Desarda Hernia Repair

Desarda hernia repair is the repair of inguinal hernias without the use of mesh, instead using a patient's own tissue to cover the hernia defect. This technique is safe and simple.

What is a Hernia?

A hernia is a hole in the muscular abdominal wall. It can be located in many locations.  The most common locations are the groin area (inguinal or femoral hernia) and in the belly button (umbilical hernia).  The hernia can cause discomfort or possibly even emergency issues because of the possibility of the intestine getting caught in and squeezed by the hernia hole.

What is the Desarda (no mesh) Repair Technique?

This is a unique approach to the repair of inguinal hernias in the groin that avoids the use of mesh. It is an elegant operation involving the creation of a natural patch from the patient's own tissue (external oblique) used to cover the hernia defect. The Desarda technique of inguinal hernia repair uses live muscle tissue adjacent to the hernia site to repair and reinforce the weakened area. It is a technique developed by Dr. Mohan Desarda from Pune, India. He has operated on over 5000 patients with this technique and describes excellent results. Many surgeons from all over the world have adopted this very safe and relatively simple technique for repair of an inguinal hernia with no mesh.

Dr. Desarda is a brilliant and passionate surgeon who continues to operate on patients from all over the world with excellent results.

At Center for Hernia Repair in Sarasota, Florida, we proudly offer the Desarda inguinal hernia repair technique (with no mesh) to our patients. After many years of studying, observing other experts, and personal experience - I am able to provide a perfect Desarda inguinal repair for my patients.

Is the Desarda Repair Right for You?

While there are many techniques used for inguinal hernia repair - some techniques are best matched with certain types of patients.

While it is not proven, many hernia experts agree that young, thin active people have a higher risk of pain or discomfort in the long term with the use of mesh. At the same time, it is clear that when mesh is used correctly in the right patient there is a lower risk of long term recurrence of the hernia. In expert hands, laparoscopic and robotic techniques of inguinal hernia repair mesh placement has a risk of recurrence and complications of under 1 percent.

Despite our extraordinary results with laparoscopic and robotic techniques of inguinal hernia repair, it remains clear that the avoidance of mesh in some patients eliminates the risk of chronic discomfort or pain and with a small price of a slightly higher risk of recurrence. Therefore a non mesh inguinal hernia repair may be the most "minimally invasive" option. The Desarda repair is an excellent option for patients who desire a repair of their inguinal hernia repair without mesh.
view in operating room

The Desarda Procedure

The Desarda technique of inguinal hernia repair uses live muscle tissue adjacent to the hernia site to repair and reinforce the weakened area. There is no synthetic mesh material used in this operation. A strip of tissue is separated from the external oblique aponeurosis keeping its insertion and continuity with the muscle intact. This strip is sutured to the inguinal ligament below and the internal oblique muscle or aponeurosis above. This strip of natural tissue now covers the area of the hernia in the posterior wall of the inguinal canal. It uses your own natural tissue in a way that mesh is used in other hernia repair operations.

Benefits of the Desarda Technique

  • Repair is performed only with the patient's own tissue. (Natural tissue repair)
  • No synthetic mesh material is used.
  • Avoidance of entry into the abdomen and potential injury to intestine or major blood vessels.
  • Extraordinarily low risk of infection or major complications.
  • Can be performed under local or regional anesthesia.

What to Expect After Desarda Inguinal Hernia Repair

The biggest variable after this surgery is the degree of pain after the operation.

90-95% of patients undergoing a Desarda inguinal hernia repair will experience mild to moderate pain in the first 8-12 hours after surgery. These patients are frequently able to avoid prescription pain medicine after surgery.

5-10% of patients will experience significant pain requiring prescription pain medicine.

99% of patients are comfortable at rest within 5 days of the operation and tolerate symptoms with ibuprofen and /or acetaminophen alone.

Returning to Activities after Surgery ...

Return to office type job within 3-5 days after surgery depending on level of discomfort.

Return to 30 lb lifting as soon as you feel comfortable.

Return to extraordinary physical activities performed by high performance athletes and those with physical demanding occupations is dependent on multiple factors and is not uniform for all.

Learn more about what to expect after hernia surgery.

Overall - most patients find the Desarda repair of their inguinal hernia to be a good experience and easily tolerated.

Contact Us Today

At Center for Hernia Repair , we specialize in the treatment of hernias and prioritizing patient comfort and satisfaction.

Dr. Yunis relies on his 20 years of experience and expertise in a variety of repair techniques to offer his patients a customized treatment plan to suit their needs.

Call us at 941-953-5917 to discuss your options.
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FAQs

What types of hernias can be treated with the Desarda technique?
The Desarda repair is a type of natural tissue repair of inguinal hernias that occur in the groin (the lowest part of the abdominal wall).
Is mesh better than Desarda (or no mesh) repair?
The Desarda repair of inguinal hernia is a natural tissue repair that does not use mesh. While the Desarda repair has demonstrated significant safety and durability, there is extensive evidence that shows that the use of mesh yields a lower risk of hernia recurrence than natural tissue repairs.
How long does the Desarda repair take to perform?
Approximately 45 minutes.
What is the success rate of the Desarda technique?
The success rate is not as well defined as other techniques that have a longer history of use. However, Dr Mohan Desarda (the designer of this elegant operation) reports recurrence rates well under 1%.
How do I know if the Desarda technique is right for me?
The Desarda repair can be performed on patients that are close to ideal body weight and have not had their hernia repaired before. Some patients with prior repairs are candidates for Desarda repair.
Where will you perform the procedure?
At a hospital or surgery center on an outpatient basis.
What do I need to do to prepare for the Desarda repair procedure?
Possibly you will need to optimize your weight.
Will I need to lose weight?
Optimally, one should attain close to ideal body weight prior to surgery.
How much does hernia repair cost?
This varies by location in the world. The cost is typically less than laparoscopic or robotic techniques.

Center for Hernia Repair

1435 South Osprey Avenue
Suite 201
Sarasota, Florida 34239
941.953.5917
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