The Newly Proposed Modified Desarda’s Technique, a Safe & More Resilient Repair for Indirect Inguinal Hernia in Terms of Late Recurrence in Contrast to Original Desarda’s No Mesh Hernioplasty

Introduction n 1890, Eduardo Bassini described suture repair for inguinal hernia. This was a massive leap forward and has been the basis of open repair for over 100 years. The surgeon enters the inguinal canal by opening its anterior wall, the external oblique aponeurosis. The spermatic cord is dissected free and the presence of a lateral or a medial hernia is confirmed. The sac of a lateral hernia is separated from the cord, opened and any contents reduced. The sac is then sutured closed at its neck and excess sac removed. If there is a medial hernia then it is inverted and the transversalis fascia is suture plicated. Sutures are now placed between the conjoint tendon above and the inguinal ligament