Desarda Repair Research Articles

Desarda repair versus Lichtenstein repair for treatment of inguinal hernia

Background: Inguinal hernias remain an important medical problem. The definitive treatment of all hernias is surgical repair. Desarda’s technique is a tension-free, mesh-free repair method that pays attention to the physiology of the inguinal region.Methods: This prospective comparative study was conducted in general surgery department at Al-Zahraa University Hospital and Damanhour Medical National Institute in the period between March 2019 and March 2021. It included 50 patients who were randomly divided into two equal groups: A (Desarda technique) and B (Lichtenstien technique).Results: The mean operative time in group A was 70.36 minutes and in group B was 64.88 minutes. Seroma formation occurred in 1 patient in group A (4%) while it occurred in 2 patients in group B (8%). The other postoperative complications were comparable in both groups during 1 year of follow-up, hernia recurrence occurred in 1 patient in group B (4%).Conclusions: Desarda repair of inguinal hernia is a good alternative to Lichtenstein repair.

A Comparative Study of Desarda's Versus Lichtenstein's Technique for Uncomplicated Inguinal Hernia Repair.

PurposeSince mesh-related long-term morbidity like chronic groin pain and vas entrapment in patients with an inguinal hernia is a concern, tissue-based repairs should be revaluated. There have been few prospective studies comparing the outcomes of Lichtenstein's technique and Desarda's technique for the repair of uncomplicated inguinal hernias. So, we conducted this prospective study comparing the two techniques.MethodsThis is a single-center prospective observational study conducted for a period of one year (2019). The patients who underwent surgery for uncomplicated inguinal hernia either by Lichtenstein's technique or Desarda's technique were included in the study. The two techniques were compared with respect to recurrence rates, immediate postoperative pain, chronic groin pain, wound infection, and the time taken to return to activities of daily living (ADL).ResultsThere was no significant difference in the recurrence rates, chronic groin pain, wound infection, or return to ADL between Lichtenstein's technique and Desarda's technique of inguinal hernia repair. The mean duration to return to ADL was lesser when patients underwent Desarda's repair though this difference was not significant.ConclusionDesarda's tissue repair was found comparable to Lichtenstein's mesh repair in terms of recurrence and postoperative morbidity, immediate postoperative pain, chronic groin pain, wound infection, and the time taken to return to ADL. Desarda's technique may be considered as an alternative to mesh-based repairs to avoid long-term mesh-related morbidity for uncomplicated indirect hernias in the younger population.

Desarda repair versus other inguinal hernia repairs: a review of global data of 35578 patients

The aim of the present review study was to compare the outcomes of non-mesh Desarda technique with open mesh, Bassini and Lap repairs for inguinal hernia over a period of last 20 years. An internet search for RCTs/comparative studies comparing outcomes between Desarda and other repairs like open mesh, Bassini and Lap repairs were done. Search for individual studies was also conducted. RCT/comparative studies and individual non comparative studies comprising 35578 patients were found in search. All those published articles were downloaded from the internet. Some articles were directly obtained from the authors. Outcomes of these articles were evaluated and compared for recurrence, chronic pain, complications, free mobility, return to normal work and cost. A total number of 80 RCTs/comparative studies and 53 individual studies were included in this review with total number of 35578 patients. Recurrence 0.87% versus 5.6%, chronic pain 1.8% versus 22.5%, complications 6.87% versus 20.6%, free mobility 37.6 hours versus 77.2 hours, return to normal work 10.2 days versus 16.7 days and cost $40.8 versus $68.5 was seen in Desarda versus other repairs, respectively. Desarda repair showed much superior results over other repairs like open mesh, Bassini or Lap repairs in terms of recurrence, chronic pain, complications, free mobility, return to normal work and the cost.

