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Case Studies | Surgery | Volume 12 Issue 6, June 2023 | Pages: 2011 - 2015 | India
A Randomized Controlled Trail of Desarda's Repair with Lichtenstein Repair in the Management of Inguinal Hernia
Abstract: Aim: We analyze the outcomes of the Desarda tissue - based repair in comparisonwith the standard Lichtenstein procedure in treatment of primary inguinalhernia. Objectives: To compare the short - term results of Desarda technique withLichtenstein's technique in terms ofoperative time, postoperativepain, seroma formation, surgical site infectiontime to resume physical activity, foreign body sensation in the groin and recurrence. Methods: A total of 62 patients were randomly allocated into two groups to undergo one of two repairs: Desarda (group I) or Lichtenstein (group II) (30 vs.32, respectively). The outcome measures were operative time, postoperativepainwas assessed on day 1, 3, 5, 30 and 90using Visual analogue scale, seromaformation, surgical site infection, time to resume physical activity, foreign body sensation in thegroin and recurrence.3 patients didn't complete the follow - up and were excluded from analysis. Finally, 30 hernias wereanalyzed in theLichtenstein groupand 29 in theDesarda group. Results: After a 3 - month follow - up period, a single recurrence was observed in the Lichtenstein group, while no recurrences were reported in the Desarda group. The average operative time was 74.4 ? 2.5 minutes for the Lichtenstein repair and 71.9 ? 1.8 minutes for the Desarda repair (P = 0.054). In the Desarda group, postoperative pain was significantly lower during the first 5 postoperative days (P
Keywords: Desarda, Lichtenstein Repair, Inguinal Hernia
How to Cite?: Dr. S. Jagatheesan, Dr. G. Sathishkumar, Dr. S. Visvesh, "A Randomized Controlled Trail of Desarda's Repair with Lichtenstein Repair in the Management of Inguinal Hernia", Volume 12 Issue 6, June 2023, International Journal of Science and Research (IJSR), Pages: 2011-2015, https://www.ijsr.net/getabstract.php?paperid=SR23619143530, DOI: https://dx.doi.org/10.21275/SR23619143530