When and why Desarda repair: Evaluation of the efficacy of Desarda technique in the management of inguinal hernia

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

Abstract

highly regulated.
Aim & objectives: The primary objective of this study was to evaluate the efficacy of the Desarda approach, operative
technique, postoperative outcomes, complications, and side effects avoided when using mesh repair.
Patients and Methods: This observational prospective study was undertaken at Assiut University Hospital. This study
was conducted on a sample of 30 male patients who had unilateral oblique inguinal hernia and were receiving either
Desarda or Lichtenstein treatment.
Results: Both groups exhibited a statistically significant enhancement in the average visual analog scale for pain at 14
days postoperatively (repeated measures analysis of variance, P=001). There was an insignificant difference detected
between the groups, based on statistical analysis as regards visual analog scale for pain at 3 h, and 1, 2, 7, and 14 days
postoperatively (independent sample t test, P>0.05).
Conclusion: In terms of recurrence rates, acute postoperative discomfort, and overall results, Desarda’s tissue repair was
comparable to Lichtenstein’s mesh repair, chronic groin discomfort, infection of the wound, and the duration of recovery
to resume normal daily activities. We conclude that the Desarda repair is equally efficient as the usual Lichtenstein surgery
in achieving effective hernia repair with no use of mesh with regards to pain.

Keywords

The Egyptian Journal of Surgery
Volume 43, Issue 4
October 2024
Pages 1492-1500

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