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

Study Overview
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Brief Summary
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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.

Official Title
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Mesh Free Desarda Repair Compared With Lichtenstein Repair for the Treatment of Primary Inguinal Hernias

Conditions
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Postoperative Pain, Recurrence, Wound Complication

Intervention / Treatment
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* Procedure: Desarda repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of age between 20 to 70years A primary inguinal hernia Consented to participate in the research. Exclusion Criteria: Age below 20, Recurrent and pantaloons hernia Patients who did not give the informed consent Patients who lose the follow-up

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: A total of 82 patients with inguinal hernias were selected randomly to participate in this study. They were subjected to either Lichtenstein hernioplasty or Desarda herniorrhaphy. A follow-up was conducted to analyze the hospital stay, return to work, recurrence rate, chronic pain, postoperative complications, and cost-effectiveness.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Desarda<br>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. | Procedure: Desarda repair<br>* 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<br>* Other names: Lichtenstein repair;|
| Active Comparator: Lichtenstein<br>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. | Procedure: Desarda repair<br>* 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<br>* Other names: Lichtenstein repair;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative pain | Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain | 24 hours after the surgery | 
| Postoperative pain | Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain | 3 months after the primary surgery | 
| Recurrence | Described as reappearance of the inguinal hernia on the operated side | Within 01 year of the primary surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Wound complication | Described as number of patients developing the wound complications like seroma , hematoma formation and surgical site infection. | Complications occuring within 30 days after the surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Desarda Repair, Comparison, Lichtenstein Repair, Randomized Controlled Trial