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Revista Cubana de Cirugía

On-line version ISSN 1561-2945

Abstract

LOPEZ RODRIGUEZ, Pedro Rolando et al. Modified Mohan P. Desarda herniorraphy in inguinal hernia repair with no prosthesis. Rev Cubana Cir [online]. 2018, vol.57, n.4 ISSN 1561-2945.

Introduction:

Hernia is one of the best studied processes in order to achieve treatment of excellence, but there are still many pending controversies to be solved.

Objective:

To determine the results of the modified Mohan P. Desarda technique in the surgical service of “Enrique Cabrera” general teaching hospital.

Method:

A prospective randomized study was performed on 1010 surgical patients with the diagnosis of inguinal hernia from January 2004 to December 2017. These patients were operated on by using modified Dr Mohan P. Desarda’s technique and they were followed up in the outpatient service and finally by phone.

Results:

The highest incidence rate was found in males, with 915 (90.6%) patients and the average age was 58.3 years. The most common location was on the right side of 497 (49%) patients. Local anesthesia was used in 690 (68.3%) patients and 783 (77.4%) were treated as outpatients. Forty six (34.5%) patients suffered complications. Recurrence occurred in 6 patients, which accounted for 0.6% of the total number.

Conclusions:

Modified Mohan P. Desarda herniorraphy achieves satisfactory results as well as the other prosthetic techniques, thus contributing important economic savings.

Keywords : herniorraphy; hernioplasty; local anesthesia; outpatient treatment.

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