Can Desarda Technique Repair all Adult Inguinal Hernia?

Abstract

Objectives: This paper focuses on reporting the results of the daily use of the Desarda technique for the treatment of adult inguinal hernias without selection of patients at national hospital of Niamey. Patients and Method: This was a prospective and descriptive study from December 2012 to August 2014. It included 76 patients aged over 15 years who underwent inguinal hernia repair by Desarda technique without any selection. The variables studied include the type of inguinal hernia, the Nyhus class of inguinal hernia, the operating time, the postoperative pain, and the hernia recurrences. Results: There were 74 men and 2 women. The average age of the patients was 43.6 years [± 17.6]. Inguinal hernia was found in 57.9% of patients. There were 76.31% simple hernias, 15.80% recurrent hernias, 2.63% intractable hernias by loss of domain, and 5.26% strangulated hernias. 90.79% of the patients were operated under spinal anesthesia. The most frequent types of inguinal hernia were Nyhus type 2 found in 35.52% of patients, followed by Nyhus type 3b found in 30.26% of patients. The mean operative time was 46.67 [± 11.5] minutes. The immediate operative follow-up was marked by the occurrence of a hematoma of the scrotum in two patients. There was no recurrence of chronic postoperative pain after a median follow up of 40 months. Conclusion: The Desarda technique could be a good alternative for the cure of all inguinal hernias of adults.