Publication:

Evaluation of Desarda technique in inguinal hernia repair

Background Mesh repair for inguinal hernia is the most commonly carried out procedure spherical the world. In recent years inguinal hernia surgery has gone through numerous advances. Desarda technique offers a new thought of hernia repair based on physiological principle that uses an undetached strip of external oblique aponeurosis which gives a complete understanding about basic aetiopathology of inguinal hernia. The aim of this study was to evaluate inguinal hernia repair by Desarda technique.

Methods This observational study was carried out at the department of surgery, Mugda medical college hospital included 50 male patients with uncomplicated inguinal hernia during August 2019 to July 2021. Data was collected by researcher himself with using a prepared structured questionnaires & checklist and analyzed on  statistical packages for social science (SPSS) 24.

Results Among 50 male patients 60% belong to low-income status, mean age was 44.09±10.93 years. The mean operative time was 46.31±12.27 mins. In the first postoperative day 22 patients reported mild pain and on third postoperative day majority (42) reported no pain. The mean duration of hospital stay was 18.16±11.24 hours. No severe postoperative complication, one recurrence was reported. The mean time of return to basic activities 2.3±1.33 days.

Conclusions The results of inguinal hernia treatment with the Desarda technique are similar to the results after standard Lichtenstein operations. Patients after Desarda's operative procedure get ambulatory sooner as compared to the standard Lichtenstein mesh repair. Less Postoperative pain, complications similar to standardized technique.