Desarda repair versus Lichtenstein repair for treatment of inguinal hernia


  • Talal A. Moghazy Department of General Surgery, Damanhour Medical National Institute, Damanhour, Egypt
  • Yehia H. Zayed Department of General Surgery, Faculty of Medicine (for girls), Al-Azhar University, Cairo, Egypt
  • Mona M. Farid Department of General Surgery, Faculty of Medicine (for girls), Al-Azhar University, Cairo, Egypt



Desarda repair, Lichtenstein repair, Inguinal hernia, Mesh repair


Background: Inguinal hernias remain an important medical problem. The definitive treatment of all hernias is surgical repair. Desarda’s technique is a tension-free, mesh-free repair method that pays attention to the physiology of the inguinal region.

Methods: This prospective comparative study was conducted in general surgery department at Al-Zahraa University Hospital and Damanhour Medical National Institute in the period between March 2019 and March 2021. It included 50 patients who were randomly divided into two equal groups: A (Desarda technique) and B (Lichtenstien technique).

Results: The mean operative time in group A was 70.36 minutes and in group B was 64.88 minutes. Seroma formation occurred in 1 patient in group A (4%) while it occurred in 2 patients in group B (8%). The other postoperative complications were comparable in both groups during 1 year of follow-up, hernia recurrence occurred in 1 patient in group B (4%).

Conclusions: Desarda repair of inguinal hernia is a good alternative to Lichtenstein repair.



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.‏

Shehzad B, Muhammad OA, Yaseen R. Desarda Technique for Inguinal Hernia Repair, a multicenter experience. Pak J Med Health Sci. 2015;9(1):311-3.

Vupputuri H, Kumar S, Subramani P and Venugopal K. A single-blind, randomized controlled study to compare Desarda technique with Lichtenstein technique by evaluating short-and long-term outcomes after 3 years of follow-up in primary inguinal hernias. Int J Abdomin Wall Hernia Surg. 2019;2(1):16-22.

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.

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

‏Ravitch MM, Hitzrot JM. The operations for inguinal hernia. Surgery. 1960;48:439-66.

Afzal, A, Ali, R, Yousaf, S. Outcomes of Desarda Vs Lichtenstein repair for inguinal hernia in terms of operative time, seroma formation, return to normal activity and cost. Pak J Med Health Sci. 2017;11(1):93-6.‏

Bhatti IA, Ishaqu H, Ahmad Z. Desarda’s versus Lichtenstein technique of hernia repair. Age (years). 2015;53:6-78.‏

Manyilirah W, Kijjambu S, Upoki A, Kiryabwire J. Comparison of non-mesh (Desarda) and mesh (Lichtenstein) methods for inguinal hernia repair among black African patients: a short-term double-blind RCT. Hernia. 2012;16(2):133-44.‏

Abbas Z, Bhat SK, Koul M, Bhat R. Desarda's no mesh repair versus lichtenstein's open mesh repair of inguinal hernia: a comparative study. J Evol Med Dent Sci. 2015;4(77):13279-86.

‏Rodríguez LPR, Herrera PP, González LOC, Blanco RHS. A randomized trial comparing Lichtenstein repair and No mesh Desarda repair for inguinal hernia: A study of 1382 patients. East Cent Afr J Surg. 2013;18(2).‏

Desarda MP, Ghosh A. Comparative study of ppen mesh repair and Desarda’s no-mesh repair in a District Hospital in India. East Central Afr J Surg. 2006;11(2):28-34.‏

Youssef T, El-Alfy K, Farid M. Randomized clinical trial of Desarda versus Lichtenstein repair for treatment of primary inguinal hernia. Int J Surg. 2015;20:28-34.






Original Research Articles