Comparative Study between Benefits of Desarda Tissue Repair Over Conventional Lichtenstein Mesh Hernioplasty

Objectives Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide. The Lichtenstein Mesh Hernioplasty is the gold standard, but it is associated with potential complications, including infections and chronic pain. Desarda Tissue Repair, a non-mesh technique, has been proposed as a safer alternative, offering advantages such as reduced complications and quicker recovery. This study aims to compare the clinical outcomes, postoperative pain, complications, and recovery times between Desarda Tissue Repair and Conventional Lichtenstein Mesh Hernioplasty in patients with an inguinal hernia. Material and Methods We conducted a comparative study at the People’s Hospital, Bhopal. After approval from the ethics committee and obtaining the informed consent form from the patients, a total of 82 patients meeting the inclusion criteria from March 2023 were studied. The patients were divided into two groups. The duration of surgery, post-operative pain, surgical complications, duration of hospital stay, and time taken to return to normal activity were assessed and compared. Data were analyzed using SPSS software ver. 26.0 Results The present study demonstrated that Desarda Tissue Repair yielded significantly better outcomes compared to Lichtenstein Mesh Hernioplasty. The former was associated with shorter symptom duration, surgery time, recovery time, and hospital stay. Patients with Desarda Tissue Repair also reported significantly lower postoperative pain (mean visual analog scale-VAS score of 2.76 ± 2.02 vs. 4.88 ± 2.66, p = 0.03) and fewer complications, with no wound infections, seromas, chronic pain, or loss of sensation, compared with Lichtenstein Mesh Hernioplasty. Fewer overall complications (97.56% no complications vs. 73.17% in Lichtenstein Mesh Hernioplasty, p = 0.02) make the Desarda repair a safer and more effective option for inguinal hernia repair. Conclusion The study concludes that Desarda Tissue Repair is a safer and more effective option for inguinal hernia repair compared with Lichtenstein Mesh Hernioplasty. It is associated with shorter surgery duration, fewer complications, less postoperative pain, and faster recovery, making it preferable, especially for those wanting to avoid mesh-related complications.