Research Article
Inguinal Hernia Repair Using the External Oblique Muscle Fascia: Desarda Technique
Diakite Sandaly*
,
Camara Fode Lansana,
Soumaoro Labile Togba,
Diakite Saikou Yaya,
Fofana Naby,
Kondano Saa Yawo,
Condé Ansoumane,
Camara Mariame,
Condé Ousmane,
Diallo Mamadou Saliou,
Ousmane Abakar,
Yom Petang Steve Cyrille,
Toure Aboubacar
Issue:
Volume 12, Issue 1, June 2024
Pages:
1-5
Received:
28 February 2024
Accepted:
18 March 2024
Published:
2 April 2024
DOI:
10.11648/j.ass.20241201.11
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Views:
Abstract: Introduction: An inguinal hernia is a protrusion of abdominal cavity contents or pre-peritoneal fat through a hernial defect in the inguinal region. Desarda's technique is an aponeuroplasty, based on closure of the posterior wall of the inguinal canal by a flap of the external oblique fascia. This technique has the advantage over prosthetic cures in that it is a tension-free cure and does not require an implant. The aim of this study is to demonstrate the feasibility of curing inguinal hernias using the Desarda technique, and to evaluate the initial results in our practice. Material And Method: This is a prospective study over a 2-year period (January 2017 - December 2018), covering 100 cases of uncomplicated inguinal hernia cure in 98 patients operated on by aponeurotic plasty (Desarda technique), in the general surgery department of Ignace DEEN Hospital. Selection criteria were: informed consent, age over 15 years, uncomplicated primary inguinal hernias, normal prostate ultrasound and PSA results for adult males over 50 years of age. Results: The study included 100 cases of uncomplicated inguinal hernia repair in 94 patients operated on by aponeurotic plasty (Desarda technique). The patients were 88 men (94%) and 6 women (6%), with a mean age of 44.7 years and extremes of 19 and 78 years. The majority of patients (37 or 39.36%) were blue-collar workers. The hernia was unilateral in 88 patients and bilateral in 6. One woman had a bilateral hernia. The hernia was located only on the right in 72 cases and only on the left in 20. According to the Nyhus classification, type IIIb 45% was the most frequent. The patients were operated on under spinal anesthesia in 68 cases. On the first postoperative day, nine patients (9.57%) were assessed as having moderate pain. Beyond the third month, pain assessment revealed five cases of chronic pain. Surgical site infection was the most frequent complication. With an average follow-up of 17 months, no cases of recurrence were noted.
Abstract: Introduction: An inguinal hernia is a protrusion of abdominal cavity contents or pre-peritoneal fat through a hernial defect in the inguinal region. Desarda's technique is an aponeuroplasty, based on closure of the posterior wall of the inguinal canal by a flap of the external oblique fascia. This technique has the advantage over prosthetic cures i...
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Research Article
Prosthetic Management of Inguinal Hernias Using the Lichtenstein Technique in 100 Cases
Diakite Sandaly*,
Diallo Mamadou Saliou,
Camara Fode Lansana,
Soumaoro Labile Togba,
Diakite Saikou Yaya,
Barounga Djaoussa Mahamat,
Fofana Naby,
Oulare Ibrahima,
Bangoura Mamadou Saliou,
Condé Ansoumane,
Camara Mariame,
Condé Ousmane,
Toure Aboubacar
Issue:
Volume 12, Issue 1, June 2024
Pages:
6-10
Received:
17 March 2024
Accepted:
27 March 2024
Published:
17 April 2024
DOI:
10.11648/j.ass.20241201.12
Downloads:
Views:
Abstract: Introduction: There has always been a plethora of hernia repairs in the absence of consensus. Techniques described as ancient, such as the Bassini, Mac Vay or Shouldice procedures, are still widely practised. Aponeurotic plasty has proved its worth in our practice. Prosthetic plasty, which has reduced recurrence by half, has become the gold standard. The aim of this study was to report on the feasibility of prosthetic management of inguinal hernias using the Lichtenstein technique. Material and method: This was a prospective fifteen (15)-month study: from July 1, 2022 to September 30, 2023. Study variables were sociodemographic, clinical and therapeutic. Results: During the study period, 173 patients underwent surgery for inguinal hernia. We noted one hundred (100) patients operated on according to the Lichtenstein procedure, i.e. 58% of all patients operated on for inguinal hernias in the department. We noted 98 men and 02 women. The mean age was 48.8 years (extremes: 20-91). The category of heavy laborer (laborer, farmer, etc....) accounted for % of cases. The hernia was exclusively right in 9 cases, left in 21 and bilateral in 10. A strangulated hernia was present in 9 patients. NYHUS classification was dominated by type IIIA (38.9%). Therapeutically, spinal anesthesia was the most common treatment: 8 cases. 40% of patients were pain-free in the immediate post-operative period, according to the analogue pain scale. The main complications were chronic pain in 10 patients and seroma in 02. After a minimum follow-up of three months for each patient, we noted no recurrence. Conclusion. The Lichtenstein technique is a relatively new procedure in our practice. Today, it is the technique of choice, with little postoperative morbidity.
Abstract: Introduction: There has always been a plethora of hernia repairs in the absence of consensus. Techniques described as ancient, such as the Bassini, Mac Vay or Shouldice procedures, are still widely practised. Aponeurotic plasty has proved its worth in our practice. Prosthetic plasty, which has reduced recurrence by half, has become the gold standar...
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