Desarda repair versus Lichtenstein repair for treatment of inguinal hernia

Talal A. Moghazy; Yehia H. Zayed; Mona M. Farid

doi:10.18203/2349-2902.isj20221399

Authors

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

DOI:

https://doi.org/10.18203/2349-2902.isj20221399

Keywords:

Desarda repair, Lichtenstein repair, Inguinal hernia, Mesh repair

Abstract

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.

Metrics

Metrics Loading ...

References

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.