Evidence map›Paper›PMID 37452974›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2023

Feasibility and outcomes of Desarda vs Lichtenstein hernioplasty by local anesthesia for inguinal hernia: a noninferiority randomized clinical trial.

P K Sasmal, A Sahoo, T S Mishra, K K Das Poddar, S M Ali, P K Singh, P Kumar

Registry-linked trialAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03512366 (Comparative Study Between Desarda and Lichtenstein's Technique for Inguinal Hernia Repair Under Local Anaesthesia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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.

NCT03512366 naunknown statusnot on this map

Comparative Study Between Desarda and Lichtenstein's Technique for Inguinal Hernia Repair Under Local Anaesthesia: A Double Blind Randomised Controlled Trial

TypeinterventionalSponsorAll India Institute of Medical Sciences, BhubaneswarRan2017 to 2020Enrolled55ConditionsHernias Inguinal Reducible, Local AnaesthesiaArmsDesarda's technique, Lichtenstein's technique
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

P K SasmalDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India. drpksasmal@gmail.com.ORCID http://orcid.org/0000-0002-6785-0101
A SahooDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India.
T S MishraDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India.ORCID http://orcid.org/0000-0001-9215-1647
K K Das PoddarDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India.
S M AliDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India.
P K SinghDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India.
P KumarDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India.
All India Institute of Medical Sciences Bhubaneswar · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Desarda autologous tissue repair is comparable to the Lichtenstein hernioplasty for inguinal hernia regarding recurrence, chronic groin pain, and return to work activities. This study was designed to establish the outcomes of Desarda's repair versus Lichtenstein's hernioplasty concerning post-operative recovery to normal gait and its feasibility under local anesthesia (LA). MATERIALS AND

methodsThis study was a single-center, prospective, double-blinded, non-inferiority, randomized trial. Patients undergoing open hernia repair for primary inguinal hernia were included. Patients were randomly assigned and followed up for 2 years. The primary endpoint was the time to return to normal gait post-surgery with comfort (non-inferiority margin fixed as 0.5 days). The secondary outcomes studied were post-operative pain score, the time required to return to work (all previously performed activities), and surgical-site occurrences (SSO).

resultsOne hundred ten eligible patients were randomly assigned [56 patients (50.9%) in the Desarda group and 54 patients (49.1%) in the Lichtenstein group]. All the procedures were safely performed under LA. The median (interquartile range) time for resuming gait post-surgery with comfort was 5 days in the Desarda vs 4 days in Lichtenstein's arm (P = 0.16), thereby failing to demonstrate non-inferiority of Desarda against Lichtenstein hernioplasty. However, there were no significant differences in days to return to work, SSO, chronic groin pain, and recurrence within two years of surgery. CONCLUSIONS AND RELEVANCE: This study could not demonstrate the non-inferiority of the Desarda repair versus Lichtenstein hernioplasty regarding the time taken to return to normal gait. Comparing the days to return to work, pain score, SSO, and chronic groin pain, including recurrence rate, Desarda repair faired equally with Lichtenstein hernioplasty, thereby highlighting its feasibility and efficacy under LA.

trial registrationClinicalTrials.gov Identifier: NCT03512366.

Indexed as

Chronic PainHernia, InguinalAnesthesia, LocalFeasibility StudiesHerniorrhaphyHumansPelvic PainPostoperative PainProspective StudiesRecurrenceSurgical MeshTreatment OutcomeCost-effective surgeryDaycare surgeryLichtenstein's tension-free repairMesh hernioplastyTissue repair

Identifiers

PMID37452974
OpenAlexW4384406013

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.