The use of nontreated mosquito-net mesh cloth for a tension free inguinal hernia repair: our experience

The prohibitive costs and scarcity of the imported prosthetic mesh for hernioplasty, has prevented its widespread use in most developing countries. We then set out to ascertain the outcome, complications (undue pain, wound infection, recurrence, and mesh extrusion) and cost implications in the use o...

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Bibliographic Details
Published in:	Nigerian journal of surgery Vol. 21; no. 1; pp. 48 - 51
Main Authors:	Oribabor, Felix O, Amao, Oluwasegun A, Akanni, Saheed O, Fatidinu, Samuel O
Format:	Journal Article
Language:	English
Published:	India Medknow Publications and Media Pvt. Ltd 01-01-2015 Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications
Subjects:	An effective alternative Care and treatment Health aspects Inguinal hernia locally-sourced autoclaved nontreated mosquito-net mesh Original readily available and affordable Surgical mesh An effective alternative readily available and affordable locally-sourced autoclaved nontreated mosquito-net mesh
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Summary:	The prohibitive costs and scarcity of the imported prosthetic mesh for hernioplasty, has prevented its widespread use in most developing countries. We then set out to ascertain the outcome, complications (undue pain, wound infection, recurrence, and mesh extrusion) and cost implications in the use of a nontreated mosquito-net for inguinal hernioplasty. A prospective study of all consecutive adult patients with uncomplicated inguinal hernia who were admitted for open herniorrhaphy between January 2012 and December, 2013 at the Federal Medical Centre, Ido - Ekiti, South West, Nigeria. A sheet of the nontreated mosquito-net mesh 10 cm Χ 8 cm, autoclaved, a day prior to surgery was used for each patient's hernia repair. The operation sites were exposed and examined 3(rd) and 6(th) postoperative days. Findings were documented for analysis. A total of 130 adult patients were recruited for this study of which 115 of the patients were males and 15 were females. Forty-four (41.53%) had inguinal hernia and 76 (58.46%) of them had inguinoscrotal hernia. They all had successful repair and were followed-up for complications for a period of 6 weeks to 6 months at the surgical out-patient department. Locally-sourced and autoclaved mosquito-net mesh is an effective alternative for hernioplasty especially in situations where commercial mesh is not readily available or affordable.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1117-6806 2278-7100
DOI:	10.4103/1117-6806.152726