Comparison between Desarda's Inguinal Hernia Repair and Lichtenstein Hernioplasty in terms of Complications, Operative time and Cost-effectiveness

Abstract

Objective: To compare Desarda tissue-based repair with the traditional Lichtenstein hernioplasty in terms of complications, operative time and cost-effectiveness.

Study Design: Comparative Cross-sectional Study.

Place and Duration of Study: Surgical Department Combined Military Hospital, Mailsi Pakistan, from Dec 2019 to Dec 2020.

Methodology: Lichtenstein (Group-I) and Desarda (Group-II) were randomly allocated to 140 patients with inguinal hernia, 70 in each Group, respectively. Both Groups were compared in terms of postoperative complications, cost evaluation and operative time.

Results: The mean operative time in Group-I was 54.5±4.09 minutes, whereas in Group-II, it was 70.24±5.30 minutes. The mean cost estimated in Group-I was 4400±225 rupees, while in Group-II, it was 850±150 rupees, respectively. Desarda's repair was comparable to Lichtenstein's hernioplasty in terms of postoperative complications.

Conclusion: Desarda's hernia repair is more cost-effective than the Lichtenstein procedure for treating inguinal hernia. Reduced surgical time, faster restoration to normal gait, and return to work are all the possible benefits of the Lichtenstein repair. Furthermore, Lichtenstein hernioplasty is a better option in patients with weak external oblique aponeurosis.