Long-Term Outcome of Desarda Technique in Elective Inguinal Hernia Repair. A 10 Year Multicenter Experience

Abstract

Background: One of the most often performed operations and a pillar of a general surgery practice is inguinal hernia repair.

Objective: The study aimed to report our experience in tension-free repair of inguinal hernia using Desarda technique.

Patients and methods: 179 out of 216 patients with 1ry inguinal hernia repaired with Desarda and who completed at least five years of  follow-up and underwent analysis were included. The current retrospective analysis was conducted between December 2013 and  December 2023. Recurrence, chronic pain, abdominal wall stiffness was the main follow up corners.

Results: The mean age of the included patients was 44.76 ± 7.88 years. There was a statistically significant decrease in the testicular  edema, hematoma, seroma, and surgical site infection after 1-month follow-up when compared to the incidence by the 1st week (P <  0.001). There was a statistically significant decrease in the incidence of loss of sensation, abdominal wall stiffness and FB sensation by  time. The recurrence rate was 1.7% after 5 years follow.

Conclusion: Desarda technique is an easy, effective and reliable method in treatment of inguinal hernia repair with favorable long-term  outcome.