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LETTER TO EDITOR
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Year : 2006
| Volume : 68 | Issue : 5 | Page
: 288
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Open repair of
inguinal hernia without mesh
Desarda MP
Poona Hospital and Research Centre, Pune,
Maharashatra, India
Correspondence Address:
Desarda M P
18, Vishwalaxmi Housing Society, Kothrud, Pune - 411 029
India
desarda@gmail.com
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How to cite this article:
Desarda MP. Open repair of inguinal hernia without mesh. Indian J Surg
2006;68:288-288
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Sir,
I congratulate the author for giving an excellent and unbiased review on
the "Surgical options in inguinal hernia: Which is the best.[1]
The last section "New method of repair by Dr. Desarda, Pune,
India" in this review article needs more clarification regarding
hospital stay of two-three days mentioned therein. It was clarified by the
author[2]
of the article that the hospital stay of two-three days was to observe the
postoperative results and complications more carefully and not for any
surgical or other reason.
I have already published the results of a larger series of 860 patients
having 920 hernias.[3]
In this, 838 (97.4%) patients were ambulatory with limited movements in six
hours and free movements in 18-24 hours. Seven hundred and ninety-two (92%)
patients had a hospital stay of one night and 840 (97.6%) patients returned
to normal activities within one-two weeks. Hematoma formation requiring
drainage was observed in one patient, while seven patients had wound edema
during the postoperative period which subsided on its own. Follow-up was
completed in 623 patients (72.5%) by clinical examination or questionnaire.
The median follow-up period was 7.8 years (range, 1-12 years). There was no
recurrence of the hernia or postoperative neuralgia.
"Recurrence-free inguinal hernia repair with absorbable continuous
sutures-A dream or reality? (New concepts of the physiology of inguinal
hernia in context with new method of repair)" was my latest
paper read at the "Asia Pacific Hernia Conference held at New Delhi on
6-8th October 2006. Early results of 177 patients with 200 inguinal hernias
operated with absorbable PDSII no.1 (Ethicon) continuous sutures were
comparable to the author's other series using nonabsorbable sutures.
Continuous sutures requires only one packet of sutures instead of two for
inner sutures, saving cost of operation further, over and above the cost of
mesh and saves time also. The dream of every surgeon to give recurrence-free
inguinal hernia repair without leaving any foreign body inside the patient
may become a reality in future.
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¤ References
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1.
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Bhattacharjee PK. Surgical options in inguinal hernia: Which
is the best. Indian J Surg 2006;68:191-200. 
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2.
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Desarda MP. New method of inguinal hernia repair: A new
solution. ANZ J Surg 2001;71:241-4. [PUBMED] [FULLTEXT]
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3.
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Desarda MP. Physiological repair of inguinal hernia: A new
technique (study of 860 patients). Hernia 2006;10:143-6. [PUBMED]
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