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Vol - 28, Issue - 08
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[This article belongs to Volume - 28, Issue - 08]
International Medical Journal
Journal ID
:
IMJ-25-08-2021-903
Total View
:
385
Title
:
A COMPARATIVE STUDY OF DESARDA TECHNIQUE VERSUS LICHTENSTEIN TENSION FREE MESHPLASTY TECHNIQUE FOR INGUINAL HERNIA
Abstract
: This study was conducted in an effort to evaluate the efficacy of Desarda’s Technique versus Lichtenstein’s Tension Free Meshplasty Technique in Inguinal Hernia repair in terms of duration of surgery, post-operative pain, duration of hospital stays and resumption of daily activities, recurrence and complications. A prospective study of 100 patients were taken for the study and were divided into 2 groups of 50. Group D Patients underwent hernia repair using Desarda’s technique. Group L Patients underwent hernia repair using Lichtenstein’s Tension Free Meshplasty. The selection of patients to each group was done using lottery method. The patients are then followed on post-operative Days 1, 5 and 7 and after 1,3,6 and 12 months respectively. The duration of hospital stay in D Group was significantly lower compared to L Group (2.36±1.44 days vs. 3.88±1.56 days; p<0.05). The mean duration of surgery in D Group and L Group was 66.28±16.51 mins and 65.52±16.36 mins respectively. However, there was no significant difference between the groups (p>0.05). The mean duration of resumption of daily activities in D Group was significantly lower compared to L Group as (7.32±1.48 days vs. 11.08±2.07 days; p<0.05). It was also observed that there was no recurrence in both the groups. Desarda repair was associated with early return to basic work and activity, shorter hospital stay, hence can be used as the method of choice for most patients due to its low cost, low recurrence rate, and simplicity of repair.
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