When and Why Desarda Repair

• Conditions: Inguinal Hernia
• Interventions: Procedure: hernia repair by desarda technique

• Registration Number: NCT05088824
• Lead Sponsor: Assiut University

Brief Summary

One of the most significant subjects studied in abdominal wall surgery is inguinal hernia. Its management is very codified.

The main factors evaluating efficient hernia surgery are not only the rate of complications (recurrence and groin pain essentially) but also cost and time to return to normal activities.

Desarda technique is a non-mesh technique described first in 2001. This surgical technique uses a flap of external oblique aponeurosis in place of a mesh. Its singularity remains its low cost, no use of mesh, and less extensive dissection

Mesh repair has its own limitations; it is unphysiological as mesh is used. Chronic inguinal pain, seroma formation, foreign body sensation, risk of mesh infection are common complications and not recommended in strangulated hernias and extra cost involved by the mesh itself.

It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia. Recurrence and complication rates equal to or less than Lichtenstein's repair. It's a simple procedure, early ambulation and less time of hospital stay, low cost for the patient as mesh is not used and most importantly no question of mesh related complications such as mesh rejection, infection, migration and foreign body sensation and chronic groin pain which is comparatively low in this procedure.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-09-24
• Status Verified: 2021-10
• Study First Submitted QC: 2021-10-09
• Last Update Submitted: 2021-10-09
• Study First Posted: 2021-10-22
• Last Update Posted: 2021-10-22
• Study Start: 2022-01-01
• Primary Completion: 2022-12-31
• Study Completion: 2023-04-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• primary inguinal hernia
• Aged 18 and above
• reducible inguinal or inguino-scrotal hernia

Exclusion Criteria

• Obstructive uropathy or chronic obstructive pulmonary disease
• incarcerated hernia
• recurrent hernia
• bilateral hernia
• active infection at groin area
• pantalloon hernia

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
patients diagnosed with oblique inguinal hernia	hernia repair by desarda technique	-

Primary Outcome Measures

Name	Time	Method
postoperative hospital stay	6 month	the duration of postoperative hospital stay
chronic pain	6 months	the patient will be assed for the presence of feeling of pain after the procedure or not
recurrence	6 months	the patient will be followed up for recurrence of hernia in the same place by clinical examination