Case series on tension-free inguinal hernia repairs without mesh using desarda technique

Introduction: Inguinal hernia is one of the commonest surgical pathology. India is known to have hard labourers leading to high-risk factor of acquiring hernia by a parietal defect. The challenge is respecting the principal objectives of a hernia repair without expensive prosthetic material. One principal technique has been developed and used with satisfied results: The Desarda technique. AIMS AND OBJECTIVE-To fulfill all the principles of hernia repair Objective: suppress hernia, reduce post operative pain and recurrence using Desarda repair in a sub urban town of north India. Methods: A Case series study in 40 open inguinal hernia repair patients done between March 2021 to March 2022 and followed till August 2022 in JLNMCH, Bhagalpur Inclusion criteria- Male patients having Inguinal hernia in the age group of 25-50 years Exclusion criteria-Inguinal hernia with complications, recurrent inguinal hernia, previous contralateral hernia repair, previous abdominal surgery, female, children, obese patients, elderly male, patients with bladder outlet obstruction/chronic constipation/chronic cough/other co-morbidities PROCEDURE-The repair is done using a flap of the external oblique aponeurosis sutured to the inguinal ligament below and to the aponeurotic part of the internal oblique muscle above. Results: Most of the patients were well and discharged on post operative day1. Complications encountered in post operative period and patient follow-up include urine retention and post operative pain and minimal incidence of hematoma, seroma, wound infection and recurrence. Conclusion: Inguinal hernia is public health disease. The socioeconomic context is important here. The tension-free repairs without mesh using Desarda technique avoids the risk of mesh-related complications, low rate of recurrence, postoperative pain, less suture material used, reduced hospital stay and cost inexpensive thus an effective way of open hernia repair.