ArticleGhana medical journal2017
Our Experience with the Use of Low Cost Mesh in Tension-Free Inguinal Hernioplasty in Northern Ghana.
Article in Ghana medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Adult groin hernia surgery in sub-Saharan Africa: a 20-year systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Meta-analysis of the use of sterilized mosquito net mesh for inguinal hernia repair in less economically developed countries.BJS open · 2019Pooled it
- Advances, Overuse, and Shared Decision-Making in Abdominal Wall Surgery.Journal of abdominal wall surgery : JAWS · 2025Article
- Article
- Study of Operative Outcomes of Hernioplasty Using Mosquito Net Mesh at a Tertiary Hospital.Cureus · 2022Article
- Regulatory science for hernia mesh: Current status and future perspectives.Bioactive materials · 2021Review
- Improving surgical education in East Africa with a standardized hernia training program.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Alterations in the mechanical, chemical and biocompatibility properties of low-cost polyethylene and polyester meshes after steam sterilization.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Patient Experience and Outcomes of the Locally Organized ApriDec Medical Outreach Group.World journal of surgery · 2020Article
- An in vitro study on the biocompatibility of fibroblasts in sterile and non-sterile low-cost and commercial meshes.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- MeshBJS open · 2019Article
- Antibiotics for Groin Hernia Repair According to Evidence-Based Guidelines: Time for Action in Ghana.The Journal of surgical research · 2019Article
- Local Research Catalyzes National Surgical Planning Comment on "Global Surgery - Informing National Strategies for Scaling Up Surgery in Sub-Saharan Africa".International journal of health policy and management · 2018Article
- Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe our experience and success in the use of low cost mesh for the repair of inguinal hernias in consenting adult patients.
methodsA prospective study was carried out from August 2010 to December 2013 in ten district hospitals across Northern Ghana. The patients were divided into four groups according to Kingsnorth's classification of hernias. Low cost mesh was used to repair uncomplicated groin hernia. Those hernias associated with complications were excluded. We assessed the patients for wound infection, long term incisional pain and recurrence of hernia. The data collected was entered, cleaned, validated and analyzed.
resultsOne hundred and eighty-four patients had tension-free repair of their inguinal hernias using non-insecticide impregnated mosquito net mesh. The median age of the patients was 51 years. The male to female ratio was 7:1. Using Kingsnorth's classification, H3 hernias were (62, 33.7%), followed by the H1 group (56, 30.4%). Local anaesthesia was used in 70% and less than 5% had general anaesthesia. The cost of low cost mesh to each patient was calculated to be $ 1.8(GH¢7.2) vs $ 45(GH¢ 180) for commercial mesh of same size. The benefit to the patient and the facility was enormous. Wound hematoma was noticed in 7% while superficial surgical site infection was 3%. No patient reported of long term wound pain. There was no recurrence of hernia.
conclusionLow cost mesh such as sterilized mosquito net mesh for use in hernioplasty in resource-limited settings is reasonable, acceptable and cost-effective, it should be widely propagated.
fundingNone declared.
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Identifiers
28955103PMC5611906What OpenQuestion holds
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