Use of the Desarda Technique in Emergency Settings: a Comprehensive Review.

Abstract

One of the most frequent surgeries performed across the world is an inguinal hernia repair, with at least twenty million people undergoing this procedure each year. The prevalence of groin hernia, defined as projections of adipose tissue or viscera through the femoral or inguinal canal, is 3-6% for women and 27-43% for men. Obstruction of the small bowel is one of the most frequent reasons for a strangulated hernia. The risk of strangulation per annum for a groin hernia is approximately 1-3%. The surgical method used to treat an emergency inguinal hernia surgery remains controversial. The elevated risk of complications and infections using prosthetic as opposed to pure tissue repair accounts for an increased likelihood of contamination of the surgical site and necrosis. To ascertain the utility of the Desarda technique in emergency hernia surgery, a systematic review in conjunction with a meta-analysis was performed, with a particular focus on duration of hospital stay, estimated operating time, relapse rate, and postoperative complications.