Comparison of Desarda and Lichtenstein method in repair of inguinal hernia

Aim: Prospective, randomized possible Desarda and Lichtenstein methods; averages of the comparison of the duration of surgery, analgesic need, pain, return, foreign body sensation, pain during sexual activity, early and late stays. Materials and Methods: 100 patients scheduled for inguinal hernia surgery between December 2021 and April 2022 were divided into two groups. Demographic characteristics of patients, pain in preoperative sexual activity, duration of surgery, postoperative analgesic requirement, early complications, postoperative pain at 1st, 3rd, 7th, 14th, 30th, 90th days, foreign body sensation at 3 months, postoperative 6 days. Pain in sexual activity at 1 month and recurrence at 9 months were recorded by questioning. The Visual Analogue Scale was used in the evaluation of the patients. Results: Desarda repair was performed in 48 of the 93 patients included in the study, and Lichtenstein repair was performed in 45 patients. Direction, preoperative pain, pain in sexual activity, age, BMI did not show a statistically significant difference according to the surgical method (p>0.05). The operation time was found to be short in the Desarda group and was statistically significant (z: -7.39; p<0.05). There was no statistically significant difference in analgesic need, return to normal activities and normal gait variables (p>0.05). Hematoma, seroma and surgical site infection were not seen in both groups. There was no significant difference between the groups in the postoperative 1st, 3rd, 7th, 14th, 30th, and 90th days of pain and postoperative pain in sexual activity at the 6th month evaluation. Foreign body sensation was significantly higher in the Lichtenstein group. Relapse was not observed in the Desarda group, but was observed in 2.22% (n:1) in the Lichtenstein group. There was no statistically significant difference between the two groups. Conclusion: The advantage of the Desarda method is that the operation time is short, the postoperative acute and chronic pain, and sexual activity are similar in the Desarda method. The Desarde herniorrhaphy method seems to be a suitable alternative to mesh herniorhaphy.