Desarda Repair Compared to Lichtenstein Repair for the Treatment of Inguinal Hernias

Benazir Bhutto Hospital, Rawalpindi

Status: Completed

Conditions: Postoperative Pain; Wound Complication; Recurrence

Treatments: Procedure: Desarda repair

Study type: Interventional

Funder types: Other

Identifiers

NCT04850131

274/IREF\RMU\2020

Details and patient eligibility

About

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.

Enrollment: 82 patients

Sex: All

Ages: 20 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients of age between 20 to 70years
2. A primary inguinal hernia
3. Consented to participate in the research.

Exclusion criteria

1. Age below 20,
2. Recurrent and pantaloons hernia
3. Patients who did not give the informed consent
4. Patients who lose the follow-up

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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82 participants in 2 patient groups

Desarda

Active Comparator group

Description:

Forty-one patients who were randomly assigned to the Desarda group underwent the Desarda repair for their problem. Patients were followed for various data point values during operation, immediately after the operation, and for a period of one year post-operatively.

Treatment:

Procedure: Desarda repair

Lichtenstein

Active Comparator group

Description:

Forty-one patients randomly assigned to the Lichtenstein group underwent the standard mesh repair and were followed for the same data point values and variables for the same specified period of time.

Treatment:

Procedure: Desarda repair