Comparison of outcomes of Desarda versus Lichtenstein repair for inguinal hernia in terms of operative time, postoperative pain and return to normal activity.

Abstract

Objectives: The most appropriate treatment of inguinal hernia is to repair surgically. Worldwide more than 50 different techniques have been employed due to some but different problems with all techniques. Commonly used techniques are basically of two types. One is based on tissue repair and other uses the mesh. These include Shouldice, Lichtenstein, Darning repair, Totally Extra-Peritoneal (TEP) and Trans Abdominal Pre-Peritoneal (TAPP) repair. All the techniques have certain benefits and trade-offs as well. Our aim was to compare the outcome of Desarda repair versus Lichtenstein repair. Study Design: Randomized Controlled trial. Settings: DHQ Hospital Gujranwala. Period: From 27 October 2017 to 27 March 2018. Material & Methods: We included 60 patients in the study. In 30 patients Lichtenstein Hernia Repair was done and in 30 patients Desarda repair was done. The demographic information, outcome in the form of duration of operation, postoperative pain, and return to normal activity was recorded. All this information was collected through a predesigned performa. Patients were followed up on OPD basis. Data analysis was done by using SPSS 20. Results: Mean operative time in group A and group B was 61.20±12.558 and 71.89±13.118 respectively. Statistically significant difference was present in treatment group in term of operative time i.e. (P-value = ˂ .05). In both treatment group, mean time to require to start normal activity in A and B  was 10.06±1.771 and 11.14±2.485 and it is statistically significant (P-value=.001). Postoperative pain was less but statistically insignificant in study group. Conclusion: Desarda repair is better than Lichtenstein repair in terms of operative time and return to normal activity.