A COMPARATIVE STUDY OF DESARDA VS LICHTENSTEIN REPAIR FOR UNCOMPLICATED INGUINAL HERNIA REPAIR IN A RURAL MEDICAL COLLEGE & HOSPITAL

BACKGROUND: Inguinal hernias rank among the commonest of all hernias and surgery is the only denitive treatment. We analysed the outcomes of Desarda tissue based repair in comparison with the standard Lichtenstein tension free mesh repair of primary inguinal hernia. METHODS: A total of 100 patients were randomly allocated into two groups, Desarda (group D) or Lichtenstein (group L) (50 VS 50, respectively). The primary outcome measures were operating time, post-operative pain scores, duration of post- operative hospital stay, time to return to basic physical activity and to work, foreign body sensation, and post- operative complications like seroma , haematoma , wound infection . Secondary outcome measures included chronic groin pain and recurrence during the follow up period . RESULTS: Operative time was signicantly less in the Desarda group (24.3400 ± 5.6518 )min as compared to (30.5200 ± 7.6405 )min in the Lichtenstein group. Postoperative day 1, day 3 and day 7 operative site pain was more in the Lichtenstein as compared to the Desarda group. Basic physical activity( post operative ambulation), chronic groin pain, seroma formation, haematoma formation, foreign body sensation, were also signicantly less in the Desarda group. During 3month follow up, 1 recurrence was detected in each group CONCLUSIONS: The successful primary inguinal hernia repair without use of mesh can be achieved using Desarda tissue based repair. It is as effective as the standard Lichtenstein tension free mesh repair. Shorter operative time, early return to basic physical activity, less chronic groin pain, less foreign body sensation and low postoperative complication are potential benets of Desarda repair and can be preferred for primary inguinal hernia repair

Study of Outcomes of Desarda Repair in Emergency Conditions of Inguinal Hernia

Study of Outcomes of Desarda Repair in Emergency Conditions of Inguinal Hernia

Desarda’s Repair Vs Lichtenstein Repair in Indirect Inguinal Hernia -Preferred technique

Aim: To compare the outcome of Desarda`s technique with that of Lichtenstein mesh hernioplasty in terms of chronic pain, recurrence and infection. Methods: A prospective comparative study with randomized controlled trial was conducted at Lahore General Hospital in Surgical Department to appraise the outcome of Desarda Hernioplasty in comparison with Lichtenstein Hernioplasty technique to evaluate recurrence, wound infection and chronic groin pain. The Desarda repair is used to treat inguinal hernia without the use of mesh. Results: Total sixty (n=60) patients were included in the study by dividing into two groups Group A and B with mean age 40.5 and 39.5 years for Desarda vs Lichtenstein groups correspondingly. Insignificant statistical difference was noted in both groups regarding wound infection but considerable statistical advantage was noted regarding recurrence and Chronic groin pain for Group A patients in comparison to Group B. Conclusion: We concluded that Desarda repair is emerging technique and cost effective with lesser pain, infection and recurrence than other techniques. Keywords: Desarda`s repair, Lichtenstein repair, wound infection, chronic groin pain and recurrence

Desarda repair no Mesh and Lichtenstein repair for inguinal hernia (A study of 2793 patients)

Introduction: The objective of this study is to compare the outcomes of Desarda repair no mesh and Lichtenstein repair for inguinal hernia. Methods: This is a prospective randomized controlled trial study of 2793 patients having 2936 hernias operated from January 2002 to December 2020.1434 patients were operated using Lichtenstein repair and 1359 using Desarda repair. The variables like age, sex, location, type of hernia, tolerance to local anesthesia, duration of surgery, pain on the first, third and fifth day, hospital stay, complications, re-explorations, morbidity and time to return to normal activities were analyzed. Follow up period was from 1-10 years (median 6.5 years). Results: There were no significant differences regarding age, sex, location, type of hernia, and pain in both the groups. The operation time was 53 minutes in Desarda group and 43 minutes in the Lichtenstein group that is significant (p<0.05).The recurrence was 0.4 % in Desarda group and 0.4 % in Lichtenstein group. But, there were 14 cases of infection to the polypropylene mesh in the Lichtenstein group, 7 of this required re-exploration. The morbidity was also significantly more in Lichtenstein group (5,1 %) as compared to Desarda group (3.1 %). The mean time to return to work in the Desarda group was 8.26 days while a mean of 12.58 days was in the Lichtenstein group. The mean hospital stay was 29 hrs. In Desarda group while it was 49 hours in the Lichtenstein group in those patients who were hospitalized. Conclusions: Desarda repair scores significantly over the Lichtenstein repair in all respects including re-explorations and morbidity. Desarda repair is a better choice as compared with Lichtenstein repair.

