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Inguinal Hernias Repair by Plasty of External Oblique Aponeurosis (Desarda Technique): An Alternative to Prosthetic Repair in Developing Countries

Desarda technique is autoplastic method using the external oblique aponeurosis in the treatment of inguinal hernias. Aim: To report our experience using this technique in the treatment of inguinal hernias in adults. Patients and methods: This is a prospective descriptive study of 4 years (March 2009-March 2013) on 115 cases of inguinal hernia by fascial plasty of external oblique muscle. There were 100 men (94.8 %) and 6 women (5.2%) with a mean age of 42.7 years. Results: Spinal anesthesia was used in 90 cases (86.1 %). The average operative time was 34.8 minutes. The evaluation of pain beyond the third month has noted 12 cases (11.3%) of mild chronic pain (VAS < 2). Two cases of recurrence (1.7%) were noted in our study. The average being decline was 33.08 months (2.75 years). Conclusion: The aponevrotic plasty according to Desarda constitute an alternative to cures for prosthesis in the treatment of inguinal hernias.

Auteur(s) : Mamadou Seck*, Mamadou Cisse, Alpha Oumar Toure, Ibrahima Ka, Ousmane Ka, Madieng Dieng
Pages : 37-41
Année de publication : 2020
Revue : Open Journal of Surgery
N° de volume : 4(2)
Type : Article
Mise en ligne par : TOURE Alpha Oumar