A comparative study of Desarda's technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study

Gedam, B. S.; Bansod, Prasad Y.; Kale, Vaishali; Shah, Yunus; Akhtar, Murtaza

doi:10.1016/j.ijsu.2017.01.083

Cited by 29 publications

(25 citation statements)

References 21 publications

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“…The rate of wound infection in mesh vs non-mesh technique of inguinal hernia surgery is found 3.4% vs 2.8% in a systematic review of 16 trials 21 . Our results (4.35 vs 1.85%, L and D respectively) are consistent with most of the RCTs published so far [12][13][14][15]20 .…”

Section: Discussionsupporting

confidence: 93%

“…There are some studies with similar results 14,15 . But when followed up to observe the required time to resume their work activity D group showed statistical superiority (14.19 vs16 No significant difference observed in most of the randomized trial in mesh vs non-mesh repair as in our study 12,16,19 . Where there is higher seroma it can be explained by influence of synthetic mesh on surrounding tissue 20 .…”

Section: Discussionmentioning

confidence: 44%

“…The patients in L group experienced significantly more pain (4.08 vs. 2.80) in 1 st POD and in 3 rd POD as well. There are some other studies haveing similar observation 10,11,12 indicating that Desarda repair as acclaimed by its inventor indeed a tension free tissue repair. Many studies have shown no difference in immediate post-operative pain 13,14 .…”

Section: Discussionmentioning

confidence: 64%

“…We have found no significant difference in CPIP in our study though early post-operative pain was lower in D group. There are many RCTs those have shown similar results in CPIP 11,12,15,20 but one study concluded that CPIP was more frequent in L group where they considered persistent pain more than one month instead of 3 or 6 months 14 . Chronic groin pain after hernia repair with mesh was reported to range from 28.7% to 43.3% 23 .…”

Section: Discussionmentioning

confidence: 99%

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Desarda Versus Lichtenstein Repair for Primary Inguinal Hernia in Men: Results of A Randomized Control Trial

Rahman¹,

Biswas²,

Saha³

et al. 2020

Faridpur Med Coll J

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Inguinal hernia is a very common surgical problem for which mesh based technique particularly Lichtenstein repair is considered as standard. However, it is not free from some major and bothersome complications. Desarda technique of non-mesh hernia repair invented by the Indian surgeon is claimed as low cost tension free procedure with promising results. The objective of the study is to evaluate the feasibility of Desarda procedure in country like Bangladesh as a treatment of primary inguinal hernia in men by comparing with Lichtenstein repair in terms of various parameters. One hundred and sixty male patients between ages of 18-70 years with uncomplicated primary inguinal hernia were initially randomized to perform the one of the two procedures in every alternate patient. Outcome were measured and analyzed. A total of 100 patients were finally studied with a follow up of 2 years. Operative time and immediate postoperative pain were significantly less in Desarda arm. Cost and foreign body sensation were also in favour of Desarda group. There was no recurrence in either group. Desarda repair is easy to perform and takes less time. It is cost effective with a comparable clinical outcome to standard Lichtenstein repair at least in short term. Faridpur Med. Coll. J. Jan 2019;14(1): 20-26

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Desarda Versus Lichtenstein Repair for Primary Inguinal Hernia in Men: Results of A Randomized Control Trial

Rahman¹,

Biswas²,

Saha³

et al. 2020

Faridpur Med Coll J

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“…The cost of the surgery, duration of the surgery, postoperative pain, recurrence and chronic pain has been the challenge for various surgeons and patients which inhibit them from resuming back to work early. 4 Our aim is to study the outcomes of patients undergoing inguinal hernia surgery by the Desarda technique in our hospital.…”

mentioning

confidence: 99%

Study on the Outcomes of Desarda Repair in Inguinal Hernia Surgery

S.V¹,

Rajavel²,

Balakrishnan³

2020

jebmh

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BACKGROUND Inguinal hernias are one of the commonest problems encountered by the treating phsicians. Even though the learning curve for Lichtenstein hernioplasty is less, there is usage of a foreign body which may produce mesh reactions leading to various other surgical complications. Also the cost of the mesh is a little higher which may not be affordable for people belonging to low or very low socioeconomic class especially in developing countries like India. Desarda's repair is a tissue based technique of hernia repair using an undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal. METHODS This is a hospital based cross sectional study. All patients admitted to the hospital with the diagnosis of inguinal hernia and fulfilling the inclusion criteria were counselled about the study. After obtaining informed written consent, all the study participants were subjected to a standard questionnaire both pre operatively and post operatively. Patients were followed up for a period of 6 months for assessing chronic postoperative pain, to record the post-op day on which they resumed their regular activity and the recurrence rate. Those participants who were unable to attend the review were contacted through the phone and questionnaire was completed. RESULTS A total of 165 patients was studied between Oct 2017 and May 2019. Mean operating time was found to be 44.63 ± 7.76 mins; the cost for surgery in 99.4% was between Rs. 1000-2000; 2.4% patients had developed seroma and only 1 person developed haematoma; none of the subjects had infection or recurrence; 77.6% had a pain score of 4 on POD 1, 96.4% had a pain score 2 on POD 2; mean duration of hospital stay was 4.9 ± 0.99 days; mean duration of resuming duty was 18.58 ± 3.43 days. CONCLUSIONS Desarda's technique is cost effective and therefore can be done in patients of all socioeconomic classes. Our results in this study after Desarda repair are good and similar to the results of Liechtenstein or Shouldice techniques. Hence, Desarda method seems to be an attractive alternative. It is safe, fast, simple and easy to learn and perform with minimal complications or recurrence.

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Mesh versus non-mesh for inguinal and femoral hernia repair

Lockhart

Teo

et al. 2018

Cochrane Database of Systematic Reviews

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Mesh and non-mesh repairs are effective surgical approaches in treating hernias, each demonstrating benefits in different areas. Compared to non-mesh repairs, mesh repairs probably reduce the rate of hernia recurrence, and reduce visceral or neurovascular injuries, making mesh repair a common repair approach. Mesh repairs may result in a reduced length of hospital stay and time to return to activities of daily living, but these results are uncertain due to variation in the results of the studies. Non-mesh repair is less likely to cause seroma formation and has been favoured in low-income countries due to low cost and reduced availability of mesh materials. Risk of bias in the included studies was low to moderate and generally handled well by study authors, with attention to details of allocation, blinding, attrition and reporting.

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A comparative study of Desarda's technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study

Cited by 29 publications

References 21 publications

Desarda Versus Lichtenstein Repair for Primary Inguinal Hernia in Men: Results of A Randomized Control Trial

Desarda Versus Lichtenstein Repair for Primary Inguinal Hernia in Men: Results of A Randomized Control Trial

Study on the Outcomes of Desarda Repair in Inguinal Hernia Surgery

Mesh versus non-mesh for inguinal and femoral hernia repair

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