Clinical outcomes of patients undergoing Desarda versus Lichtenstein mesh for inguinal hernia repair: our experience in Qazi Hussain Ahmed Medical Complex, Nowshera Pakistan

Kamran H. Khan; Waseem Y. Khan; Zahid Khan; Fazal Ghani; Syed S. A. Shah

doi:10.18203/2349-2902.isj20221400

Authors

Kamran H. Khan Department of Surgery, Nowshera Medical College, Nowshera, Khyber Pakhtunkhwa, Pakistan
Waseem Y. Khan Department of Surgery, Nowshera Medical College, Nowshera, Khyber Pakhtunkhwa, Pakistan
Zahid Khan Department of Surgery, Nowshera Medical College, Nowshera, Khyber Pakhtunkhwa, Pakistan
Fazal Ghani Department of Surgery, Nowshera Medical College, Nowshera, Khyber Pakhtunkhwa, Pakistan
Syed S. A. Shah Department of Anesthesia, Nowshera Medical College, Nowshera, Khyber Pakhtunkhwa, Pakistan

DOI:

https://doi.org/10.18203/2349-2902.isj20221400

Keywords:

Inguinal hernia, Desarda non-mesh repair, Lichtenstein mesh repair, Recurrence, Seroma, Infection

Abstract

Background: The objective of this study was to compare the outcome of Desarda versus Lichtenstein mesh for surgical repair of inguinal hernia.

Methods: This randomized controlled trial was done at Qazi Hussain Ahmed Medical Complex, Nowshera from 01 February 2019 to 30 December 2020 with total duration 1 year and 10 months. Study included patients admitted in hospital for inguinal hernia repair. Patients were divided into 2 groups. Group 1 consisted of patients in whom Lichtenstein mesh repair was done while group 2 with patients having Desarda non-mesh repair done. Total time of surgery was noted. Patients were assessed for pain using a visual analog scale (VAS) after 72 hours and for seroma and infection within seven days. Recurrence and resumption of normal gait was assessed after 6 months. Data was analyzed with statistical package for the social sciences (SPSS) 21.

Results: Total of 100 male patients were included in the study. About 45 patients were included in group 1 and 55 in group 2. Mean age of the patients was 53±10.55 years in Lichtenstein group and 50±08.11 years in Desarda group. The mean duration of surgery was 47.57±4.95 min with Lichtenstein while 37.96±4.76 min with Desarda. The mean pain score was 2.5±1.0 after 72 hours with Lichtenstein while 1.72±0.20 with Desarda (p<0.05). Seroma was developed in 4 (8.8%) patients, infection in 5 (11.11%) patients and recurrence occurred in 1 (2.2%) patient in group 1 (Lichtenstein) while no patient developed infection in group 2 (Desarda). The rate of normal gait observed in 6 months post operative was in 25 (55.5%) patients with Lichtenstein repair while in group 2, 30 (54.54%) patents resumed normal gate respectively (p>0.05).

Conclusions: Both methods for repair are acceptable but the Desarda has less complications and operative time as compared to Lichtenstein repair.

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