Comparison of Pure Tissue Repair (Desarda) and Prosthetic Repair (Lichtenstein) Methods for Inguinal Hernia Repair

Background: The surgical treatment of inguinal hernias has evolved through several stages to reach a modern and successful era . Though Lichtenstein’s prosthetic repair using prolene mesh has been popular lately, it is not a tissue based repair and hence cannot be consider ideal. Hence a search for ideal hernia repair is still underway and Desarda Procedure might be the procedure satisfying the criteria for an ideal hernia repair. It is simple, easy to learn and based on the concept of providing a strong, mobile and physiologically dynamic posterior inguinal wall. Settings and Design: This is a comparative study carried out in 56 patients, out of which 28 underwent Lichtenstein’s repair and 28 underwent Desarda repair, admitted in surgical ward in Sir Sayajirao Hospital, Baroda. Materials and Methods: Data was collected by meticulous history taking, careful clinical examination, appropriate radiological, haematological investigation, operative findings and followup of the cases Results: After 6 months follow up only 3.6% patients had chronic groin pain compared to 10.7% in Mesh repair. The postoperative pain is lesser with Desarda technique and patients ambulate faster. There was no recurrence seen in both groups during the 6 months follow-up period. Conclusion: Desarda repair is superior to mesh repair in short term outcomes and in certain long term outcomes like chronic groin pain.