Nikhil Naithottu G Senior Resident, Department of General Surgery, Shimoga Institute of Medical Sciences, Shivamogga 577201, Karnataka, India
Dinesh B Department of General Surgery, Shimoga Institute of Medical Sciences, Shivamogga 577201, Karnataka, India
Address for correspondence: Nikhil Naithottu G, Senior Resident, Department of General Surgery, Shimoga Institute of Medical Sciences, Shivamogga 577201, Karnataka, India E-mail: nikhilmangalore99@gmail.com
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
Dinesh B, Naithottu GN. Desarda’s repair as an alternative procedure: a physiological approach to complicated inguinal hernia. New Indian J Surg. 2023;14(3):139–44.
Timeline
Received : June 30, 2023
Accepted : August 09, 2023
Published : September 25, 2023
Abstract
Background: Complicated inguinal hernia is one of the most common conditions encountered in a surgical emergency. Of various surgical procedures available we are comparing Desarda’s and Modified Bassini’s repair in our study. Aims & Objectives: To compare Desarda’s repair with Modified Bassini’s repair in complicated inguinal hernia concerning the duration of the procedure and various post-operative complications. Methods: We have included 52 patients with complicated inguinal hernias presenting to the emergency department after taking informed consent and ethical committee clearance. Patients were randomly divided into two groups using computer software Group A and Group B. Group A: Consists of 26 patients and underwent Modified Bassini’s repair. Group B: Consists of 26 patients and underwent Desarda’s repair. Various intraoperative and post-operative complications were studied. The patient was followed up for a 3 years period for recurrence of an inguinal hernia. Results: Desarda’s repair had less post-operative pain score. Complications such as seroma formation and recurrence in the follow-up period were less compared to Modified Bassini’s repair. Conclusion: Desarda’s repair was found to be a better alternative for a complicated inguinal hernia when compared to Modified Bassini’s repair.
References
1. Gedam BS, Bansod PY, Kale VB, Shah Y, Akhtar M. A comparative study of Desarda’s technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study. Int J Surg. 2017;39:150.
2. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003 Nov 8;362(9395):1561.
3. Jain SK, Jayant M, Norbu C. The role of antibiotic prophylaxis in mesh repair of primary inguinal hernias using prolene hernia system: a randomized prospective double-blind control trial. Trop Doct. 2008;38(2):80.
4. Ansari F, Hameed T, Jain S, Dua A, Nizam A. Comparison of outcome of Desarda versus Bassini repair in management of complicated inguinal hernia. Int Surg J. 2019;6(11):3889.
5. Bassini E. Sulla cura radicale dill’ernia inguinale. Arch Soc Ital Chir. 1887;4:380.
6. Desarda MP. Physiological repair of inguinal hernia: a new technique (study of 860 patients). Hernia. 2006;10(2):143.
7. Ahmed S A, Hassan A S, Fady F. Desarda vs lichtenstein technique for the treatment of primary inguinal hernia. Egypt J Surg. 2020;39(1):157.
8. Desarda M. A short handbook of Desarda Repair for Inguinal Hernia, 1st ed. Pune; 2019.
9. Shah R, B Bharadva P, Shah M, Shah J. Comparison of Pure Tissue Repair (Desarda) and Prosthetic Repair (Lichtenstein) Methods for Inguinal Hernia Repair. JMSCR. 2017;05(05):21381.
10. Bansod A, Jantli M, Umalkar R, Ansari A, Tayade P, Awachar N. Study of non-mesh technique of Desarda for inguinal hernia. Int Surg J. 2019;6(6):2178.
11. S M Situma, S. Kaggwa, N.M. Masiira, S.K. Mutumba. Comparison of Desarda versus Modi ed Bassini inguinal Hernia Repair: A Randomized controlled trial. East Cent. Afr. j. surg. 2009;14(2):70.
12. H Lau, F Lee. Determinant factors of pain after ambulatory inguinal herniorraphy. A multivariate analysis. Hernia 2001;5:17-20.
13. Kyamanywa P, Kakande I, Kijjambu S. Randomised trial of modi ed bassini versus Lichenstein technique of inguinal hernia repair in Mulago Hospital Kampala. East Cent. Afr. J. surg 2004;10(2):41-45.
14. Desarda MP. No-mesh inguinal hernia repair with continuous absorbable sutures: a dream or reality? (A study of 229 patients). Saudi J Gastroenterol. 2008;14(3):122.
15. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343.
Data Sharing Statement
There are no additional data available.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval
Acknowledgements
Information Not Provided
Conflicts of Interest
No conflicts of interest in this work
About this article
Cite this article
Dinesh B, Naithottu GN. Desarda’s repair as an alternative procedure: a physiological approach to complicated inguinal hernia. New Indian J Surg. 2023;14(3):139–44.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator