Randomized clinical trial of Desarda versus Lichtenstein repair for treatment of primary inguinal hernia

Youssef, Tamer; Elalfy, Khaled; Farid, Mohamed

doi:10.1016/j.ijsu.2015.05.055

Cited by 40 publications

(71 citation statements)

References 31 publications

(40 reference statements)

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“…11 In our study we observed that time taken to return to basic activities and work activities was early (3 and 15 days respectively) as seen in various other studies. 11,[19][20][21] In our series foreign body sensation and abdominal wall stiffness at 12 month follow up in 13% and 16% cases was similar to observations in other study also. 11…”

Section: Discussionsupporting

confidence: 91%

Outcome of Desarda repair in incarcerated inguinal hernia repair: experience in university hospital

Pachauri¹,

Kumar

2019

Int Surg J

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Background: Synthetic mesh based hernia repair is usually avoided in contaminated and dirty inguinal hernia repair to minimize the risk of infection. Desarda’s technique is a tissue based inguinal hernia repair method which avoids the use of prosthetic mesh. So this study was conducted with the aim to observe the outcome of Desarda’s technique in incarcerated inguinal hernia repair as an alternative procedure to mesh repair.Methods: This study was conducted in Emergency surgery department KGMU Lucknow. Total 30 patients with incarcerated inguinal hernia were included. Patients with recurrent hernia were excluded. Desarda repair was done in all patients. Patients were followed for 1 year to assess the outcome.Results: The mean age was 52±3 years. Mean operative time was 55±5 mins. Total duration of hospital stay was 4-16 days. Mild to moderate pain observed more frequently on 3rd and 7th post-operative day. Complication rates were found to be SSI (6%), seroma (3%), and recurrence (3%). Time taken to return to daily basic and work activities was 3 (3-5) and 15 days respectively. Patients’ subjective assessment of foreign body sensation done at 6th and 12th month follow up was found in 16% and 13% cases and that of abdominal wall stiffness in 23% followed by a reduction of upto 16% cases by 12th month.Conclusions: Desarda’s method is a safe, effective technique and may potentiate the use of tissue based repair for treating incarcerated, contaminated inguinal hernia repair. It has very low rate of recurrence and low cost of treatment.

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Section: Discussionsupporting

confidence: 91%

Outcome of Desarda repair in incarcerated inguinal hernia repair: experience in university hospital

Pachauri¹,

Kumar

2019

Int Surg J

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“…18 Youssef T et al, also found operative time significantly less (59.4±6.3 min) compared to Lichtenstein (72±12.2 min). 19 In this study, operative time was taken from start of skin incision to closure of skin. Abbas Z et al, found the operative time similar in both types of surgery.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

2017

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Background: Inguinal hernia is a very common surgical problem for which, mesh-based techniques, particularly the Lichtenstein repair is considered standard. However, problems like foreign body sensation, wound infection, cord fibrosis, chronic pain and recurrence are major concern. Desarda tissue repair (non-mesh technique), which was given by an Indian surgeon, is now being used in many countries because of low cost of procedure with very low recurrence rates. The objective of this study was to evaluate the feasibility of Desarda tissue repair at a tertiary care centre of Central India as a treatment of primary inguinal hernia, by comparing it with Lichtenstein repair in terms of various post-operative parameters.Methods: Patients between age of 18 and 70 years with primary inguinal hernia were included in this randomised controlled trial. Patients with strangulated, obstructed or recurrent hernia, surgically unfit patients and patients having unmanaged urinary obstruction, cough or constipation were excluded. Randomization was done by sealed envelope method into Lichtenstein and Desarda arm and respective surgeries were performed.Results: 90 patients were included in the study and average duration of follow-up was 15.1 months. Operative time was significantly less in Desarda arm (14.75 min compared to 21.32 min in Lichtenstein arm). Cost, incidence of seroma formation, post-operative pain, foreign body sensation and chronic pain were also significantly less in Desarda arm. No recurrence was observed in both arms.Conclusions: Desarda repair is easy to perform and takes less time to perform and proves cost effective. Desarda repair is comparable to Lichtenstein repair in terms of many parameters and superior in terms of post-operative pain and foreign body sensation and can be preferred for young patients. In infected and strangulated cases, Desarda repair can be used effectively without fear of mesh infection.

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“…[7][8][9][10][11] The mean postoperative day 7 Pain Scores in conventional Lichtenstein hernia repair on literature review was 4.45, whereas in present study mean postoperative day 7 pain scores was 3.35.…”

Section: Post-operative Painmentioning

confidence: 74%

“…[8][9][10][11] The mean recurrence in conventional Lichtenstein hernia repair on literature review was 1.20 %, whereas in present study mean recurrence was 0%. [7][8][9][10][11] On comparing the results of present study with literature on conventional Lichtenstein repair we can conclude that cyanoacrylate surgical glue is a reliable method and can be used as an alternative for conventional Lichtenstein hernia repair.…”

Section: -11mentioning

confidence: 76%

Cynoacrylate surgical glue as an alternative to suturing for mesh fixation in lichtenstein hernia repair

Jaiswal¹,

Wilkinson²,

Akhtar³

2018

Int Surg J

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Background: Tension free repair using mesh in open hernia repair has become more popular in recent years. Chronic pain remains a frequent complication after Lichtenstein inguinal hernia repair. The use of sutures to fix the mesh has been implicated. Fixing the mesh using cynoacrylate glue could avoid this complication. The purpose of the present study is to study the incidence of pain and other complications following inguinal hernia repair performed by the Lichtenstein technique with mesh fixation by cyanoacrylate surgical glue.Methods: T This study was conducted at tertiary care hospital. Inclusion criteria were all patients coming to the hospital with inguinal or inguinoscrotal hernias diagnosed clinically. Exclusion criteria were all complicated inguinal hernia namely obstructed, strangulated, and large hernias with scrotal abdomen, recurrent hernia. Patient not fit for surgery or not consenting to join the study. The patients will be informed about the surgery and thereafter requested to sign an informed consent. Primary outcome was postoperative pain. Secondary endpoints were operating time, surgical site infection and recurrence rate.Results: Total number of 31 cases enrolled in the study of which twenty-two had unilateral and seven had bilateral inguinal hernias. Average pain score on POD 1, 3, 7 was 5.75; 4.53; 3.32 respectively. One patient developed seroma which was managed conservatively. No evidence of recurrence during study period.Conclusions: Cyanoacrylate surgical glue is a reliable method and can be used as an alternative for conventional Lichtenstein hernia repair.

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Randomized clinical trial of Desarda versus Lichtenstein repair for treatment of primary inguinal hernia

Cited by 40 publications

References 31 publications

Outcome of Desarda repair in incarcerated inguinal hernia repair: experience in university hospital

Outcome of Desarda repair in incarcerated inguinal hernia repair: experience in university hospital

A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

Cynoacrylate surgical glue as an alternative to suturing for mesh fixation in lichtenstein hernia repair

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