A COMPARATIVE STUDY OF LICHTENSTEIN MESH REPAIR VS NON MESH TISSUE REPAIR DESARDAS TECHNIQUE FOR INGUINAL HERNIA REPAIR

Introduction: Inguinal hernia is one of the most common problems encountered in surgery OPD with the necessity of surgicaloperationinutmost cases[1], multitudinous procedures have been proposed for inguinal hernia surgery like Bassinis, Shouldice and other tissue repair techniques. Now generally used procedure is Lichtenstein tension-free mesh technique[2]. Desardasmethod is tissue-related procedure of herniasurgery using an undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinalcanal. This study deals with the comparison ofthe Lichtenstein technique and Desardas technique for uncomplicated inguinal hernia[9,10,11]. Aim: To find the Effectiveness of Non-Mesh tissue technique(Desarda) in comparison with mesh technique(Lichtenstein) Settings and Design: Prospective study. Materials and methods: All cases with age ranging from 21 years to 60 years with uncomplicated inguinal hernia admitted to the Department of General Surgery of our institute, between August- 2021 and July- 2022 were included. Results: It was observed that there was no significant difference in the rate of recurrence, inguinodynia between Lichtensteins technique and Desardas technique of inguinal hernia surgery. The mean duration of stay in hospital and mean duration return to normal activities was more in cases who underwent surgery by Lichtensteins technique. Complications like surgical site infection, seroma, haematomaandpost-operative pain on 1st, 3rd and 5th day were more in cases who underwent surgery by Lichtenstein technique than compared to Desardas technique. Conclusion:Desardas no mesh technique was observed with similar results to Lichtensteins mesh technique in terms of recurrence of hernia and post-operative morbidity. Desardas group showed improved results when compared to Lichtenstein group in terms of immediate postoperative pain, inguinodynia, surgical site infections, hospital stay duration and the time taken to return to normal life activities. Desardas no mesh procedure may be considered as a substitute to Lichtensteinsmesh repair to avoid long-term meshrelated morbidity for uncomplicated inguinal hernias.