TY - JOUR
T1 - The use of sterilized mosquito nets for hernioplasty
T2 - a systematic review
AU - Sørensen, C G
AU - Rosenberg, J
PY - 2012/12
Y1 - 2012/12
N2 - Introduction: Hernia repair is among the most frequent surgeries performed. Surgeons prefer the tension-free mesh repair, but in large parts of the world, commercial meshes are unavailable or unaffordable. Consequently, surgeons have been experimenting with insertion of inexpensive non-commercial meshes, the most common being a non-impregnated, sterilized mosquito net. Objective: To describe the results of inserting non-commercial meshes for hernioplastic surgery. Methods: Systematic searches were performed in EMBASE, PubMed, and Cochrane databases, and articles were chosen based on predefined inclusion criteria. Results: We found five original studies performed in humans, and one study was performed in goats using non-commercial meshes. A total of 577 non-commercial meshes have been inserted into humans, resulting in 35 patients (6.1 %) having short-term complications and one (0.17 %) recurrence. The majority of meshes inserted were mosquito nets. None of the short-term complications in any of the studies required reoperation. Conclusions: There seems to be good short-term and long-term outcomes when using non-commercial meshes for open inguinal hernia repair. Operating using a non-commercial mesh is highly cost-effective. Using non-commercial meshes for hernioplastic surgery is therefore interesting - especially in a resource-limited setting.
AB - Introduction: Hernia repair is among the most frequent surgeries performed. Surgeons prefer the tension-free mesh repair, but in large parts of the world, commercial meshes are unavailable or unaffordable. Consequently, surgeons have been experimenting with insertion of inexpensive non-commercial meshes, the most common being a non-impregnated, sterilized mosquito net. Objective: To describe the results of inserting non-commercial meshes for hernioplastic surgery. Methods: Systematic searches were performed in EMBASE, PubMed, and Cochrane databases, and articles were chosen based on predefined inclusion criteria. Results: We found five original studies performed in humans, and one study was performed in goats using non-commercial meshes. A total of 577 non-commercial meshes have been inserted into humans, resulting in 35 patients (6.1 %) having short-term complications and one (0.17 %) recurrence. The majority of meshes inserted were mosquito nets. None of the short-term complications in any of the studies required reoperation. Conclusions: There seems to be good short-term and long-term outcomes when using non-commercial meshes for open inguinal hernia repair. Operating using a non-commercial mesh is highly cost-effective. Using non-commercial meshes for hernioplastic surgery is therefore interesting - especially in a resource-limited setting.
U2 - 10.1007/s10029-012-0973-7
DO - 10.1007/s10029-012-0973-7
M3 - Journal article
C2 - 22864684
SN - 1265-4906
VL - 16
SP - 621
EP - 625
JO - Hernia : the journal of hernias and abdominal wall surgery
JF - Hernia : the journal of hernias and abdominal wall surgery
IS - 6
ER -