Modified Desarda Repair and Hernioplastia Lichtenstein Repair for Inguinal Hernia.

Introduction: The objective of this study is to compare the outcomes of Modified Desarda repair no mesh and Lichtenstein repair for inguinal hernia. Methods: This is a prospective randomized controlled trial study of 1342 patients having 1394 hernias operated from January 2008 to December 2020. 690 patients were operated on using Lichtenstein repair and 652 using Desarda repair. The demographic data (Age, Sex), hernia type and location, anesthetic, operative time, postoperative pain, and complications were analyzed. Results: There were no significant differences regarding age, sex, location, type of hernia, and pain in both groups. The operation time was 52 minutes in the Modified Desarda group and 42 minutes in the Lichtenstein group that is significant (p<0.05). The recurrence was 0.0 % in the Modified Desarda group and 0.28 % in the Lichtenstein group. But, there were 9 cases of infection to the polypropylene mesh in the Lichtenstein group, 2 of this required re-exploration. The morbidity was also significantly more in the Lichtenstein group (7,6 %) as compared to the Modified Desarda group (3.8 %). The mean time to return to work in the Modified Desarda group was 8.26 days while a mean of 12.58 days was in the Lichtenstein group. The mean hospital stay was 29 hrs. in the Modified Desarda group while it was 49 hours in the Lichtenstein group in those patients who were hospitalized. Conclusions: The modified Desarda repair scores significantly on Lichtenstein repair in most of all aspects, including reexploration and morbidity. Modified Desarda repair is a better option compared to Lichtenstein repair.