Abstract

Background: Inguinal hernia repair by Desarda method provides a new concept of repair maintaining the physiology of inguinal canal. Repair without mesh gives another benefit of cost-effectiveness and freeing of foreign body–related complications.
Objective: To observe the outcome of inguinal hernia repair by Desarda method as an alternative to most popular Lichtenstein repair.
Materials and Methods: The longitudinal study was conducted from July 2012 to June 2015. A total of 184 patients with uncomplicated inguinal hernia were included in our study. After operation pain was assessed by visual analog score (VAS). In each follow-up, pain was scored and gait was assessed. Patients were seen during follow-up at 7 and 30 days, and 6, 12, and 24 months after surgery. The secondary outcomes were general and local complications, length of time to return to various levels of everyday activity, and abdominal wall stiffness in the groin area. SPSS, version 16.0, software programs were used for statistical calculation. Result: Of 184 patients recruited, 81% were men and 19% were women. Mean age was 45.42 years, SD ±10.08. A total of 63% patients in this study belong to low socioeconomic class. In the first postoperative day (POD), 73 patients felt mild pain and on third POD majority (168) felt only mild pain. Only 6.5% patients developed postoperative complications, mainly surgical site infection. A significant number of (49%) patients showed attribution of normal gait in second POD and 42% patients in third POD. A total of 98.37% patients had no complaint of chronic pain. 99% patients had no recurrence, and only 1% again developed inguinal hernia. Conclusion: As the outcome of this relatively new method is good. So, this physiologically sound technique can be widely practiced in our country as evident from our result.