TPT 3.12 Re-Thinking Mesh in the Emergency Groin Hernia: Lessons from Desarda Repair
Clicks: 3
ID: 324033
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Emerging Content
0.6
/100
3 views
2 readers
AI Quality Assessment
Not analyzed
Readership in this journal
EmergingRanked #319 of 432 articles by views in the british journal of surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Aims This retrospective case series compares outcomes of emergency tissue-only Desarda repair with mesh-based techniques (Lichtenstein repair and midline laparotomy with pre-peritoneal mesh) in older adults presenting acutely with symptomatic inguinal hernia. Midline laparotomy with pre-peritoneal mesh was performed for clear clinical strangulation, whereas Lichtenstein and Desarda techniques were employed in equivocal cases of bowel-containing herniae. Methods Demographic data, ASA grade, operative time, and length of stay were collected, with follow-up at 3 and 6 months to assess wound complications, pain, mobility, and quality of life. Twenty-five patients were included: Desarda (n=8), laparotomy with pre-peritoneal mesh (n=10), and Lichtenstein (n=7), with an overall mean age of 71 years. Results All Desarda and laparotomy patients underwent bowel resection, whereas none in the Lichtenstein group did. Mean operative time was shortest for Lichtenstein (51.3 minutes) compared with Desarda (116.3 minutes) and laparotomy (143.5 minutes). Length of stay was one day for Lichtenstein, versus six and seven days for Desarda and laparotomy, respectively. Rates of early postoperative complications (seroma, surgical site infection, and immediate postoperative pain) did not differ significantly between groups. However, Desarda repair was associated with significantly lower pain scores at 6 months (p=0.0079). There was no significant difference in Clavien–Dindo grade II complications, predominantly respiratory, between Desarda and laparotomy (p=0.0289), and no recurrences were reported at 6 months in any group. Conclusions Desarda repair appears to offer favourable long-term pain and functional outcomes while permitting adequate access for bowel resection and abdominal wall reinforcement without mesh-related morbidity.
| Reference Key |
openalex_W7172529101
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Kamila Rakhimova, Ayoola Olaleye, Assam Arshid, Soumendu Ghosh |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.195
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.