1. Safety and Sterilization of Mosquito Net Mesh for Humanitarian Inguinal Hernioplasty.
- Author
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Stephenson, Brian M. and Kingsnorth, Andrew N.
- Subjects
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INGUINAL hernia , *COPOLYMERS , *MOSQUITO nets , *STEAM as a disinfectant , *MEDICAL care - Abstract
Background: Inguinal hernia repair is one of the most commonly performed operations in Africa. Prosthetic repair with commercially available mesh is generally considered too expensive in low-income countries. Elective groin hernia surgery with mosquito net mesh has recently been described. However, can mesh sterility in resource-poor countries be guaranteed to ensure both effectiveness and safety? Methods: Copolymer and polyester mosquito net mesh were steam-sterilized at varying temperatures. PubMed and EMBASE were searched using key words, MeSH, and subject headings (mosquito net mesh, mesh sterilization, inguinal hernia repair). Results: Copolymer mosquito net mesh manufactured in India can be safely sterilized at lower (less 'strict') temperatures (121°C) than those usually demanded by advanced health care systems (134°C). The literature search revealed a number of case series but all with limited follow-up. Available data, however, support the use of this type mosquito net mesh in the elective repair of hernias. Conclusions: Hernia repair with mosquito net mesh is a plausible, safe, cost-effective alternative in low-income countries. Sterilization in steam autoclaves that have accurate temperature control is required. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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