A comparative study of lichtenstein mesh repair vs nonmesh tissue repair desarda’s technique for inguinal hernia repair

BACKGROUND: The objective of this study is to compare the outcome of lichtenstein’s repair vs. Desarda’s repair for inguinal repair. INTRODUCTION: In general surgery department routinely doing surgeries for inguinal hernia repair, various procedures still accepted for inguinal hernia repair like bassini’s, shouldice, and other tissue based technique. Now commonly used technique is Lichtenstein tension free mesh repair. Desarda’s technique is tissue based technique of hernia repair using an undetached strip of external oblique aponeorosis to strengthen the posterior wall of the inguinal canal. Present study deals with the comparison of outcome of the Lichtenstein repair and Desrada’s repair for inguinal hernia. AIM OF THE STUDY: The Aim of Study is to find the Effectiveness of Non Mesh Tissue Repair (Desarda) in compared with mesh repair (lichtensein). 1. Reducing Post-Operative Pain, 2. Recurrence, 3. Complication, 4. Duration of Hospital Stay, 5. Return to Normal Non Strenuous Activity. METHODS: This study is randomized Prospective control trial Period of 6 months from FEB2017 to SEP207 of 50 patients Having primary inguinal hernia were operated in our hospital.25 patients were operated using lichtenstein’s Mesh repair and 25 patients using Desarda’s repair. The variables like Age, Sex, type of surgery, pain on 1st,3 rd,5th post-operative day complications, time to return to normal activities, cost effectiveness, recurrence were analysed. RESULTS: There were no significant difference regarding Age, Sex, Location of hernia. Pain (mild to moderate),patients hospitalized for lesser time in Desarda’s group. No recurrence, Return to normal nonsternous Activity After 7-15 days in Desarda group was 84 % while only 48% of patient in lichtenstein repair. CONCLUSION: The Lichtenstein repair and Desarda procedures of primary inguinal hernia repair do not differ in the means of procedure, complexity local complications an pain intensity is higher in Lichtenstein repair compared to Desarda’s repair, no recurrence of hernia, cost effective, hospital stay is low for Desarda’s repair