Clinical outcomes of patients undergoing Desarda versus Lichtenstein mesh for inguinal hernia repair: our experience in Qazi Hussain Ahmed Medical Complex, Nowshera Pakistan
| Autor: | Kamran H. Khan, Waseem Y. Khan, Zahid Khan, Fazal Ghani, Syed S. A. Shah |
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| Rok vydání: | 2022 |
| Zdroj: | International Surgery Journal. 9:1127 |
| ISSN: | 2349-2902 2349-3305 |
| DOI: | 10.18203/2349-2902.isj20221400 |
| Popis: | Background: The objective of this study was to compare the outcome of Desarda versus Lichtenstein mesh for surgical repair of inguinal hernia.Methods: This randomized controlled trial was done at Qazi Hussain Ahmed Medical Complex, Nowshera from 01 February 2019 to 30 December 2020 with total duration 1 year and 10 months. Study included patients admitted in hospital for inguinal hernia repair. Patients were divided into 2 groups. Group 1 consisted of patients in whom Lichtenstein mesh repair was done while group 2 with patients having Desarda non-mesh repair done. Total time of surgery was noted. Patients were assessed for pain using a visual analog scale (VAS) after 72 hours and for seroma and infection within seven days. Recurrence and resumption of normal gait was assessed after 6 months. Data was analyzed with statistical package for the social sciences (SPSS) 21.Results: Total of 100 male patients were included in the study. About 45 patients were included in group 1 and 55 in group 2. Mean age of the patients was 53±10.55 years in Lichtenstein group and 50±08.11 years in Desarda group. The mean duration of surgery was 47.57±4.95 min with Lichtenstein while 37.96±4.76 min with Desarda. The mean pain score was 2.5±1.0 after 72 hours with Lichtenstein while 1.72±0.20 with Desarda (p0.05).Conclusions: Both methods for repair are acceptable but the Desarda has less complications and operative time as compared to Lichtenstein repair. |
| Databáze: | OpenAIRE |
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