Outcomes of desarda and lichenstein repair under local anesthesia in terms of operative time, pain, urinary retention, wound infection and recurrance rate.

Abstract

Objective: To compare the outcomes of Desarda repair and Lichtenstein hernioplasty under local anesthesia in terms of operative time, post operative pain, post operative urinary retention frequency, rate of wound infection and recurrence rate of hernia one year after surgery. Study Design: Prospective Comparative study. Setting: Department of General Surgery of CMA Teaching and Research Hospital which is Teaching Hospital of Azra Naheed Medical College Lahore. Period: 1^st February 2021 to 31^st January 2023. Methods: A sample size of 200 patients was calculated divided in two groups randomly having 60 patients each. Outcomes were measured and Data was collected on a predesigned proforma and was analyzed using SPSS 20 and level of significance was considered at p = ≤0.05. Results: The mean age of patients was 31.5 years with SD of ± 13.31. Wound infection rates are slightly higher (n=7, 7%) in Lichtenstein group as compared to Desarda groups done under local anesthesia (P-Value = 0.000). The operative time (37.9 minutes ± SD 10.2 minutes) was less in Lichtenstein repair as compared to Desarda repair and post operative pain 12 hours after surgery (3.90 ± SD 2.48) is higher in Lichtenstein group (P-Value = 0.000). However, recurrence after 1 year is more in Lichtenstein group (n=9, 9%). Conclusion: Desarda repair has clear advantages over Lichtenstein mesh hernioplasty in terms of less post operative pain, recurrence after one year and wound infection. However, the operative time is more in Desarda repair.