Background: Complicated inguinal hernia is one of the most common conditions encountered in a surgical emergency. Of  arious 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.