Desarda Technique Versus Lichtenstein Mesh Repair for the Treatment of Inguinal Hernia A Short-Term Randomized Controlled Trial
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- Category: Vol. 84, September 2016
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Desarda Technique Versus Lichtenstein Mesh Repair for the Treatment of Inguinal Hernia A Short-Term Randomized Controlled Trial, MOHAMMED B.M. KOTB, ABD EL-RADY A. FARGHALY, MOSTAFA T. AHMED and AHMED T.Z. HASSAN
Abstract
Background: Several techniques of tissue and mesh repair for inguinal hernia have been developed over the last decades but still drawbacks are present. Desarda, who has used a new technique since 1990, seeks to get over the challenges faced with the use of the tissue repair and mesh repair techniques. It is based on the concept of providing a strong, mobile and physiologically dynamic posterior inguinal wall. This study is attempt to establish the influence of this new technique on early clinical outcomes of inguinal hernia repair, and if proved to be effective it will be a basis for the promotion of its use in Egypt.
Aim: To compare the short-term outcome of the Desarda's repair with the Lichtenstein technique for the treatment of primary inguinal hernias among adult patients at Assiut University Hospital.
Patients and Methods: The study was a single-center, randomized controlled trial. It was carried out at general surgical outpatient clinic in Assiut University Hospital. Which is the main teaching hospital for Assiut University Faculty of Medicine from March 2013 and February 2015.
Results: Males constituted 100% of the subjects, the majority (61%) had inguinal hernias on the right side. (73%) indirect hernias, direct hernia in Lichtenstein arm (35%) more than in Desarda arm (8%).
Conclusion: The Desarda repair was shown to take a significantly shorter operative time than the Lichtenstein repair and it can safely be employed as one day case surgery and in district hospitals.
Recommendations: Further larger clinical trials are needed for comparing the Lichtenstein and Desarda methods to generalize the results through at regional and district hospitals in Egypt in addition to encourage continuing medical education and to acquire skills to do the desarda method of inguinal hernia repair.