Comparison of Desarda & Lichtenstein Repair for the Treatment of Inguinal Hernia

Abstract

Objective: To compare the outcomes of Desrada repair and Lichtenstein mesh repair of inguinal
hernia with respect to operative time, Post operative pain, hematoma and seroma formation,
surgical site infection, early and late recurrence and chronic pain.
Methods: 100 patients were admitted through out patient department and devided into Group D
(Desarda repair) and Group L (Lichtenstein repair) with 50 patients in each group. Same surgical
team performed the procedure. Early out measures were recorded while patients were admitted
in the ward and OPD follow up. Late outcome measures were recorded by telephonic follow up.
Results: Mean Operative time was calculated to be 57.84±13.07 min in Group D and 60.52 ±
14.62 min in Group L with a p-value of 0.3362 which is insignificant. No significant difference was
found in Post operative pain in both groups having mean score of 2.11± 0.73 in Group D and 2.10
± 0.73 in Group L with a p-value of 0.9458. One patient (2%) developed hematoma in Group D and
two patients (4%) in Group L suffered from surgical site infection. Seroam formation, early or late
recurrence was not reported in any case. 4 patients (8%) complaint of chronic pain in Group L.
Conclusion: This study showed that the desarda repair is comparable to Lichtenstein repair for
inguinal hernia in respect of post operative outcomes. Desarda repair is an effective method to
replace the use of mesh for the repatr of inguinal hernia. This new repair has the potential to
become the gold standard of hernia repair in years to come