Kaleem Ullah, Shahidullah Ahmad, Sheikh Muhammad Ibqar Azeem, Waleed Mabood, Sahibzda Salma Rahman, Nasir Bakhtiar.
Comparison of postoperative pain in Desarda vs Lichtenstein mesh repair in the treatment of inguinal hernias.
Gomal J Med Sci Jan ;21(4):245-9.

Background: Inguinal hernia is a protrusion of a viscus or part of a viscus in the inguinal canal either through the internal ring or a weakness in its posterior wall. Inguinal hernia repair is one of the most frequently performed surgeries in the world. The objective of this study was to compare the mean postoperative pain in Desarda vs Lichtenstein Mesh repair in the treatment of inguinal hernia. Materials & Methods: This randomized controlled trial was conducted at Surgery Department Mercy Teaching Hospital, Peshawar Medical College and District Headquarter Hospital Daggar, Buner from January 2022 to December 2022. Two hundred thirty-eight patients were equally & randomly allocated by toss method into two groups i.e., Experimental group (Desarda’s repair group) & Control group (Lichtenstein Mesh repair group). The data for the sample were elaborated by counts & percentages and for the population as confidence interval with 95% confidence level. The mean pain between 2 groups was compared using independent sample t-test. Results: Mean pain at 24 hours was same in both groups i.e., 2.62 in Desarda group as compared to 2.71 in Lichtenstein Mesh repair group & at 3 days was also same in both groups i.e., 2.26 in Desarda group as compared to 2.21 in Lichtenstein Mesh repair group. Mean pain score at 7 days was statistically significant i.e., p-value<0.05. Mean pain score was 2.17 in Desarda group as compared to 2.18 in Lichtenstein Mesh repair group. Conclusion: Our study concludes that early postoperative mean pain at one week of follow up is less in Desarda repair as compared to Lichtenstein repair in the treatment of inguinal hernia & the results are statistically significant.

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