A comparative study of Desarda’s mesh free inguinal hernia repair with modified Bassini’s repair

Objective. This is a prospective study of 50 cases of inguinal hernias which were treated through open inguinal hernia repair techniques. The study was conducted with the objective of comparing the effectiveness of these procedures and complications. Materials and Methods. A number of 50 cases of inguinal hernias admitted to Dr. BR Ambedkar Medical College and Hospital were selected on the basis of the non-probability (purposive) sampling method. All the patients with direct and indirect uncomplicated hernias treated by means of an open approach were included. After the preoperative preparation, they were randomly chosen either for Desarda’s or Modified Bassini’s repair techniques. Results. In the postoperative period, moderate pain was experienced by 19 patients included in the Desarda group and 17 patients included in the Modified Bassini’s repair group on day 1. The postoperative wound infection developed in 2 cases of Desarda and 3 cases of Modified Bassini’s, erythema was observed in 2 cases of Desarda and 3 cases of Modified Bassini’s, 3 cases reported the occurrence of seroma in the Desarda group and 4 cases of seroma were recorded in the Modified Bassini’s group. Conclusions. The patients who underwent Desarda repair complained of a higher intensity of pain, which could probably be attributed to the extensive dissection involved. The duration of Desarda repair was longer due to the learning curve of the surgeons in our hospital. The return to normal gait and normal activities was significantly lower in the Desarda group. The duration of hospital stays and the postoperative complications was not significantly different in the two groups. There were no recurrences in either of the groups until the current study.

Comparative study of Desarda repair versus Lichtenstein repair in inguinal hernia: A prospective comparative study

Background: Inguinal hernias are one of the commonest problems encountered by the patients, which requires admission and surgery as its treatment. Present Study aimed to compare the surgical outcomes of Desarda repair versus Lichtenstein repair for inguinal hernia.Methodology: This present prospective comparative study was conducted among the patients above 18yrs of age getting admitted to hospital with diagnosis of uncomplicated inguinal hernia included after obtaining the informed consent. Result: Total of 50 patients were included in the study and divided into two groups based on type of surgical treated opted for the patients, in each group 25 patients are included. The overall mean age of all the patients included in the study was found to be 50.32±13.67yrs. Duration of the surgery, there was significant lower duration of surgical time in Desarda repair (48.2±7.62mins) compared to Lichtenstein repair (87.4±7.37mins) (p

A STUDY OF COMPARISON OF PURE TISSUE REPAIR (DESERDA) AND PROSTHETIC REPAIR (LICHTENSTEIN) METHODS FOR INGUINAL HERNIA REPAIR-A COMPARATIVE STUDY

