Evidence map›Paper›PMID 34188908›Full record

ArticleAnnals of medicine and surgery (2012)2021

A randomised controlled trial of Lichtenstein repair with Desarda repair in the management of inguinal hernias.

Sudhir Kumar Jain, Sushant Bhatia, Tariq Hameed, Rehan Khan, Amrita Dua

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. The best strategy for the management of inguinodynia is prevention.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sudhir Kumar JainDirector-Professor, Department of General Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Sushant BhatiaMCh. Resident, Department of GI Surgery & Liver Transplant, All India Institute of Medical Sciences, New Delhi, India.
Tariq HameedAssistant Professor, Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Rehan KhanSpecialty Doctor Surgery, Pilgrim Hospital, Boston, United Kingdom.
Amrita DuaResident, Department of General Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEver since the advent of mesh hernioplasty with low recurrence rates, surgeons have turned a blind eye towards its devastating mesh related complications. Consequently, the quest for the best hernia surgery, that is as effective as the mesh repair but lacks its complications, continues.

objectivesThe present study was carried out to compare the results of the Lichtenstein repair with the Desarda repair in the treatment of inguinal hernias.

methodsA total of 77 patients with 87 hernias were randomly allocated into two groups to undergo either the Desarda repair (Group I, 39 patients with 45 hernias) or the Lichtenstein repair (Group II, Control, 38 patients with 42 hernias). 3 patients didn't complete the follow-up and were excluded from analysis. Finally, 40 hernias were analyzed in the Lichtenstein group and 44 in the Desarda group.

resultsAfter a 6-month follow-up period it was found that neither of the two groups had any recurrence. The incidence of chronic inguinodynia was much higher in the Lichtenstein group as compared to Desarda group. The pain scores, mean operating time, mean time to return to work and analgesic requirement was much lower with the Desarda repair as compared to Lichtenstein repair.

conclusionDesarda repair was found to be as effective as the Lichtenstein repair in terms of recurrence and better in terms of chronic inguinodynia, complications and post operative pain scores. Desarda repair requires a significantly shorter operating time. The economic burden of this repair is much less compared to mesh repair.

Indexed as

Chronic inguinodyniaDesardaInguinal herniaLichtensteinMesh free tension free repairRecurrence

Identifiers

PMID34188908
PMCPMC8219653

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