Desarda Procedure In Inguinal Hernia Surgery

Successful management of inguinal hernia depends on not only prevention of recurrence but also patient comfort. Although recurrence is lower in procedures using prosthetic meshes, complications related to these meshes negatively affect patient comfort. The procedure described by Desarda, draws attention due to lower recurrence, conformance to physiology and higher patient comfort. In this study we present results of patients treated using desarda procedure. Seventy two patients admitted to our clinic with inguinal hernia between 2010 and 2012 and treated using Desarda procedure were included in this study. Patients with recurrent inguinal hernias, femoral hernias, patients below 18 years of age and patients with systemic disease excluded. Demographic properties, types of hernias, postoperative complications and recurrence of the patients were recorded. Of the patients, 71 were male and 1 was female. Median age was 51 (range 18-85). Median operating time was 34.7±11.5 for single sided cases and 76.1±15.4 minutes for bilateral cases. Mean hospitalization was 1.02 days (range 1-2), mean follow up was 22.0±4.2 months. Early recurrence was observed in 1 (1.3%) patient at 6th month. One (1.3%) patient had scrotal edema, 3 (4.1%) patients had edema of spermatic cord, 2 (2.7%) patients, one of these using anticoagulant, developed hematomas. None of the patients required analgesics beside routinely used non-steroid analgesics and no neuralgia was observed. Desarda procedure is a remarkable technique for treatment of inguinal hernias of suitable patients, which is non-expensive, easy to learn and more physiologic technique providing lower recurrence and higher patient comfort.