Resterilized Polypropylene Mesh for Inguinal Hernia Repair
Autor: | Ifeanyi A Onwuezobe, Kingsley U Umeh, Isaac Assam Udo |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
lcsh:Surgery 030230 surgery 03 medical and health sciences 0302 clinical medicine low-cost Posterior wall medicine 030212 general & internal medicine business.industry sterilized mesh Inguinal hernia lcsh:RD1-811 medicine.disease Inguinal canal Wound infection Surgery Polypropylene mesh medicine.anatomical_structure Hernia recurrence Lichtenstein repair Seroma Inguinal hernia Lichtenstein repair low‑cost sterilized mesh Original Article business |
Zdroj: | Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society Nigerian Journal of Surgery; Vol 24, No 1 (2018); 19-22 Nigerian Journal of Surgery, Vol 24, Iss 1, Pp 19-22 (2018) |
ISSN: | 2278-7100 1117-6806 |
Popis: | Purpose: The use of prosthetic biomaterials for reconstructing and reinforcing the posterior wall of the inguinal canal reduces the incidence of hernia recurrence. Cost, availability of mesh, and perhaps reluctance to adopt a new technique are factors which prevent widespread practice of hernioplasty in low‑resource settings. Use of resterilized mesh significantly reduces the cost of hernioplasty and is safe.Patients and Methods: Sheets of 30 cm × 30 cm polypropylene mesh were cut into 16 cm × 8 cm to produce mesh strips which were repackaged into SELFSEAL® (Medical Action Industries Inc., USA) sterilizing pouches measuring 90 mm × 230 mm and autoclaved. At repair, the strips are shaped to fit the anatomy of the posterior wall of the inguinal canal, a slit created at one end and applied in Lichtenstein repair of inguinal hernias. Patients were monitored for seroma collection and wound infection up to 2 weeks postoperative period.Results: Sixty inguinal hernia repairs were done in 58 patients using the resterilized mesh; two cases being bilateral. One patient (1.7%) had seroma collection at 2 weeks which was aseptically aspirated. We did not record any case of wound infection.Conclusion: The use of sterilized polypropylene mesh for the repair of inguinal hernias is safe and reduced the cost of hernioplasty by reducing the cost of polypropylene mesh. This technique is recommended in low‑resource settings.Keywords: Inguinal hernia, Lichtenstein repair, low‑cost, sterilized mesh |
Databáze: | OpenAIRE |
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