Outcome of Desarda repair in inguinal hernia: a study in northern part of Bangladesh
Journal Title: International Journal of Medical Science and Public Health - Year 2016, Vol 5, Issue 3
Abstract
Background: Inguinal hernia repair by Desarda method provides a new concept of repair maintaining the physiology of inguinal canal. Repair without mesh gives another benefit of cost-effectiveness and freeing of foreign body–related complications. Objective: To observe the outcome of inguinal hernia repair by Desarda method as an alternative to most popular Lichtenstein repair. Materials and Methods: The longitudinal study was conducted from July 2012 to June 2015. A total of 184 patients with uncomplicated inguinal hernia were included in our study. After operation pain was assessed by visual analog score (VAS). In each follow-up, pain was scored and gait was assessed. Patients were seen during follow-up at 7 and 30 days, and 6, 12, and 24 months after surgery. The secondary outcomes were general and local complications, length of time to return to various levels of everyday activity, and abdominal wall stiffness in the groin area. SPSS, version 16.0, software programs were used for statistical calculation. Result: Of 184 patients recruited, 81% were men and 19% were women. Mean age was 45.42 years, SD ±10.08. A total of 63% patients in this study belong to low socioeconomic class. In the first postoperative day (POD), 73 patients felt mild pain and on third POD majority (168) felt only mild pain. Only 6.5% patients developed postoperative complications, mainly surgical site infection. A significant number of (49%) patients showed attribution of normal gait in second POD and 42% patients in third POD. A total of 98.37% patients had no complaint of chronic pain. 99% patients had no recurrence, and only 1% again developed inguinal hernia. Conclusion: As the outcome of this relatively new method is good. So, this physiologically sound technique can be widely practiced in our country as evident from our result.
Authors and Affiliations
Bimal Chandra Roy, Md Abu Hanifa, Saimun Naher, Md Abdul Baset, Prosannajid Sarkar
Keywords
Related Articles
- EP ID EP133314
- DOI 10.5455/ijmsph.2016.11102015147
- Views 62
- Downloads 0
Sonological, cytological, and histopathological correlation in parotid lesions: a 5-year experience
Background: Parotid is a superficial, readily accessible major salivary gland. Differentiation between non-neoplastic salivary disease and salivary gland tumor is not difficult. Accurate subtyping and grading of sali...
Evolution and determinants of sustainability of journal club in Nigerian postgraduate medical training institutions
Journal club is a veritable medium for knowledge creation especially at the postgraduate-level training in different fields of human endeavor. There are very few successful journal clubs unlike many postgraduate medica...
Relationship between cytological grading of breast cancers and lymph node metastasis
Background: Breast cancer is the second most common type of cancer and the second leading cause of cancer related deaths in females. Since a less invasive pre-operative diagnosis is always preferred to open biopsy...
Plasma cell leukemia - A comprehensive analysis of clinical & pathological features of 7 cases
Background: Plasma cell leukemia (PCL) is a rare, yet aggressive plasma cell (PC) neoplasm, variant of multiple myeloma (MM), characterized by high levels of PCs circulating in the peripheral blood. PCL can either...
A comparative study of management of supracondylar fractures of humerus by open reduction versus closed reduction in a tertiary hospital
Background: Supracondylar fracture of humerus is the commonest injury about the elbow in children. Anatomical reduction is required to prevent complications and improve cosmetic appearance. Objective: To compare...