Desarda Vs Lichtenstein “Hernioplasty” A One Year Comparative Study at a Teaching Hospital Lahore

Authors

  • Sikandar Hayat Gondal Department of General Surgery, PGMI / AMC and Lahore General Hospital, Lahore
  • Ahmad Naeem Akhtar Department of General Surgery, PGMI / AMC and Lahore General Hospital, Lahore
  • Amna Javed Department of General Surgery, PGMI / AMC and Lahore General Hospital, Lahore
  • Ahsan Ghuman Department of General Surgery, PGMI / AMC and Lahore General Hospital, Lahore
  • Shoib Waraich Department of General Surgery, PGMI / AMC and Lahore General Hospital, Lahore

Keywords:

Dessarda, lichenstein, hernioplasty

Abstract

Acomparative, prospective study was carried out in surgical department of LGH to evaluate the efficacy of Dessardahernioplsty technique by comparing with Lichtenstein repair in terms of post operative pain, hospital stay, rate of early and late complications and recurrence. Total (n=60) cases were divided in two groups A and B. with mean age 41.5 and 43.5 years for dessarda and Lichtenstein groups respectively. Insignificant statistical difference was noted in both groups as for as severity of acute pain, post operative hospital stay and wound infections are concerned. Regarding chronic pain and recurrence rate, patients in group A (Dessarda) show statistically significant advantage over group B (Lichtenstein). It, therefore was concluded that Dessarda-hernioplasty technique is useful in our patients as no foreign material has to be inserted that makes it cost effective with advantage of less chronic pain and zero recurrence rate at the end of one year.

References

Lau W Y. History of Treatment of Groin Hernia. World Journal of Surgery; 2002; 26 (6): 148-759.
2. Legutko J, Pach A, Kuling J. The History of Groin Her-nia. Folia Medica Cracoviensia, 2008; 49 (1-2): 57-74.
3. Bassini E.Nuovo Metodo Per La Cura Radical Dei Ernia Inguinale, Anti Congress Med Ital. 1887; 2: 179-182.
4. Millac DJ, Peijic M. A tension free procedures in surgi-cal treatment of groin hernia. The J. of Hernia and Abdominal Surgery, 131; (1-2): 891.
5. Marcy Ho. The cure of hernia. JAMA, 8: 589-92.
6. Halsted WS. The Cure of Most Difficult and Simple Inguinal Hernia. Jhons Hosp. Bul .14; 208-0214.
7, Desarda MP. A new technique of inguinal henia repair. J. of Indian Med. Asso. 105-654.
8. Desarda MP. Physiological Repair of Inguinal Hernia: A New Technique (Study of 860 Patients) Hernia, 2006; 10: 143–146.
9. Desarda MP, Ghosh MSA. Comparative Study of Open Mesh Repair and Desarda’s No-Mesh Repair in a Dis-trict Hospital in India. East Cent Afr J Surg. 2006; 11: 28–34.
10. Desarda MP. A New Technique of Inguinal Hernia Repair—Neither Similar to Nor Modification of Desa-rda’s Repair. J Indian Med Assoc. 2007; 105: 654.
11. Mitura K, Roman`czuk M. Comparison between Two Methods of Inguinal Hernia Surgery — Lichtenstein and Desarda. The Journal Hernias and Abdominal Sur-gery, 2008; 24 (143): 392-395.
12. Szopinski J, Kapala A, Prywinski S, et al. Desarda Technique for Inguinal Hernia Treatment: First Polish Experiences. Pol Przegl Chir. 2005; 77: 159–168.

Downloads

Published

2018-10-03

Issue

Section

Original Articles