Edoardo Bassini in 1887 to 1890. J Hist Med Allied Sci. 1966;21(7):401-7.

Vrijland WW, Tol MP, Luijendijk RW, Hop WCJ, Busschbach JJV, Lange DCDD, et al. Randomized clinical trial of non-mesh versus mesh repair of primary inguinal hernia. Br J Surg. 2002;89(3):293-7.

Liem MS, Graaf Y, Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal hernia repair. N Engl J Med. 1997;336(22):1541-7.

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

Gilbert AI. Suture less repair of inguinal hernia. Am J Surgery. 1992;163(3):331-5.

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

Kux M, Fuchsjager N, Schemper M. Shouldice is superior to Bassini inguinal herniorrhaphy. Am J Surg. 1994;168(1):15-8.

Read RC. A review: the role of protease-anti protease imbalance I the pathogenesis of herniation and abdominal aortic aneurism in certain smokers. Post Grad Gen Surg. 1992;4(12):161-5.

Nienhuijs SW, Oort I, Keemers-Gels ME, Strobbe LJA, Rosman C. Randomized clinical trial comparing PHS, mesh plug repair and Lichtenstein repair for open inguinal hernia repair. Br J Surg. 2005;92(1):33-8.

Colak T, Akca T, Kanik A, Aydin S. Randomized clinical trial comparing laparoscopic totally extra peritoneal approach with open mesh repair in inguinal hernia. Surg Laparosc Endosc Percutan Tech. 2003;13(3):1915.

Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350(18):1819-27.

Genc V, Ensari C, Ergul Z, Kulacoglu H. A very late-onset deep infection after prosthetic inguinal hernia repair. Chirurgia (Bucur). 2010;105(4):555-7.

Jeans S, Williams GL, Stephenson BM. Migration after open mesh plug inguinal hernioplasty: a review of the literature. Am Surg. 2007;73(3):207-9.

Benedetti M, Albertario S, Niebel T, Bianchi C, Tinozzi FP, Moglia P, et al. Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia. 2005;9(1):93-5.

Bay-Nielson M, Perkins FM, Kehlet H, Danish Hernia Database. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide study. Ann Surg. 2001;233(1):1-7.

D’Amore L, Gossetti F, Vermeil V, Negro P. Long-term discomfort after plug and patch hernioplasty. Hernia. 2008;12(4):445-6.

Miller JP, Acar F, Kaimaktchiev VB, Gultekin SH, Burchiel KJ. Pathology of ilioinguinal neuropathy produced by mesh entrapment: case report and literature review. Hernia. 2008;12(2):213-6.

Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia. 2004;8(1):1-7.

Mitura K, Romanczuk M. Comparison between two methods of inguinal hernia surgery-Lichtenstein and Desarda. Pol Merkur Lekarski. 2008;24(143):392-5.

McRoy LL. Plugoma and the prolene hernia system. J Am Coll Surg. 2010;212(4):424.