A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia
Background: Even after Lichtenstein method of tension free mesh repair became the gold standard, the myriad of new complications prompted surgeons to look for newer methods or revisit and modify the older ones. Just as history repeats itself, tissue repair started being considered again. Back home D...
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Manipal College of Medical Sciences, Pokhara
2025-06-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4520 |
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| author | Shubham Kumar Snigdha Sarkar Avijit Bakshi Madhumita Mukhopadhyay |
| author_facet | Shubham Kumar Snigdha Sarkar Avijit Bakshi Madhumita Mukhopadhyay |
| author_sort | Shubham Kumar |
| collection | DOAJ |
| description | Background: Even after Lichtenstein method of tension free mesh repair became the gold standard, the myriad of new complications prompted surgeons to look for newer methods or revisit and modify the older ones. Just as history repeats itself, tissue repair started being considered again. Back home Desarda’s method of tissue repair was presented which used autologous tissue. This study was done to compare the gold standard with a cheaper method in the developing world.
Aims and Objectives: The aim of this study was to compare the outcomes between patients undergoing Desarda’s repair and Lichtenstein Hernioplasty.
Materials and Methods: Patients getting admitted for inguinal hernia surgery were divided into two groups (40 each), Desarda and Lichtenstein. The seven outcome measures analyzed were recurrence of hernia, post-operative pain, seroma formation, surgical site infection, operating time, post-operative hospital stay, and time to return to normal work.
Results: In our study, there was significantly shorter operating time in the Desarda group. The post-operative pain scores were slightly higher in the Desarda group. During the follow-up period, there was one recurrence in each group. Seroma formation, surgical site infection, postoperative hospital stay, and time to return to normal work were all lower in the Desarda group but not clinically significant.
Conclusion: Desarda’s method of hernia repair is as effective as the standard method even without mesh implantation. The lower cost (no mesh) and absence of mesh related complications are added benefits. |
| format | Article |
| id | doaj-art-18cb4d6bbc144b09b506d8ea7e6da75c |
| institution | OA Journals |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-18cb4d6bbc144b09b506d8ea7e6da75c2025-08-20T02:02:48ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-06-01166142146https://doi.org/10.71152/ajms.v16i6.4520A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal herniaShubham Kumar 0https://orcid.org/0009-0001-3435-6799Snigdha Sarkar1Avijit Bakshi 2Madhumita Mukhopadhyay 3https://orcid.org/0000-0002-4864-701XSenior Resident, Department of Surgery, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India Assistant Professor, Department of Surgery, Calcutta National Medical College and Hospital, Kolkata, West Bengal, IndiaAssistant Professor, Department of Surgery, Prafulla Chandra Sen Government Medical College and Hospital, Arambag, West Bengal, IndiaProfessor, Department of Surgery, Diamond Harbour Government Medical College and Hospital, Diamond Harbour, West Bengal, India Background: Even after Lichtenstein method of tension free mesh repair became the gold standard, the myriad of new complications prompted surgeons to look for newer methods or revisit and modify the older ones. Just as history repeats itself, tissue repair started being considered again. Back home Desarda’s method of tissue repair was presented which used autologous tissue. This study was done to compare the gold standard with a cheaper method in the developing world. Aims and Objectives: The aim of this study was to compare the outcomes between patients undergoing Desarda’s repair and Lichtenstein Hernioplasty. Materials and Methods: Patients getting admitted for inguinal hernia surgery were divided into two groups (40 each), Desarda and Lichtenstein. The seven outcome measures analyzed were recurrence of hernia, post-operative pain, seroma formation, surgical site infection, operating time, post-operative hospital stay, and time to return to normal work. Results: In our study, there was significantly shorter operating time in the Desarda group. The post-operative pain scores were slightly higher in the Desarda group. During the follow-up period, there was one recurrence in each group. Seroma formation, surgical site infection, postoperative hospital stay, and time to return to normal work were all lower in the Desarda group but not clinically significant. Conclusion: Desarda’s method of hernia repair is as effective as the standard method even without mesh implantation. The lower cost (no mesh) and absence of mesh related complications are added benefits.https://ajmsjournal.info/index.php/AJMS/article/view/4520desarda’s hernia repair; lichtenstein’s hernia repair; autologous tissue repair |
| spellingShingle | Shubham Kumar Snigdha Sarkar Avijit Bakshi Madhumita Mukhopadhyay A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia Asian Journal of Medical Sciences desarda’s hernia repair; lichtenstein’s hernia repair; autologous tissue repair |
| title | A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia |
| title_full | A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia |
| title_fullStr | A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia |
| title_full_unstemmed | A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia |
| title_short | A comparative study between Desarda’s technique and Lichtenstein’s mesh repair for the treatment of inguinal hernia |
| title_sort | comparative study between desarda s technique and lichtenstein s mesh repair for the treatment of inguinal hernia |
| topic | desarda’s hernia repair; lichtenstein’s hernia repair; autologous tissue repair |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4520 |
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