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

Oribabor FO, Amao OA, Akanni SO, Fatidinu SO - Niger J Surg (2015 Jan-Jun)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Federal Medical Centre, Ido Ekiti, Ekiti, Nigeria.

ABSTRACT

Introduction: 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.

Materials and methods: 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.

Result: 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.

Conclusion: 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.

No MeSH data available.


Related in: MedlinePlus

Preparation for mesh insertion
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Figure 1: Preparation for mesh insertion

Mentions: Consent was obtained from each patient after an explanation. All patients had open hernia surgery which consisted of a skin crease incision about 2–3 cm above the inguinal ligament, opening of the inguinal canal, dissection and separation of the sac from the cord. The sac was emptied of its content, transfixed at its neck, the excess of the sac excised and the stump was returned into the peritoneum. The deep ring was then narrowed with a 2/0 absorbable suture (indirect hernia), the posterior walls repaired (direct and indirect hernias) in preparation to receive the mosquito-net mesh [Figure 1].


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

Oribabor FO, Amao OA, Akanni SO, Fatidinu SO - Niger J Surg (2015 Jan-Jun)

Preparation for mesh insertion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4382643&req=5

Figure 1: Preparation for mesh insertion
Mentions: Consent was obtained from each patient after an explanation. All patients had open hernia surgery which consisted of a skin crease incision about 2–3 cm above the inguinal ligament, opening of the inguinal canal, dissection and separation of the sac from the cord. The sac was emptied of its content, transfixed at its neck, the excess of the sac excised and the stump was returned into the peritoneum. The deep ring was then narrowed with a 2/0 absorbable suture (indirect hernia), the posterior walls repaired (direct and indirect hernias) in preparation to receive the mosquito-net mesh [Figure 1].

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Federal Medical Centre, Ido Ekiti, Ekiti, Nigeria.

ABSTRACT

Introduction: 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.

Materials and methods: 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.

Result: 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.

Conclusion: 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.

No MeSH data available.


Related in: MedlinePlus