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Case Studies | Surgery | India | Volume 12 Issue 6, June 2023 | Rating: 5.2 / 10
A Randomized Controlled Trail of Desarda's Repair with Lichtenstein Repair in the Management of Inguinal Hernia
Dr. S. Jagatheesan | Dr. G. Sathishkumar | Dr. S. Visvesh
Abstract: Aim: We analyze the outcomes of the Desarda tissue - based repair in comparisonwith the standard Lichtenstein procedure in treatment of primary inguinalhernia. Objectives: To compare the short - term results of Desarda technique withLichtenstein's technique in terms ofoperative time, postoperativepain, seroma formation, surgical site infectiontime to resume physical activity, foreign body sensation in the groin and recurrence. Methods: A total of 62 patients were randomly allocated into two groups to undergo one of two repairs: Desarda (group I) or Lichtenstein (group II) (30 vs.32, respectively). The outcome measures were operative time, postoperativepainwas assessed on day 1, 3, 5, 30 and 90using Visual analogue scale, seromaformation, surgical site infection, time to resume physical activity, foreign body sensation in thegroin and recurrence.3 patients didn't complete the follow - up and were excluded from analysis. Finally, 30 hernias wereanalyzed in theLichtenstein groupand 29 in theDesarda group. Results: After a 3 - month follow - up period, a single recurrence was observed in the Lichtenstein group, while no recurrences were reported in the Desarda group. The average operative time was 74.4 ? 2.5 minutes for the Lichtenstein repair and 71.9 ? 1.8 minutes for the Desarda repair (P = 0.054). In the Desarda group, postoperative pain was significantly lower during the first 5 postoperative days (P < 0.0001), as well as on postoperative day 90 (P = 0.004), compared to the Lichtenstein group. The Desarda group also demonstrated a significantly shorter time to resume physical activity (P < 0.0001) compared to the Lichtenstein group. There were statistical differences in postoperative pain and time to resume physical activity between the Desarda and Lichtenstein groups. Conclusion: The results of inguinal hernia treatment using the Desarda technique are comparable to those of Lichtenstein mesh repair. The key advantage of the Desarda technique is that it does not require the use of mesh, making it cost - effective. Additionally, the Desarda technique is easy to learn and patients who undergo this procedure experience earlier ambulation and less post - operative pain compared to those who undergo standard Lichtenstein mesh repair.
Keywords: Desarda, Lichtenstein Repair, Inguinal Hernia
Edition: Volume 12 Issue 6, June 2023,
Pages: 2011 - 2015