Open inguinal hernia repair Comparative study between external oblique aponeurosis flab herniorrhaphy versus lichtenstein tension free hernioplasty

Abstract

Background; The prevalence of inguinal hernias means that they continue to provide a significant medical challenge. Inguinal hernias are 27% more likely to occur in males than in women during the course of their lifetimes. The global range of annual morbidity rates is 100-300 per 100,000 people. The goals of this study are [1] to compare the Desarda technique for inguinal hernia repair with the tension-free mesh (Lichtenstien) approach, and [2] to provide light on the various techniques of tension-free repair of inguinal hernia. Topics and approaches; This randomised controlled experiment was performed at the Benha University Hospital's Department of General Surgery. A total of eighty adult males with primary inguinal hernias participated in the current trial, and they were randomly assigned intraoperatively to receive either the Desarda tissue-based repair (D) or the traditional Lichtenstein mesh repair (L). Even patients who have hernias on both sides are not excluded, albeit they will only have one side repaired at a time. The time it took for people in the DT group to go back to their regular routines was significantly shorter than those in the control group (Independent sample t test, P .005). Independent sample t test: P =.285; no statistically significant difference between groups in terms of time to return to work activities. Desarda repair was shown to be the best option since it required less time in surgery, resulted in lower pain ratings thereafter, and allowed patients to quickly resume their pre-injury level of function. Desarda repair eliminates the need for removal of the mesh, which eliminates the risk of infection, discomfort, and the feeling of having a foreign object in the body. Desarda maintenance is more cost-effective than Lichtenstein maintenance.