Desarda’s No Mesh Repair Versus Lichtenstein’s Open Mesh Repair of Inguinal Hernia: A Comparative Study

Abbas, Zaheer; Bhat, Sujeet Kumar; Koul, Monika; Bhat, Rakesh

doi:10.14260/jemds/2015/1910

Cited by 14 publications

(26 citation statements)

References 21 publications

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“…Abbas Z et al, found the operative time similar in both types of surgery. 20 The author applied interrupted sutures while stitching the strip of aponeurosis to posterior wall in his study which can be attributed to prolonged operative time.…”

Section: Discussionmentioning

confidence: 99%

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A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

2017

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Background: Inguinal hernia is a very common surgical problem for which, mesh-based techniques, particularly the Lichtenstein repair is considered standard. However, problems like foreign body sensation, wound infection, cord fibrosis, chronic pain and recurrence are major concern. Desarda tissue repair (non-mesh technique), which was given by an Indian surgeon, is now being used in many countries because of low cost of procedure with very low recurrence rates. The objective of this study was to evaluate the feasibility of Desarda tissue repair at a tertiary care centre of Central India as a treatment of primary inguinal hernia, by comparing it with Lichtenstein repair in terms of various post-operative parameters.Methods: Patients between age of 18 and 70 years with primary inguinal hernia were included in this randomised controlled trial. Patients with strangulated, obstructed or recurrent hernia, surgically unfit patients and patients having unmanaged urinary obstruction, cough or constipation were excluded. Randomization was done by sealed envelope method into Lichtenstein and Desarda arm and respective surgeries were performed.Results: 90 patients were included in the study and average duration of follow-up was 15.1 months. Operative time was significantly less in Desarda arm (14.75 min compared to 21.32 min in Lichtenstein arm). Cost, incidence of seroma formation, post-operative pain, foreign body sensation and chronic pain were also significantly less in Desarda arm. No recurrence was observed in both arms.Conclusions: Desarda repair is easy to perform and takes less time to perform and proves cost effective. Desarda repair is comparable to Lichtenstein repair in terms of many parameters and superior in terms of post-operative pain and foreign body sensation and can be preferred for young patients. In infected and strangulated cases, Desarda repair can be used effectively without fear of mesh infection.

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Section: Discussionmentioning

confidence: 99%

“…Abbas Z et al, reported rate of seroma formation rate 0% in Desarda and 1.4% in Lichtenstein repair. 20 There is documented evidence that shows decrease in male sexual function if mesh repair is done. 21 Also, extensive fibrosis after mesh implantation leads to nerve entrapment and chronic pain.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

2017

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“…[7][8][9][10][11] The mean postoperative day 7 Pain Scores in conventional Lichtenstein hernia repair on literature review was 4.45, whereas in present study mean postoperative day 7 pain scores was 3.35.…”

Section: Post-operative Painmentioning

confidence: 71%

“…[8][9][10][11] The mean recurrence in conventional Lichtenstein hernia repair on literature review was 1.20 %, whereas in present study mean recurrence was 0%. [7][8][9][10][11] On comparing the results of present study with literature on conventional Lichtenstein repair we can conclude that cyanoacrylate surgical glue is a reliable method and can be used as an alternative for conventional Lichtenstein hernia repair.…”

Section: -11mentioning

confidence: 75%

Cynoacrylate surgical glue as an alternative to suturing for mesh fixation in lichtenstein hernia repair

Jaiswal¹,

Wilkinson²,

Akhtar³

2018

Int Surg J

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Background: Tension free repair using mesh in open hernia repair has become more popular in recent years. Chronic pain remains a frequent complication after Lichtenstein inguinal hernia repair. The use of sutures to fix the mesh has been implicated. Fixing the mesh using cynoacrylate glue could avoid this complication. The purpose of the present study is to study the incidence of pain and other complications following inguinal hernia repair performed by the Lichtenstein technique with mesh fixation by cyanoacrylate surgical glue.Methods: T This study was conducted at tertiary care hospital. Inclusion criteria were all patients coming to the hospital with inguinal or inguinoscrotal hernias diagnosed clinically. Exclusion criteria were all complicated inguinal hernia namely obstructed, strangulated, and large hernias with scrotal abdomen, recurrent hernia. Patient not fit for surgery or not consenting to join the study. The patients will be informed about the surgery and thereafter requested to sign an informed consent. Primary outcome was postoperative pain. Secondary endpoints were operating time, surgical site infection and recurrence rate.Results: Total number of 31 cases enrolled in the study of which twenty-two had unilateral and seven had bilateral inguinal hernias. Average pain score on POD 1, 3, 7 was 5.75; 4.53; 3.32 respectively. One patient developed seroma which was managed conservatively. No evidence of recurrence during study period.Conclusions: Cyanoacrylate surgical glue is a reliable method and can be used as an alternative for conventional Lichtenstein hernia repair.

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“…4 Incidence of post-operative complication and mean hospital stay 3.28 days SD (±2.16) in this study is also similar to the other studies. 10,11,13,14 Patients were followed up at 4 th weeks, 6 th month, 9 th month and 1 st year. All the patients 100 (100.0%) turned for follow-up after 4 weeks.…”

Section: Resultsmentioning

confidence: 99%

Repair of inguinal hernia by Desarda technique in both elective and emergency setting

Sagar¹,

Khalid

Mustafa³

et al. 2019

Bangladesh Med Res Counc Bull

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Background: Inguinal hernia is a common problem and its repair is one of the most commonly performed procedures in general surgical practice. Several methods have been developed including Lichtenstein’s repair. Among these Lichtenstein’s repair has been standard technique for last few decades. In recent time a new procedure “no mesh Desarda hernia repair” has emerged as a recognized operative method for inguinal hernia repair. Objectives: This study was conducted to evaluate the outcome of Desarda technique in repairing inguinal hernia. Methods: This was a single centered descriptive study to see the outcome of inguinal hernia repair by Desarda technique in both elective and emergency surgery carried out in the Dept. of Surgery, Sher-E-Bangla Medical College Hospital, Barisal from August, 2015 to July, 2016. Results: A total of 100 patients underwent Desarda repair for inguinal hernia including primary/recurrent and elective/ emergency cases. Variables includes age, type of surgery, operating time, post-operative complications, post-operative pain, post-operative hospital stay, cost of the procedure, chronic groin pain and any early recurrence. Mean age of patient was 48.9±9.07 years. Mean operating time was 43.72±9.64mins. Majority (54%) of the patient experienced mild post-operative pain on first day, measured in VAS score. Ten percent of patients developed different post-operative complications like wound infection (2%), seroma formation (1%) and scrotaledema (7%). Conclusion: In this study, it is revealed that no mesh Desarda repair for inguinal hernia was associated with less operating time, less post-operative pain, less post-operative complications, short hospital stay, zero recurrence rate, no chronic groin pain and performed in emergency cases also. So, it is safe and most reliable technique for all type of inguinal hernia surgery.

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Desarda’s No Mesh Repair Versus Lichtenstein’s Open Mesh Repair of Inguinal Hernia: A Comparative Study

Cited by 14 publications

References 21 publications

A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

Cynoacrylate surgical glue as an alternative to suturing for mesh fixation in lichtenstein hernia repair

Repair of inguinal hernia by Desarda technique in both elective and emergency setting

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