INTRODUCTION: An ideal hernia repair should be tension free, tissue based, with no potential damage to vital structures, no long term pain or complications and no recurrence. Although Lichtenstein's prosthetic repair is simple and safe, but it is also correlated with risk of infections, recurrence, chronic pain, testicular atrophy and infertility, foreign body sensations and chronic groin sepsis. Desarda hernia repair does not require mesh and provide more physiological support. It is simple, easy to learn. AIMS AND OBJECTIVES: a) To compare the operative time, postoperative stay and time required to return normal activity between two groups. b) To compare early complication rate and late complication rate between two groups. MATERIALAND METHODS: This observational study was conducted among patients admitted with the diagnosis of primary inguinal hernia in SMIMER, Surat. The patients were randomly allocated to either Lichtenstein or Desarda method of hernia repair. Operating time, post operative stay and duration of return to normal activity were recorded. Early complications were noted and the patients were followed up to 12 months for late complications (chronic pain, foreign body sensation, and recurrence). RESULTS: The mean operative time and postoperative stay did not show signicant differ for both groups. Patients operated by Desarda technique returned to normal activity signicantly early by 12.2 ± 2.54 days as compared to patients operated by Lichtenstein techniques (14.0 ± 2.76 days, p = 0.01). Most common early complication in both groups was pain (D group; 40.0%, Lgroup: 45.2%) followed by wound infection (D group; 8.0%, Lgroup: 6.5%) and seroma (D group; 0.0%, Lgroup: 3.2%). Occurrence of chronic pain was more in Lgroup (58.1%) as compared to D group (16.0%, p=0.001). None of the patients from D group had foreign body sensation. Foreign body sensation was observed only in ve patients of Lgroup (16.1%). Recurrence rate during one year in Lgroup (6.5%) was higher than D group (4.0%). CONCLUSION: Early return to work was potential benet of Desarda repair. Early complications were similar in both procedures. Desarda repair has lower incidence of chronic pain and foreign body sensation. However, there is no signicant difference for chronic pain in Desarda group when compared in same patients operated bilaterally with different technique. This study was conducted with small sample size with short follow up. Therefore, result of late complication in the present study may insufcient to conclude the probability of occurrence as longer follow up and larger sample size is required.

A randomised controlled trial of Lichtenstein repair with Desarda repair in the management of inguinal hernias

BackgroundEver since the advent of mesh hernioplasty with low recurrence rates, surgeons have turned a blind eye towards its devastating mesh related complications. Consequently, the quest for the best hernia surgery, that is as effective as the mesh repair but lacks its complications, continues. ObjectivesThe present study was carried out to compare the results of the Lichtenstein repair with the Desarda repair in the treatment of inguinal hernias. MethodsA total of 77 patients with 87 hernias were randomly allocated into two groups to undergo either the Desarda repair (Group I, 39 patients with 45 hernias) or the Lichtenstein repair (Group II, Control, 38 patients with 42 hernias). 3 patients didn't complete the follow-up and were excluded from analysis. Finally, 40 hernias were analyzed in the Lichtenstein group and 44 in the Desarda group. ResultsAfter a 6-month follow-up period it was found that neither of the two groups had any recurrence. The incidence of chronic inguinodynia was much higher in the Lichtenstein group as compared to Desarda group. The pain scores, mean operating time, mean time to return to work and analgesic requirement was much lower with the Desarda repair as compared to Lichtenstein repair. ConclusionDesarda repair was found to be as effective as the Lichtenstein repair in terms of recurrence and better in terms of chronic inguinodynia, complications and post operative pain scores. Desarda repair requires a significantly shorter operating time. The economic burden of this repair is much less compared to mesh repair.

Desarda Repair No Mesh and Lichtenstein Repair for Inguinal Hernia a Study of 2793 Patients

Introduction: The objective of this study is to compare the outcomes of Desarda repair no mesh and Lichtenstein repair for inguinal hernia. Methods: This is a prospective randomized controlled trial study of 2793 patients having 2936 hernias operated from January 2002 to December 2020.1434 patients were operated using Lichtenstein repair and 1359 using Desarda repair. The variables like age, sex, location, type of hernia, tolerance to local anesthesia, duration of surgery, pain on the first, third and fifth day, hospital stay, complications, re-explorations, morbidity and time to return to normal activities were analyzed. Follow up period was from 1-10 years (median 6.5 years). Results: There were no significant differences regarding age, sex, location, type of hernia, and pain in both the groups. The operation time was 53 minutes in Desarda group and 43 minutes in the Lichtenstein group that is significant (p<0.05). The recurrence was 0.4 % in Desarda group and 0.4 % in Lichtenstein group. But, there were 14 cases of infection to the polypropylene mesh in the Lichtenstein group, 7 of this required re-exploration. The morbidity was also significantly more in Lichtenstein group (5,1 %) as compared to Desarda group (3.1 %). The mean time to return to work in the Desarda group was 8.26 days while a mean of 12.58 days was in the Lichtenstein group. The mean hospital stay was 29 hrs. In Desarda group while it was 49 hours in the Lichtenstein group in those patients who were hospitalized. Conclusions: Desarda repair scores significantly over the Lichtenstein repair in all respects including re-explorations and morbidity. Desarda repair is a better choice as compared with Lichtenstein repair.

