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. 2017 Jun;51(2):78-82.

Our Experience with the Use of Low Cost Mesh in Tension-Free Inguinal Hernioplasty in Northern Ghana

Edwin M T Yenli  1 , John Abanga  2 , Stephen Tabiri  1 , Steve Kpangkpari  3 , Aubrey Tigwii  4 , Azare Nsor  5 , Robert Amesiya  6 , Kwame Ekremet  7 , Francis A Abantanga  1
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Our Experience with the Use of Low Cost Mesh in Tension-Free Inguinal Hernioplasty in Northern Ghana

Edwin M T Yenli et al. Ghana Med J. 2017 Jun.

Abstract

Objectives: To describe our experience and success in the use of low cost mesh for the repair of inguinal hernias in consenting adult patients.

Methods: A 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.

Results: One 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.

Conclusion: Low 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.

Funding: None declared.

Keywords: Northern Ghana; hernioplasty; low cost mesh.

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Conflict of interest statement

Conflict of interest: None declared

Figures

Figure 1
Figure 1
Relationship between Kingsnorth class of hernia and type of anaesthesia
See this image and copyright information in PMC

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References

    1. Zendejas B, Ramirez T, Jones T, Kuchena A, Ali SM, Hernandez-Irizarry R, et al. Incidence of inguinal hernia repairs in Olmsted County, MN: a population-based study. Ann Surg. 2013 Mar;257(3):520–526. - PMC - PubMed
    1. Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol. 1996 Aug;25(4):835–839. - PubMed
    1. Nordberg EM. Incidence and estimated need of caesarean section, inguinal hernia repair, and operation for strangulated hernia in rural Africa. Br Med J Clin Res Ed. 1984 Jul 14;289(6437):92–93. - PMC - PubMed
    1. Belcher DW, Nyame PK, Wurapa FK. The prevalence of inguinal hernia in adult Ghanaian males. Trop Geogr Med. 1978 Mar;30(1):39–43. - PubMed
    1. Ohene-Yeboah M, Abantanga FA. Inguinal Hernia Disease in Africa: A Common but Neglected Surgical Condition. West Afr J Med. 2011;30(2):77–83. - PubMed

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