A study to evaluate desarda vs lichtenstein technique for the treatment of primary inguinal hernia

Abstract

Background: Inguinal hernias rank among the commonest of all hernias and surgery is the only definitive treatment. The present study was conducted to evaluate desarda vs lichtenstein technique for the treatment of primary inguinal hernia. Material and methods: This prospective, observational study was conducted to evaluate desarda vs lichtenstein technique for the treatment of primary inguinal hernia. The study includes 60 patients of primary inguinal hernia. The patients were divided into two equal groups (30 patients for each group): Lichtenstein mesh-based repair (A group) or Desarda tissue-based repair (B group). Statistical analyses were done by using SPSS 22.0 (Statistical Package for the Social Sciences by SPSS Inc., Chicago, 1L, USA, 2017). Results: The study includes 60 patients of primary inguinal hernia. The patients were divided into two equal groups (30 patients for each group): Lichtenstein mesh-based repair or Desarda tissue-based repair. The mean operating time required for repair was more in Lichtenstein mesh-based repair (36.45min) while time taken by Desarda tissue-based repair was less(20.58min). Post-operative pain was assessed by visual analogue scale (VAS). The mean pain score at 1st POD in Lichtenstein mesh-based repair was 5.01and 2.56 in Desarda tissue-based repair. The mean pain score at 3rd POD in Lichtenstein mesh-based repair was 3.45 and 2.21 in Desarda tissue-based repair. Seroma occur in 10% patients in Lichtenstein mesh-based repair and in 6.66% patients in Desarda tissue-based repair. Testicular/cord odema occur in 13.33% patients in Lichtenstein mesh-based repair and in 6.66% patients in Desarda tissue-based repair. Minor SSI occurs in 6.66% patients in Lichtenstein mesh-based repair and in 3.33% patients in Desarda tissue-based repair. Foreign body sensation occurs in 7% patients in Lichtenstein mesh-based repair and in 0% patients in Desarda tissue-based repair. Chronic pain occurs in 13.33% patients in Lichtenstein mesh-based repair and in 6.66% patients in Desarda tissue-based repair. Conclusion: The present study concluded that mean operating time required for repair, post-operative pain score, post operative complications were less in Desarda tissue-based repair.