Modified Desarda Repair and Hernioplastia Lichtenstein Repair for Inguinal Hernia.

Introduction: The objective of this study is to compare the outcomes of Modified Desarda repair no mesh and Lichtenstein repair for inguinal hernia. Methods: This is a prospective randomized controlled trial study of 1342 patients having 1394 hernias operated from January 2008 to December 2020. 690 patients were operated on using Lichtenstein repair and 652 using Desarda repair. The demographic data (Age, Sex), hernia type and location, anesthetic, operative time, postoperative pain, and complications were analyzed. Results: There were no significant differences regarding age, sex, location, type of hernia, and pain in both groups. The operation time was 52 minutes in the Modified Desarda group and 42 minutes in the Lichtenstein group that is significant (p<0.05). The recurrence was 0.0 % in the Modified Desarda group and 0.28 % in the Lichtenstein group. But, there were 9 cases of infection to the polypropylene mesh in the Lichtenstein group, 2 of this required re-exploration. The morbidity was also significantly more in the Lichtenstein group (7,6 %) as compared to the Modified Desarda group (3.8 %). The mean time to return to work in the Modified Desarda group was 8.26 days while a mean of 12.58 days was in the Lichtenstein group. The mean hospital stay was 29 hrs. in the Modified Desarda group while it was 49 hours in the Lichtenstein group in those patients who were hospitalized. Conclusions: The modified Desarda repair scores significantly on Lichtenstein repair in most of all aspects, including reexploration and morbidity. Modified Desarda repair is a better option compared to Lichtenstein repair.

Modifield Desarda Repair and Hernioplastia Lichtenstein Repair for Inguinal Hernia

Introduction: The objective of this study is to compare the outcomes of Modified Desarda repair no mesh and Lichtenstein repair for inguinal hernia. Methods: This is a prospective randomized controlled trial study of 1342 patients having 1394 hernias operated from January 2008 to December 2020. 690 patients were operated using Lichtenstein repair and 652 using Desarda repair. The demographie data (Age,Sex) , hernia type and location , anesthetic , operative time , postoperative pain and complications were analysed. Results: There were no significant differences regarding age, sex, location, type of hernia, and pain in both the groups. The operation time was 52 minutes in Modified Desarda group and 42 minutes in the Lichtenstein group that is significant (p<0.05). The recurrence was 0.0 % in Modified Desarda group and 0.28 % in Lichtenstein group. But, there were 9 cases of infection to the polypropylene mesh in the Lichtenstein group, 2 of this required re-exploration. The morbidity was also significantly more in Lichtenstein group (7,6 %) as compared to Modified Desarda group (3.8 %). The mean time to return to work in the Modified Desarda group was 8.26 days while a mean of 12.58 days was in the Lichtenstein group. The mean hospital stay was 29 hrs. in Modified Desarda group while it was 49 hours in the Lichtenstein group in those patients who were hospitalized. Conclusions: The modified Desarda repair scores significantly on Lichtenstein repair in most of all aspects, including reexplorations and morbidity. Modified Desarda repair is a better option compared to Lichtenstein repair.

