Desarda's Technique Versus Lichtenstein's Technique Hernia Repair in Management of Elective Non-Complicated Inguinal Hernia

Comparative Study Between Desarda's Technique Versus Lichtenstein's Technique Hernia Repair in Management of Elective Non-complicated Inguinal Hernia (Randomized Controlled Trial)

This study aims to compare Desarda's technique and Lichtenstein's technique of hernia repair in managing elective, non-complicated inguinal hernia.

Mesh prosthesis was introduced to hernial surgery as a magic solution for any inguinal hernia, and it has significant advantages (Simplicity of the procedure, Mesh is cheap, and has a low recurrence rate). Still, mesh induces fibrosis that can lead to stiffness and foreign body sensation, which become a source of agony for the patient. Mesh infection is one of the serious complications that can lead to the removal of the mesh and long-term terms morbidity from Lichtenstein hernia repairs, such as Vas entrapment and Chronic groin pain.

Desarda technique requires no extensive dissection or only suturing; no mesh is needed, and it is easy to learn. It is still ferrated and determined the optimum procedure to treat an inguinal hernia. It is a straightforward operation that avoids the risks of mesh implantation, has a low recurrence rate, and can be done by non-consultant staff.

Inclusion Criteria:

• Above 14 years of age.
• With reducible non-complicated inguinal or inguinoscrotal hernia; unilateral or bilateral

Exclusion Criteria:

• Obstructive uropathy or chronic obstructive pulmonary disease because they are contraindications to elective hernia surgery. They are associated with definite poor outcomes, such as high recurrence rates.
• Unfit patients for surgery
• Patients with strangulated hernia.
• Recurrent Hernias.
• Per operative finding of separated, thin, and/or weak external oblique aponeurosis