ANALYSING OUTCOMES OF DESARDA’S VS LICHENSTEIN REPAIR IN INGUINAL HERNIA PATIENTS

Abstract

Introduction: Inguinal hernia repair was the classic instance of a surgical operation that was done most often. The Lichtenstein tension-free mesh repair was traditionally regarded as the technique of choice but the worries based on the mesh complications led to the exploration of the tissue-based option like the one of Desarda. Comparative analysis of these two methods was necessary to help establish the relative effectiveness and safety of these methods in clinical practice.

Objective: The researchers proposed to compare results of the repair done by Desarda and Lichtenstein in patients that underwent inguinal hernia repair.

Methods: Classification of the 5-day post-surgery patient was used to select the study participants from June 2025 to September 2025 after approval of the synopsis in the Department of Surgery, Chaudhary Muhammad Akram Teaching and Research Hospital, which is affiliated with Azra Naheed Medical College, Lahore. Sixty primary unilateral inguinal hernia patients were randomly selected and divided into two equal groups: in Group A, Desarda repair was performed, and in Group B, the Lichtenstein repair was performed. Measures of outcome were operative time, postoperative pain, early postoperative complications, length of hospital stay, time to resume normal activities and recurrence on follow up. Proper statistical tests were conducted on the data and the p-value of less than 0.05 was taken to be significant.

Results: The two groups were similar in age, gender composition, and hernal traits. In the Desarda group, the mean operative time was low as compared to the Lichtenstein group. The pain scores of patients who received Desarda repair during the process was significantly lower after surgery. Desarda group experienced lesser levels of early postoperative complications such as seroma and wound infection. The duration of stay and time to resume normal daily functions was also less in Desarda group. They did not recur in both groups throughout the follow-up period.

Conclusion: The repair used by Desarda was shown to be safe and effective to use as an alternative to Lichtenstein repair in the inguinal hernia and the benefit included, lower postoperative pain, less complications, and better recovery. The process was a viable mesh-free alternative especially in environments where mesh-based problems or scarcity of resources were issue of concern.