A study on the short term outcomes and recurrence rate between Lichtenstein’s and Desarda technique in management of Inguinal hernia

Seventy-five percent of all abdominal wall hernias are found in the groin, making it the most common location for an abdominal wall hernia. Of all groin hernias, 95% are hernias of the inguinal canal, with the remainder being femoral hernia defects. Inguinal hernias are nine times more common in men than in women. Although femoral hernias are found more often in women, the inguinal hernia is still the most common hernia in women. The overall lifetime risk of developing a groin hernia is approximately 27% in males and 3% in females. Over a period of one and half year patients selected with inguinal hernia as per inclusion and exclusion criteria were included in this prospective study Patients were randomly divided into two groups’ i.e. Group 1(Control group): were subjected to Lichtenstein Tension free mesh repair, Group 2(Study group): were subjected to Desarda repair. In the present study 2 patients from both group had seroma collection and 2 patients of LTF group had wound infection one patient of Desarda group had wound infection with Ischemic Orchitis for which re-exploration was done. Rests of the complications were not seen in both groups.

Clinical profile of patients with Inguinal hernia subjected for Lichtenstein’s and Desarda’s technique

The first evidence of operative repair of a groin hernia dates to the first century AD. The original hernia repairs involved wide operative exposures through scrotal incisions requiring orchiectomy on the involved side. Centuries later, around 700 AD, principles of operative hernia repair evolved to emphasize mass ligation and en bloc excision of the hernia sac, cord, and testis distal to the external ring. Over a period of one and half year patients selected with inguinal hernia as per inclusion and exclusion criteria were included in this prospective study. Patients were randomly divided into two groups’ i.e. Group 1(Control group): were subjected to Lichtenstein Tension free mesh repair. Group 2(Study group): were subjected to Desarda repair. 60% and 56% percent of sample patients were having right side Inguinal hernia respectively in LTF and Desarda group. Whereas 40% and 44% of sample patients of LTF and Desarda group respectively were diagnosed to of having left sided Inguinal hernia.

Desarda’s versus Lichtenstein’s mesh repair for inguinal hernia: A longitudinal study.

Objectives: To compare the tissue based Desarda repair with Lichtenstein mesh technique for inguinal hernia in terms of operation time, hospital stay, return to normal activities, cost and post-operative complications such as seroma formation, surgical site infection and recurrence. Study Design: Randomized Controlled trial. Setting: Department of General Surgery Hayatabad Medical Complex, Peshawar, Pakistan. Period: June 2017 to June 2019. Material & Methods: Total of 150 male patients were selected using Non probability consecutive sampling technique. Patients were randomized into two groups using lottery method. 75 patients in group A underwent hernia repair with Desarda no mesh technique and 75 patients in group B underwent hernia repair by performing Lichtenstein mesh technique. Patients were followed up after 2 weeks, 1 month, 3 months, 6 months and 1 year. Data was evaluated using version 22 of SPSS and expressed as a standard deviation, mean. Independent-sample T test was used to compare continuous variables. Categorical variables were compared using Fischer’s exact test. P value of less than 0.05 was considered significant. Results: The mean age of Desarda group was 44.59±10.58 years while it was 44.44±10.30 years in the Lichtenstein group (P=0.932).Mean Operative time was less for Desarda repair (42.08 ± 3.42 min) when compared to Lichtenstein repair (49.01 ± 4.77min) (p=0.000). The average hospital stay after Desarda repair was 2.08±0.27 days and after Lichtenstein repair it was 3.00±0.40 days (p=0.000). After Desarda procedure the average duration to return to work was 11.10±2.32 days while it was 13.92±2.24 days in Lichtenstein procedure (p<0.0001). The total cost of the operation was (Rs 3893±293) in Desarda group and (Rs 7844±175) in the Lichtenstein group (p=0.000). When compared for observed postoperative complications like seroma, wound infection and recurrence in both groups all the p-values were > 0.05 and were non-significant statistically. Conclusion: In comparison to Lichtenstein mesh repair, Desarda technique is cost effective, easy to learn, patients have less hospital stay, less chances of post-operative complications and early return to basic physical activities However Desarda technique is not possible in patients having thin external oblique aponeurosis with divided fibers and here Lichtenstein technique is better option. Further long term randomized control trials are required on large-scale to evaluate this technique further.

Comparison of outcomes of Desarda versus Lichtenstein repair for inguinal hernia in terms of operative time, postoperative pain and return to normal activity.

