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KMID : 1033020210110010001
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2021 Volume.11 No. 1 p.1 ~ p.8
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Long-Term Follow-Up Results of the Desarda Hernia Repair Technique and Its Comparison with the Mesh Hernia Repair Technique
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Shin Dong-Gue
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Abstract
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Purpose: There are many good studies that have reported advantages of the Desarda hernia repair technique for treating inguinal hernia as compared with the mesh hernia repair technique. However, many surgeons worry about the real recurrence rate that will increase if we follow-up longer. Thus, these two techniques were continuously applied and more than 3-year follow-ups were done.
Methods: Between January 2014 and August 2020, 259 cases of hernia were treated using the Desarda and mesh repair techniques (Desarda repair [DR] group: 134 cases and mesh repair [MR] group: 125 cases). The type of operation used by a single surgeon was evenly applied. The primary outcomes measured were recurrence rate, chronic pain, and other clinical features. In addition, early complications, length of hospital stay, and wound pain score changes using a visual analog scale (VAS) were examined.
Results: During the mean 39.6 months follow-up, seven recurrence cases were observed. The overall recurrence rate was 2.7% (DR group: 4/134 [3%]; MR group: 3/125 [2.4%]; P-value=0.35). Moreover, chronic pain was observed in one (0.7%) and five (4%) patients in the DR and MR groups, respectively (P-value=0.03). Postoperative complication rates were 16.4% and 28.8% in the DR and MR groups, respectively. The length of hospital stay was similar between the two groups. The mean VAS scores of 7 postoperative days were 0.8 and 1.2 in the DR and MR groups, respectively (P-value<0.05).
Conclusion: The long-term follow-up results of primary inguinal hernia repair with Desarda and mesh repair techniques are comparable. However, considering wound complication and chronic pain due to foreign body sensation, the Desarda repair technique can be wisely applied to treat inguinal hernia in patients.
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KEYWORD
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Inguinal hernia, Desarda repair, Mesh repair, Complication
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