Comparison of pure tissue repair (Desarda) and prosthetic repair (Lichtenstein) methods for inguinal hernia repair

Abstract

An ideal hernia repair must be tension free, tissue based and have no complications. In Desarda operation a 1-2 cm strip of external oblique aponeurosis which is isolated and sutured to conjoint tendon and inguinal ligament resulting in strengthening of the posterior inguinal canal. Lichtenstein’s repair uses prolene mesh and is a tension free repair. Compare Desarda tissue repair with Lichtenstein mesh repair for treatment of primary inguinal hernia. OBJECTIVE: To compare post-operative pain, to compare post-operative complications, to compare hospital stay, to compare rate of recurrence This study enrolled 160 patients of inguinal hernia who are divided into two groups of 80. Group D included patients who underwent Desarda procedure for hernia repair and group L included patients who underwent Lichtenstein mesh repair. The results were compiled and analysed using SPSS version 20 statistical software. Severity of post-operative pain on POD1 and POD7 in group L was higher when compare to group D. Scrotal swelling was 1.25% in group D and 8.75% in group L. The occurrence of seroma was 2.5% in group D and 11.25% in group L. The occurrence of hematoma and wound infection were comparable in both the groups.