Abstract:Introduction and Background: Repairing an inguinal hernia is among the most common types of surgical procedures carried out globally. Because of how rarely it happens, the Lichtenstein tension-free mesh repair has become the industry standard. Focussing on postoperative recovery, complications, and recurrence rates, this study intends to evaluate the Desarda and Lichtenstein procedures in primary inguinal hernia repair.
Materials and Methods: In this prospective comparative investigation fifty patients underwent treatment using the Lichtenstein method and were subjected to the Desarda approach. The preoperative evaluation process included a comprehensive patient history, a physical examination, and standard laboratory testing. The study took place from February 2011 to January 2012 at the Department of General Surgery at Narayana Medical College in Nellore, Andhra Pradesh, India.
Results: The Desarda group had a little longer mean operating time than the Lichtenstein group, although this difference did not reach statistical significance. On both the first and seventh day after surgery, patients in the Desarda group reported far less pain. Ten percent of patients in the Lichtenstein group had problems associated to the mesh, including infection and chronic discomfort, compared to three percent in the Desarda group. Both groups had low and similar recurrence rates. A quicker recovery and reduced length of hospital stay were other benefits of the Desarda approach.
Conclusion: Nevertheless, the Desarda approach presents a compelling option, particularly for patients who do not qualify for mesh or in settings with limited resources, due to its substantial benefits in minimising postoperative pain, complications, and hospital stay. These findings should be further validated by research with larger samples and long-term follow-up.