Postoperative Pain, Recurrence, Wound Complication
Conditions
Keywords
Desarda Repair, Comparison, Lichtenstein Repair, Randomized Controlled Trial
Brief summary
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.
Interventions
PROCEDUREDesarda repair
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
Sponsors
Benazir Bhutto Hospital, Rawalpindi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Intervention 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.
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients of age between 20 to 70years 2. A primary inguinal hernia 3. Consented to participate in the research.
Exclusion criteria
1. Age below 20, 2. Recurrent and pantaloons hernia 3. Patients who did not give the informed consent 4. Patients who lose the follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 24 hours after the surgery | Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain |
| Recurrence | Within 01 year of the primary surgery | Described as reappearance of the inguinal hernia on the operated side |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wound complication | Complications occuring within 30 days after the surgery | Described as number of patients developing the wound complications like seroma , hematoma formation and surgical site infection. |
Countries
Pakistan
Outcome results
None listed