New Desarda repair study from Germany
Dr. Lorenz is a co-author of this new, relatively small, study. The study results look promising, and, of course, the reason that the authors undertook the study. Maybe the tide is turning. At least there is some small pushback to the takeover of hernia repair by mesh methods.
The paper is kind of dense but still readable. I pulled out a couple of sections. Apparently TAPP is the primary repair method at their institution so they compared the results of the small Desarda group (120 patients) to the general results of the institution.
Many good references.
Quality of Life after Desarda Technique for Inguinal Hernia Repair—A Comparative Retrospective Multicenter Study of 120 Patients
by Mark Philipp 1,*,Matthias Leuchter 1,2ORCID,Ralph Lorenz 3,Eberhard Grambow 1ORCID,Clemens Schafmayer 1 andReiko Wiessner 4
Reasons for renewed interest in pure tissue repair for inguinal hernia are numerous. There are persisting concerns associated with implanted hernia meshes regarding chronic postherniorrhaphy pain, visceral complications following minimally invasive and mesh-based techniques, as well as long-term uncertainties toward later surgical procedures, e.g., radical prostatectomy [19,20,21].”
In an observational study to introduce the operation according to Desarda’s technique, we were able to show that the novel operation was successfully implemented. The results were equal, even in a low-volume prerequisite. This was underlined by an additional survey of the postoperative QoL, showing that Desarda was equal to TAPP and superior compared to the reference population.”
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