Feasibility and outcome of tension-free Desarda repair for treatment of complicated inguinal hernia

Background
The gold standard in managing strangulated hernia is early surgical intervention. The appropriate surgical technique for emergency inguinal hernia is less documented. Pure tissue repairs have an essential role in such cases. The aim of this study was to report the outcome of the Desarda technique for the treatment of complicated inguinal hernias.
Patients and methods
The present study included 52 patients who were recruited and operated on for emergency inguinal hernia and repaired by the Desarda technique. The mean operative time and hospital stay were reported together with intraoperative and postoperative complications. Return-to-normal activities and recurrence were also reported throughout the 18-month follow-up.
Results
The mean age of the eligible patients was 39.6±14.9 years. The mean operative time was 69.5±4.3 min, with a mean hospital stay of 3.7±1.9 days. Seroma and surgical site infection were the most reported complications and presented in six (11.5%) patients. The return to basal, home, and work activities was 1.8±1.31, 6.8±2.1, and 19.7±3.1 days, respectively. There was a statistically significant increase in recurrence throughout the follow-up time, where it was reported in four (7.7%) patients at 18-month follow-up, whereas only one patient (1.9%) reported recurrence after 6 and 12 months.
Conclusion
According to the current results, Desarda tension-free repair is an easy, feasible, reliable, applicable, and effective technique for the treatment of complicated inguinal hernia, with acceptable rates of postoperative complications and a low recurrence rate.