Chronic groin pain in Desarda versus Lichtenstein hernia repair – a randomised controlled study

Keywords: herniorrhaphy, hernia, inguinal hernia, numerical rating scale, postoperative pain

Abstract

Background: Chronic pain after inguinal hernia repair is a common complication. This study compared the difference between Desarda repair and Lichtenstein repair for inguinal hernia in chronic groin pain.

Methods: One hundred patients with unilateral uncomplicated inguinal hernia were randomised to either Desarda repair (n = 50) or Lichtenstein repair (n = 50) under local anaesthesia and were evaluated for pain postoperatively. Operative time, surgical complications, time to return to normal gait and work, and overall patient satisfaction were recorded. The patient was blinded to the procedure. Any pain at three months  (numerical rating scale 1 or more) was considered chronic pain.

Results: Mean operation time was approximately 5 minutes less for Desarda (p = 0.33). There was no significant difference in terms of pain level postoperatively between Lichtenstein and Desarda groups. Twenty-two (44%) patients in the Lichtenstein group had chronic pain, and twenty-one (45.7%) patients had chronic pain in the Desarda group (p = 0.871). No significant difference was observed in haematoma formation, wound infection, recurrence rate, seroma, or foreign body sensation. The mean time for patients to return to normal gait was approximately 0.5 day earlier for the Desarda group (p = 0.29). The mean time for patients to return to normal work was comparable (p = 0.99). Desarda group had a slightly higher satisfaction rate than the Lichtenstein group (9.1%).

Conclusion: Desarda repair is not inferior to Lichtenstein repair in the short-term concerning complications or pain.

Author Biographies

A S Gaur, University College of Medical Sciences

Department of General Surgery, University College of Medical Sciences, India

N Sharma, All India Institute of Medical Sciences Jodhpur

Department of General Surgery, All India Institute of Medical Sciences Jodhpur, India

P K Garg, Shri Guru Ram Rai Institute of Medical and Health Sciences

Department of Surgical Oncology, Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, India

Published
2022-06-28
How to Cite
Gaur, A., Sharma, N., & Garg, P. (2022). Chronic groin pain in Desarda versus Lichtenstein hernia repair – a randomised controlled study. South African Journal of Surgery, 60(2), 141-145. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/3738
Section
Hernia Surgery