Objectives: The most appropriate treatment of inguinal hernia is to repair surgically. Worldwide more than 50 different techniques have been employed due to some but different problems with all techniques. Commonly used techniques are basically of two types. One is based on tissue repair and other uses the mesh. These include Shouldice, Lichtenstein, Darning repair, Totally Extra-Peritoneal (TEP) and Trans Abdominal Pre-Peritoneal (TAPP) repair. All the techniques have certain benefits and trade-offs as well. Our aim was to compare the outcome of Desarda repair versus Lichtenstein repair. Study Design: Randomized Controlled trial. Settings: DHQ Hospital Gujranwala. Period: From 27 October 2017 to 27 March 2018. Material & Methods: We included 60 patients in the study. In 30 patients Lichtenstein Hernia Repair was done and in 30 patients Desarda repair was done. The demographic information, outcome in the form of duration of operation, postoperative pain, and return to normal activity was recorded. All this information was collected through a predesigned performa. Patients were followed up on OPD basis. Data analysis was done by using SPSS 20. Results: Mean operative time in group A and group B was 61.20±12.558 and 71.89±13.118 respectively. Statistically significant difference was present in treatment group in term of operative time i.e. (P-value = ˂ .05). In both treatment group, mean time to require to start normal activity in A and B was 10.06±1.771 and 11.14±2.485 and it is statistically significant (P-value=.001). Postoperative pain was less but statistically insignificant in study group. Conclusion: Desarda repair is better than Lichtenstein repair in terms of operative time and return to normal activity.

Cost Effectiveness of Desarda Repair as Compared to Mesh Hernioplasty in Inguinal Hernia

Background: Inguinal hernia repair is one of the most common surgical procedures performed. In the past many surgeons described their techniques of hernia repair including Bassini, Shouldice and McVay etc. However, Mesh repair by far has established its place as the gold standard treatment for inguinal hernias. In 2001, Dr. M.P. Desarda came up with his method using the transposition of external oblique sheath to strengthen the posterior wall of inguinal canal and obtained excellent results comparable to those of mesh repair. Keeping in view the advantages of this method we adopted this surgical procedure in our set up. Objective: To estimate the benefit of cost reduction in Desarda repair. Study Design: Observational Study. Settings: Surgical Department, DHQ Hospital Faisalabad Pakistan. Duration: One-year duration from January 2017 to December 2017. Methodology: In year 2017, a total of 413 patients were operated in surgical unit DHQ hospital Faisalabad using mesh repair. The record was obtained from the elective list register and record room. The data was entered on a special protocol Performa and analyzed on SPSS version 23. Results: A total number of 413 hernioplasties were performed during the study period and it was observed that 1.45 million PKR could have been saved in public sector health facility. Conclusion: By practicing the Desarda repair which gives comparable post-operative results to mesh repair, we can avoid the poly propylene mesh repair resulting in saving handsome budget in public sector hospitals of Pakistan.

Desarda Repair for Incarcerated Groin Hernia: A Case Series Analysis

Inguinal hernia is a worldwide medical problem for its frequency. Elective surgery for inguinal hernia is a common and simple operation, but 5 to 10% of groin hernia requires emergency surgery for incarceration. The aim of our retrospective revision was to evaluate the feasibility of the tissue-based repair technique from Desarda into selected patients with incarcerated groin hernia. Between January 2016 and December 2018, 22 patients were admitted to our institution with a primary groin hernia incarcerated without occlusion signs of or strangulation. Fifteen patients underwent at Desarda’s technique performed by the single surgeon experienced in abdominal wall. There were 3 women and 12 men with a mean age of 65.8 years (range 52 to 87 years). Overall morbidity occurred in 6 patients (40%). Length follow-up was set in 6 months. At the end of follow-up any reccurence or chronic pain was detected. The Desarda repair is a simple and straightforward procedure with no complexity involved in the tissue dissection and repair. In our retrospective evaluation feasibility of this treatment, it was possible in selected cases. Desarda’s technique has the potential to enlarge the number of tissue-based methods available to groin hernia and also into the acute treatment.