Journal Article

A Randomized Trial of Low-Cost Mesh in Groin Hernia Repair

Ibingira, Charles, Löfgren, Jenny, Matovu, Alphonsus, Galiwango, Edward, Nordin, Pär, Wladis, Andreas

2016

Overview

This trial in Uganda compared commercial mesh with a low-cost mesh (sterilized mosquito mesh) for groin hernia repair. There were no significant differences between groups in the rate of hernia recurrence after 1 year or in the frequency of postoperative complications. Repair of a groin hernia is one of the most frequently performed surgical procedures worldwide, with approximately 20 million operations performed annually. 1 – 3 Groin hernia causes considerable illness and even death if left untreated, and its repair has been identified as a key intervention to reduce the burden of disease in low- and middle-income countries. 1 , 4 – 9 Surgery in general and groin hernia repair in particular have also been shown to be highly cost-effective, even in comparison with other prioritized health care interventions such as child vaccination and treatment of human immunodeficiency virus infection in such settings. 10 , 11 Resource constraints, . . .

• Publisher: Massachusetts Medical Society
• Subject: Adult / Clinical trials / Developing Countries / Double-Blind Method / Evidence-based medicine / Follow-Up Studies / Hernia / Hernia, Inguinal - surgery / Hernias / Herniorrhaphy - economics / Herniorrhaphy - instrumentation / Humans / kirurgi / Low income groups / Male / Medical supplies / Middle Aged / Patient Satisfaction / Postoperative Complications - epidemiology / Recurrence / Surgery / Surgical mesh / Surgical Mesh - economics / Uganda