Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia
Tension-free mesh repair is standard for inguinal hernia in high-income regions despite limitations like chronic pain and costs. This study assessed whether Desarda’s tissue-only repair can offer an affordable yet effective option. 250 inguinal hernia patients underwent Desarda repair during 2015-20...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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National Board of Examinations
2023-12-01
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| Series: | National Board of Examinations Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://natboard.edu.in/ejournal/articledtl?x=eEMvWWVDUjd6SStHTEtXakcxczh6Zz09 |
| _version_ | 1797388546402680832 |
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| author | Arjun C Chandana N Linganagouda S Patil |
| author_facet | Arjun C Chandana N Linganagouda S Patil |
| author_sort | Arjun C |
| collection | DOAJ |
| description | Tension-free mesh repair is standard for inguinal hernia in high-income regions despite limitations like chronic pain and costs. This study assessed whether Desarda’s tissue-only repair can offer an affordable yet effective option. 250 inguinal hernia patients underwent Desarda repair during 2015-2020 at an Indian rural hospital. Outcomes like operative duration (mean 47.3 min), recovery (discharge by day 3), pain resolution (VAS declined from 3.8 to 0 over 6 months), return to work (median 6 days), complications (~4%) and recurrence (0% over 30 months) after Desarda repair matched or exceeded mesh repair standards. Our data establishes it as a simplified tension-free physiology-restoring hernia cure that can expand surgical capacity affordably. Guideline-based evaluation via implementation research is warranted before global use recommendations. |
| first_indexed | 2024-03-08T22:42:23Z |
| format | Article |
| id | doaj.art-75446126394a451fae4314c8dbab0f83 |
| institution | Directory Open Access Journal |
| issn | 2583-7524 |
| language | English |
| last_indexed | 2024-03-08T22:42:23Z |
| publishDate | 2023-12-01 |
| publisher | National Board of Examinations |
| record_format | Article |
| series | National Board of Examinations Journal of Medical Sciences |
| spelling | doaj.art-75446126394a451fae4314c8dbab0f832023-12-17T11:25:01ZengNational Board of ExaminationsNational Board of Examinations Journal of Medical Sciences2583-75242023-12-01Volume 11276076610.61770/NBEJMS.2023.v01.i12.006Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal HerniaArjun C0Chandana N1Linganagouda S Patil2Asst Professor, Department of General Surgery, SSIMS, Davanagere, IndiaPost Graduate. Department of OBG, SDM Medical College, Dharwad, IndiaHead of Department, Department of General Surgery, SSIMS, Davanagere, IndiaTension-free mesh repair is standard for inguinal hernia in high-income regions despite limitations like chronic pain and costs. This study assessed whether Desarda’s tissue-only repair can offer an affordable yet effective option. 250 inguinal hernia patients underwent Desarda repair during 2015-2020 at an Indian rural hospital. Outcomes like operative duration (mean 47.3 min), recovery (discharge by day 3), pain resolution (VAS declined from 3.8 to 0 over 6 months), return to work (median 6 days), complications (~4%) and recurrence (0% over 30 months) after Desarda repair matched or exceeded mesh repair standards. Our data establishes it as a simplified tension-free physiology-restoring hernia cure that can expand surgical capacity affordably. Guideline-based evaluation via implementation research is warranted before global use recommendations. https://natboard.edu.in/ejournal/articledtl?x=eEMvWWVDUjd6SStHTEtXakcxczh6Zz09inguinal herniadesardas repaircomplicationsclinical outcomescost effective |
| spellingShingle | Arjun C Chandana N Linganagouda S Patil Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia National Board of Examinations Journal of Medical Sciences inguinal hernia desardas repair complications clinical outcomes cost effective |
| title | Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia |
| title_full | Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia |
| title_fullStr | Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia |
| title_full_unstemmed | Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia |
| title_short | Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia |
| title_sort | desarda s tissue repair an efficient and affordable alternative to mesh repair for inguinal hernia |
| topic | inguinal hernia desardas repair complications clinical outcomes cost effective |
| url | https://natboard.edu.in/ejournal/articledtl?x=eEMvWWVDUjd6SStHTEtXakcxczh6Zz09 |
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