Safety and Sterilization of Mosquito Net Mesh for Humanitarian Inguinal Hernioplasty

• Published in: World journal of surgery Vol. 35; no. 9; pp. 1957 - 1960
• Main Authors: Stephenson, Brian M., Kingsnorth, Andrew N.
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01.09.2011; Springer‐Verlag; Springer; John Wiley & Sons, Inc
• Subjects: Abdominal Surgery; Adult; Altruism; Bedding and Linens; Biological and medical sciences; Cardiac Surgery; Cohort Studies; Cote d'Ivoire; Culicidae; Developing Countries; Elective Surgical Procedures - methods; Ethylene Oxide; Female; Follow-Up Studies; General aspects; General Surgery; Hernia, Inguinal - diagnosis; Hernia, Inguinal - surgery; Humans; Inguinal Hernia; Inguinal Hernia Repair; Male; Medical sciences; Medicine; Medicine & Public Health; Middle Aged; Mosquito Nets; Operation Hernia; Polyester Mesh; Poverty; Risk Assessment; Safety Management; Sterilization - methods; Surgery; Surgical Mesh; Surgical Wound Infection - prevention & control; Thoracic Surgery; Treatment Outcome; Vascular Surgery; Cote d'Ivoire; Africa; India; Polyester Mesh; Ethylene Oxide; Inguinal Hernia Repair; Operation Hernia; Inguinal Hernia; Medicine; Treatment; Toxicity; Surgery; Sterilization; Humanitarian aid; Inguinal; Safety; Mosquito net
• ISSN: 0364-2313; 1432-2323; 1432-2323
• DOI: 10.1007/s00268-011-1176-6

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.