A Study To Assess Desarda Vs Lichtenstein Technique For The Treatment Of Primary Inguinal Hernia

Abstract

Background: The present study was conducted for assessing and comparing the efficacy of Desarda vs Lichtenstein technique for the
treatment of primary inguinal hernia.
Materials & Methods: 100 patients scheduled to undergo treatment for inguinal hernia were enrolled. Complete demographic and
clinical details of all the patients was obtained. All the patients were randomized into two study groups: Group A (50 patients)-
undergoing treatment by Desarda technique, and Group B (50 patients)- undergoing treatment by Lichtenstein technique. For
performing Lichtenstein tension-free mesh repair, a polypropylene mesh was trimmed to fit the inguinal floor. Chronic pain was
assessed on a VAS score of 0 to 10 with 7 to 10 indicating strong pain while 3 to 6 indicating moderate pain. All the results were
subjected to statistical analysis using SPSS software.
Results: Group A and group B subjects took 15.3 days and 14.2 days respectively for returning to basic activity. Group A and group
B subjects took 5.1 days and 8.3 days respectively for returning to home activity (p- value < 0.05). Mean hospital stay was 3.2 days
and 2.9 days among subjects of group A and group B respectively. Foreign body sensation was felt in one patient each of both the
study groups. Incidence of seroma formation was higher among the patients of group B in comparison to patients of group A. Mean
operative time was significantly lower among patients of group A.
Conclusion: Outcome is better for Desarda technique in comparison to Lichtenstein technique for the treatment of primary inguinal
hernia.