A Comparative Study of Desarda Repair and Lichtenstein (Mesh) Repair for Inguinal Hernia

  • Muhammad Rehman Gulzar Associate Professor, Surgery, Faisalabad Medical University, Allied Hospital, Faisalabad-Pakistan
Keywords: Hernia, Lichtenstein Repair, Desarda Repair, Scrotal Hematoma

Abstract

Background: Inguinal Hernia is very common problem and the most common operation performed is Lichtensteins repair, but primary tissue repairs are still being developed. In this study we evaluated short term results of Desarda repair versus Lichtensteins repair (Mesh repair) for primary inguinal hernia. Objective: To compare the short-term results of Desarda technique with Lichtenstein’s technique in terms of mean operating time, post-operative scrotal hematoma formation, surgical site infection and time to resume physical activity. Study Design: Prospective study. Settings: Surgical Unit-V, Faisalabad Medical University, Faisalabad, Pakistan. Duration: 11 months from 21-03-2018 to 17-02-2019. Methodology: A total of 138 patients were operated in our unit during the study period and were allocated into two groups randomly: Group A (Desarda) and Group B (Lichtenstein) included 62 patients and 72 patients respectively. The primary outcome measures were Operating time, post-operative scrotal hematoma, surgical site infection and Time in days to return to Normal activity. Results: During the follow up period, Mean Operating time in Desarda group was 38.29 minutes and 44.30 minutes in Lichtenstein group (p value 0.004). 93.5% patients resumed routine activities on 1st Post-operative day in Desarda group whereas in Lichtenstein group 92.1% patients resumed routine activities on 1st Post-operative day (p value 0.745). In Group A Scrotal Hematoma was developed in 4.8% patients and in 1.3% patients in Group B (p value 0.22). Surgical site Infection was seen in 1 patient in Group A (1.61%) and 1 patient in Group B (1.31% p value 0.88). Conclusion: Our study concludes that Desarda repair is superior to Mesh repair in terms of operating time and the results of Post-operative complications in both techniques are statistically insignificant.

Published
2019-05-23