Study of outcomes of Desarda repair in emergency conditions of inguinal hernia

Abstract

Background There are two types of hernias in men and women: inguinal hernias and abdominal hernias. Inguinal hernias can be treated with the Desarda technique, a suture-based procedure that is becoming more popular. Objective: improving inguinal hernia repair outcomes by avoiding complications caused by foreign bodies.
Patients and Methods: 40 male patients with difficult inguinal hernias were studied in the General Surgery Department of the Faculty of Medicine, Zagazig University Hospital, as part of a prospective study. Six months of follow-up took place from September 2020 to November 2021. Experienced and trained surgeons performed Desarda method procedures on patients. Pain and gait were measured at each follow-up.
Results: Twenty-seven of the studied patients had no postoperative complications. Wound infection, seroma and scrotal edema occurred in 5, 6 and 2 of the patients respectively. A statistically significant difference in postoperative Visual Analogue Scale (VAS) scores was found between the groups tested (significantly higher among strangulated hernia). In terms of postoperative complications, the two groups analyzed differ significantly. In cases with obstructed hernia, non-complicated hernias accounted for 23, while strangulated hernias accounted for four. Conclusion: The Desarda approach appears to be a viable alternative to current practices. There are no problems or hernia recurrences as a result of this procedure, which is rapid, uncomplicated, and easy to learn and conduct.