Clinical Evaluation of Desarda’s Repair for Inguinal Hernia

Abstract

Inguinal hernia repair is a common procedure in general surgery today, and an ideal operation to treat inguinal hernia is still far to define. The synthetic prostheses commonly used in its repair can create a few clinical problems which have influenced many investigators to look for new hernia repair techniques, and an example of such efforts is Desarda’s method of inguinal hernia repair. The objective of this study was to clinically evaluate the technique of Desarda’s repair for inguinal hernia on parameters such as technical feasibility, post-operative pain, incidence of complications in terms of wound morbidity (seroma, surgical site infection, persistent pain), testicular atrophy, and recurrence rates. Among 30 patients selected, Desarda’s technique for inguinal hernia repair was evaluated, and outcome was measured in terms of post-operative pain, surgical site infection, seroma, testicular atrophy, and recurrence at 4 weeks, 6 months, 1 year, 2 years, and 5 years. In this prospective study over a period of 5 years, operating time observed was 49.60 ± 13.45 min; mean pain score observed using visual analogue scale (0–10) at 24 h was 2.4 ± 0.86. Complications noted were minimal, and most common complication noted was scrotal edema; none of the patients had recurrence or any long-term morbidity. Desarda’s technique of biological repair is a logical alternative considering the drawbacks of the use of mesh having shorter operative period, no chronic groin pain, minimal complications with no recurrence, and also being cost-effective.