When and Why Desarda Repair

Study Overview
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Brief Summary
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One of the most significant subjects studied in abdominal wall surgery is inguinal hernia. Its management is very codified. The main factors evaluating efficient hernia surgery are not only the rate of complications (recurrence and groin pain essentially) but also cost and time to return to normal activities. Desarda technique is a non-mesh technique described first in 2001. This surgical technique uses a flap of external oblique aponeurosis in place of a mesh. Its singularity remains its low cost, no use of mesh, and less extensive dissection Mesh repair has its own limitations; it is unphysiological as mesh is used. Chronic inguinal pain, seroma formation, foreign body sensation, risk of mesh infection are common complications and not recommended in strangulated hernias and extra cost involved by the mesh itself. It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia. Recurrence and complication rates equal to or less than Lichtenstein's repair. It's a simple procedure, early ambulation and less time of hospital stay, low cost for the patient as mesh is not used and most importantly no question of mesh related complications such as mesh rejection, infection, migration and foreign body sensation and chronic groin pain which is comparatively low in this procedure.

Official Title
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When and Why Desarda Repair

Conditions
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Inguinal Hernia

Intervention / Treatment
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* Procedure: hernia repair by desarda technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: primary inguinal hernia Aged 18 and above reducible inguinal or inguino-scrotal hernia Exclusion Criteria: Obstructive uropathy or chronic obstructive pulmonary disease incarcerated hernia recurrent hernia bilateral hernia active infection at groin area pantalloon hernia

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients diagnosed with oblique inguinal hernia<br> | Procedure: hernia repair by desarda technique<br>* It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative hospital stay | the duration of postoperative hospital stay | 6 month | 
| chronic pain | the patient will be assed for the presence of feeling of pain after the procedure or not | 6 months | 
| recurrence | the patient will be followed up for recurrence of hernia in the same place by clinical examination | 6 months |