From the Research
The recurrence rate after Desarda technique for inguinal hernia repair is approximately 1.4%, which is comparable to the Lichtenstein mesh repair technique. This tissue-based, tension-free technique uses the patient's own external oblique aponeurosis to strengthen the posterior wall of the inguinal canal without mesh implantation. The low recurrence rate is attributed to the technique's physiological approach that reinforces the inguinal floor while maintaining the natural dynamics of the inguinal canal 1.
Key Points
- The Desarda technique has a low recurrence rate, ranging from 0% to 2.7% based on available clinical studies.
- The technique is comparable to the Lichtenstein mesh repair in terms of recurrence rate, with a recurrence rate of 1.4% for Desarda versus 2.1% for Lichtenstein 1.
- The Desarda technique offers particular advantages in young patients and in settings where mesh availability is limited or infection risk is high.
- Proper surgical technique is crucial for success, and factors that may increase recurrence risk include obesity, chronic cough, constipation, prostatism, and strenuous physical activity.
- Post-operative care involves avoiding heavy lifting for 4-6 weeks and gradually returning to normal activities.
Comparison with Lichtenstein Technique
- The Desarda technique has a lower rate of seroma formation and surgical site infections compared to the Lichtenstein technique 1, 2, 3.
- The Desarda technique has a faster return-to-work activities compared to the Lichtenstein technique 1.
- The recurrence rate and post-operative complications are comparable between the two techniques, with some studies showing a slightly lower recurrence rate for the Desarda technique 4, 5.