Comparative Study of Tissue Repair Desarda Technique Versus Lichtenstein's Mesh Repair in Inguinal Hernia

Dr. T Siva kumar; Dr. M Venkata Reddy; Dr. P Inamdar; Dr. P Vijayendra

Volume : VIII, Issue : VII, July - 2018

Comparative Study of Tissue Repair Desarda Technique Versus Lichtenstein's Mesh Repair in Inguinal Hernia

Dr. T Siva Kumar, Dr. M Venkata Reddy, Dr. P Inamdar, Dr. P Vijayendra

Abstract :

Introduction: In 2001, Dr. Mohan P Desarda introduced a novel technique of tissue–based hernia repair with 0 % recurrence rate. The aim of this prospective randomized clinical study was to compare the clinical outcomes of the mesh–based Lichtenstein method with tissue–based Desarda method for the treatment of primary inguinal hernia.

Patients and methods: This prospective randomized study included forty males with primary inguinal hernia, with 20 patients each in Lichtenstein and Desarda groups. The patients were followed–up in terms of mean operative time, time taken for return to normal gait, post–operative complications, chronic groin pain and cost effectiveness.

Observations and results: Both the groups were comparable in terms of patient demographics. Operative time and postoperative pain were signiﬁcantly less in Desarda group. There was no statistical difference in post–operative complication rate within 12 months of follow–up period even though less number of complications was encountered in the Desarda group.

Conclusion: Postoperative pain, mean operating time, painless ambulatory time was better in case of Desarda technique.