The Lichtenstein technique for hernia repair is safe and simple, but the underlying mesh prosthesis has its setbacks, as it acts as a mechanical barrier5. The mesh does not provide mobile and the physiologically dynamic posterior wall. The most dangerous complication associated with the mesh prosthesis is its migration from the abdominal cavity's primary implantation site. The relatively knew technique developed by Dr. Desarda does not utilize the synthetic mesh rather it uses a strip of external oblique aponeurosis to strengthen the posterior wall. Our study has compared the two methods regarding various aspects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
82
Desarda is a new tissue-based technique developed from applying the externally oblique muscle aponeurosis in the form of an undetached strip making the posterior wall in the inguinal canal stiffer. This paper focuses on analyzing comparisons between mesh-free Desarda repair and the Lichtenstein technique for the treatment of hernia inguinalis
Benazir Bhutto Hospital Rawalpindi
Rawalpindi, Punjab Province, Pakistan
Postoperative pain
Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain
Time frame: 24 hours after the surgery
Postoperative pain
Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain
Time frame: 3 months after the primary surgery
Recurrence
Described as reappearance of the inguinal hernia on the operated side
Time frame: Within 01 year of the primary surgery
Wound complication
Described as number of patients developing the wound complications like seroma , hematoma formation and surgical site infection.
Time frame: Complications occuring within 30 days after the surgery
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