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 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



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


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.


Zendejas B, Ramirez T, Jones T, Kuchena A, Ali SM. Incidence of inguinal hernia repairs in Olmsted County, MN: A population-based study. Ann Surg. 2013;257(3):520-6.

Malangoni MA, Rosen MJ. Hernias. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders. 2012;46.

Ersoz F, Culcu S, Duzkoylu Y, Bektas H, Sari S, Arikan S, et al. The Comparison of Lichtenstein Procedure with and without Mesh-Fixation for Inguinal Hernia Repair. Surg Res Pract. 2016;8041515.

Bashir S, Afzal MO, Rafi Y. Desarda Technique for Inguinal Hernia Repair, a multicenter experience. PJMHS. 2015;9(1):311-3.

Kingsnorth A, Gray M, Nott D. Prospective randomized trial comparing the Shouldice technique and plication darn for inguinal hernia. Br J Surg. 1992;79(10):1068.

Porrero J, Sánchez-Cabezudo C, Bonachía O, LópezBuenadicha A, Sanjuánbenito A, Hidalgo M. Inguinofemoral hernia: multicenter study of surgical techniques. Cirugia Espanola. 2005;78(1):45-9.

Devlin BH, Kingsnorth A. Inguinal hernia in adults the operation. Management of Abdominal Hernias. 1998;2:141-66.

Read RC. Bendavid’s editorial and the role of defective collagen metabolism in anatomical variations. Hernia. 2004;8(3):285.

Rodríguez P, Herrera P, Gonzalez O, Alonso J, Blanco H. A randomized trial comparing Lichtenstein repair and no mesh Desarda repair for inguinal hernia: a study of 1382 patients. East and Central African J Surg. 2013;18(2):18-25.

Losanoff JE, Richman BW, Jones JW. Inguinal herniorrhaphy with an undetached strip of external oblique aponeurosis: old or new? Eur J Surg. 2001;167(11):877.

Roy BC, Hanifa A, Naher S, Baset A, Sarkar P, Outcome of desarda repair in inguinal hernia. A study in northern part of Bangladesh. Int J Med Sci Public Health. 2016;1:5(3):521-5.

Gedam BS, Bansod PY, Kale VB, Shah Y, Akhtar M. A comparative study of Desarda’s technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study. Int J Surg. 2017;39:150-5.

Ahmed M, Manzoor F, Kausar R. Inguinal hernia: Clinical presentation and postoperative complications of patients when treated with Desarda technique. Ann Pak Inst Med Sci. 2017;13(1):3-6.

Manyilirah W, Kijjambu S, Upoki A. 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.

Mitura K, Romańczuk M. Comparison between two methods of inguinal hernia surgery--Lichtenstein and Desarda. Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego. 2008;24(143):392-5.

Eklund A, Rudberg C, Smedberg S, Enander L, Leijonmarck C, Österberg J, et al. Short‐term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair. Br J Surg. 2006;93(9):1060-8.






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