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Mitura et al. Mini-invasive Surg 2021;5:22 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2021.19

Original Article Open Access

Desarda technique as a valuable alternative for

inguinal hernia patients refusing mesh implantation:
long-term results fifteen years after a pure tissue

repair in 198 patients

3
1,2
2
Kryspin Mitura , Anna Rzewuska , Marzena Skolimowska-Rzewuska , Dorota Wyrzykowska 1,2
1
Faculty of Medical and Health Sciences, University of Natural Sciences and Humanities in Siedlce, Siedlce 08-110, Poland.
2
Department of General Surgery, Siedlce Hospital, Siedlce 08-110, Poland.
3
Department of Medical, Medical University in Lublin, Lublin 20-059, Poland.
Correspondence to: Dr. Kryspin Mitura, Faculty of Medical and Health Sciences, University of Natural Sciences and Humanities
in Siedlce, 15 Starowiejska St., Siedlce 08-110, Poland. E-mail: chirurgia.siedlce@gmail.com
How to cite this article: Mitura K, Rzewuska A, Skolimowska-Rzewuska M, Wyrzykowska D. Desarda technique as a valuable
alternative for inguinal hernia patients refusing mesh implantation: long-term results fifteen years after a pure tissue repair in 198
patients. Mini-invasive Surg 2021;5:22. https://dx.doi.org/10.20517/2574-1225.2021.19

Received: 9 Feb 2021 First Decision: 9 Mar 2021 Revised: 21 Mar 2021 Accepted: 29 Mar 2021 Published: 8 May 2021

Academic Editor: William W. Hope Copy Editor: Xi-Jun Chen Production Editor: Xi-Jun Chen

Abstract
Aim: The aim of the study was to retrospectively analyze long-term results of surgical treatment of patients
diagnosed with primary inguinal hernia up to 15 years after a Desarda pure tissue repair.

Methods: The study was conducted on a group of adult patients with primary inguinal hernia who underwent
elective surgery at our center during 2005-2006. Patients’ data and hernia and surgery characteristics were
recorded. Incidence of postoperative complications was assessed seven days after surgery. An attempt was made
to contact all patients 15 years after the procedure regarding recurrence, possible surgical re-treatment, pain, and
satisfaction.

Results: Desarda procedure was performed in 341 patients. Fifteen years after the surgical procedure, a follow-up
was successful in 215 (63%) patients, of whom 198 (58.1%) answered all of the questions. In the early
perioperative period, minor postoperative complications were found in 5.6% of patients. After 15 years of follow-
up, three recurrences were found (1.5%). Recurrences occurred 2, 3, and 5 years after the surgery. All patients
expressed their satisfaction with the treatment. Twenty-eight patients (14.4%) reported a rare occurrence of mild
pain while performing certain activities. Three patients reported persistent chronic pain (1.5%).

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made.

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