Document Type : Research Article
Background: To comparethe main inguinal hernia repair using a pure tissue-based approach to the traditional Lichtenstein repair.
Material and Methods: 170 cases were divided into 2 groups for our study. Lichtenstein denoted asgroup L had 87 patients, whereas Desardagroup D had 83 patients. Early (within 1 year) inguinal hernia recurrence was the main factor in the outcome. Treatment time from surgical intervention to skin closure was a secondary outcome factor. Visual analogue scale scores for postoperative pain were calculated. It was calculated how long it would take to resume routine activities at home. Postoperative problems included cord oedema, groin pain, seroma, fever, wound infections, persistent pain, etc.
Results: One recurrence is detected in each arm after a 15-month mean follow-up period (P=1). In Lichtenstein, the operational time was 73.89+12.63 min, whereas the repair time was 72.60+13.89 min (P=0.508). When compared to the Lichtenstein group, postoperative pain was significantly lower in the group's first seven post-operative days (P=0.09). The amount of time needed to resume routine activities at home and in the group was significantly lower (P = 0.001). Between the two trial arms, there was no statistically significant difference in the rates of post-operative complications.
Conclusion: The outcomes of the Desarda approach for treating inguinal hernias are comparable to those of conventional Lichtenstein surgeries. The Desarda method does not employ a mesh. Patients who undergo Desarda's surgical treatment recover from it more quickly than those who receive the traditional Lichtenstein mesh repair. Less postoperative pain, same consequences to method standardisation. The Desarda procedure may increase the selection of tissue-based groyne hernia treatment options.