Study of Clinical Outcome of Open Mesh Hernia Repair and External Oblique Aponeurosis (Desarda Repair)
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 8774-8783
Abstract
Background: To compare the short term outcomes and recurrence rate for one year between Lichtenstein‘s and Desarda technique.Materials and Methods: This was an observational study. 30 patients operated from September 2018 to August 2020 that have undergone Desarda repair and 30 patients have undergone Lichtenstein mesh hernioplasty for inguinal hernia were included in study making total 60 hernial sites repaired. Postoperatively patients were observed for any complications and were followed up in OPD after discharge. Thorough examination was done on follow-up to detect any complications. Visual analogue scale was used for assessment of severity of pain.
Results: Majority of the patients were male. Incidence of inguinal hernia was most on the right side followed by left side and then bilateral. All the patients in study were followed for 6 months and observed for recurrence and complications. That patient undergoing desarda repair were discharged earlier which is statistically significant. Mean duration of ambulation is less for desarda repair compared to mesh hernioplasty which is statistically significant. There was no intraoperative complication recorded. Incidence for post operative wound infection was less in desarda repair. Recurrance was observed in one patient of desarda group. Incidence of seroma and hematoma formation was more in mesh hernioplasty which is statistically not significant.
Conclusion: Desarda technique is more commonly performed especially in rural area as it is more economical compared to Lichtenstein method. Desarda repair has low mean hospital stay as compared to Lichtenstein repair. Hence, it is fair to compare Desarda‘s no mesh repair with Lichtenstein‘s mesh repair.
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