Comparison of Lichtenstein inguinal hernia repair with the tension-free Desarda technique: a clinical audit and review of the literature.
Ours was a retrospective chart review of all elective open inguinal hernia repairs performed in a single unit at King Edward VIII Hospital, South Africa over an 18-month period. Comparison was made regarding duration of operation, length of hospital stay and complications such as pain, haematoma formation and recurrence between the Lichtenstein and Desarda techniques. The latter was noted to have a shorter operative time and avoided cost and possible complications of mesh usage, which are significant in resource-deprived settings. A larger comparative study with longer follow-up is needed to evaluate the wider suitability of the Desarda repair.
Senior Surgical Registrar, Department of Surgery, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, Congella, South Africa.
Halalisani Goodman
HG
Zulu
Specialist Surgeon / Lecturer, Department of Surgery, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, Congella, South Africa smewakinoo@gmail.com.
Suman
S
Mewa Kinoo
Chief Specialist / Professor, Department of Surgery, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, Congella, South Africa.
Bhugwan
B
Singh
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D054869:Clinical Audit; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D012008:Recurrence; D012189:Retrospective Studies; D013019:South Africa; D013526:Surgical Mesh; D016896:Treatment Outcome
Desarda; Lichtenstein; Open inguinal hernia repair; poor resource setting