Desarda's Tissue Repair: An Efficient and Affordable Alternative to Mesh repair for Inguinal Hernia

Abstract

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.

Keywords

• inguinal hernia
• desardas repair
• complications
• clinical outcomes
• cost effective