The Use of Mosquito-Net Cloths as Prosthesis in Inguinal Hernia Repair: An Experience in Southern Sudan

Abstract

Inguinal hernia is one of the commonest medical problems in Africa and the treatment via open repair is considered as one of the most affordable and secure procedures. In the industrialized countries, the gold standard treatment is represented by placing a prosthesis which is usually a mesh, made of alloplastic material, such as polypropylene. In developing countries, a piece of nylon mosquito-net without insecticide is a cheaper and safe alternative as prosthesis. This study shows the security of implant of nylon mosquito-net in 70 patients, operated on with Lichtenstein’s tension-free technique, and performed in rural hospitals of Southern Sudan. The easy use of analyzed low-cost material and the demonstrated safety of these sterilized prostheses are two important factors that make them excellent solutions in poor and rural areas such as Southern Sudan. Objective: the aim of this article is to demonstrate that prostheses, made of well analyzed low-cost material, can be cost-effective and a valid solution for surgical inguinal hernia repair in both poor and rural developing areas

Study of Operative Outcomes of Hernioplasty Using Mosquito Net Mesh at a Tertiary Hospital

“…Our results are in line with earlier observational studies that found similar outcomes in terms of postoperative complications and hernia recurrence between patients undergoing groin hernia repair using a low-cost mesh and those undergoing the procedure using a commercial mesh. Our results are also in line with a large-scale clinical experience with low-cost mesh [15,22].…”

“…Kiss A et al [22] The researchers concluded that the easy use of analysed low-cost material and the demonstrated safety of these sterilised prostheses are two important factors that make them excellent solutions in poor and rural areas such as Southern Sudan.…”