背景技术合成网是修复腹股沟疝的最有效方法。然而,低收入和中等收入国家的许多患者负担不起上述网状物。这项研究的目的是描述蚊帐网(MNM)的安全性,生存能力,并发症,以及在农村人群中进行的疝修补术的复发率。材料和方法这项研究是一个单中心,prospective,描述性研究,在年龄>18岁的患者中进行,无论男女,单侧或双侧原发性腹股沟疝(可复位/不可复位/双侧疝),择期或急诊开放式腹股沟疝网片修补术。手术使用价格合理(社会经济地位低的人负担得起)的聚乙烯蚊帐网进行,将其切成8x16厘米的矩形,并包裹在两个密封的塑料袋中。使用环氧乙烷灭菌(EtO)方法对它们进行灭菌。疝的类型(单侧或双侧),术后疼痛,并注意到并发症。结果在400名研究参与者中,腹股沟疝的发病率在60~79岁年龄组中最高(51.5%).腹股沟直疝(67.5%)高于腹股沟间接疝(32.5%)。虽然大多数参与者右侧有疝气(50%),164例患者(41%)左侧有疝气,36例(9%)患有双侧腹股沟疝。单侧腹股沟疝的平均手术时间为73.96分钟,双侧腹股沟疝的平均手术时间为106.66分钟。400名患者中,355例(88.75%)患者无并发症发生。在术后患者中,14例患者(3.5%)出现手术部位感染;9例患者(2.25%)出现头痛;5例患者(1.25%)出现血肿;12例患者(3%)出现尿潴留;5例患者(1.25%)出现睾丸疼痛。患者平均住院时间为4.25天。患者平均在7.29天内恢复日常活动和就业。单一标准聚丙烯网的市场成本为1,660卢比/-。为了制作相同大小的单个蚊帐网,我们有一笔R.11.83/-包括灭菌费用。在这项研究中,382名患者(95.5%)给了我们良好的反馈,11名患者(2.75)给出了满意的反馈,7例患者(1.75%)给予了良好的反馈。结论在资源有限的环境中,使用蚊帐网进行疝修补术是合理的,可接受,可行的,和经济。
Background Synthetic mesh is the most efficient way to repair groin hernias. However, many patients in low and middle-income countries cannot afford the above-mentioned mesh. This
study\'s goal was to describe the mosquito net mesh\'s (MNM) safety, viability, complications, and recurrence rate in hernioplasty done in rural populations. Material and methods This
study was a single-centre, prospective, descriptive
study, conducted in patients >18 years of age, of either gender, with unilateral or bilateral primary inguinal hernias (reducible/irreducible/bilateral hernia), admitted for elective or emergency open inguinal hernia mesh repair. The surgery was performed using reasonably priced (affordable to people of low socioeconomic status) polyethylene mosquito net mesh, which was cut into 8x16 cm rectangles and wrapped in two sealed plastic bags. They were sterilised using the ethylene oxide sterilisation (EtO) method. The type of hernia (unilateral or bilateral), post-operative pain, and complications were noted. Results Among 400
study participants, the incidence of inguinal hernia was highest in the 60-79 year age group (51.5%). Direct inguinal hernia (67.5 %) was higher compared to indirect inguinal hernia (32.5 %). While a majority of the participants had a hernia on the right side (50%), 164 patients (41%) had a hernia on the left side, and 36 patients (9%) had a bilateral inguinal hernia. The average operative time for unilateral inguinal hernia was 73.96 minutes and for bilateral inguinal hernia was 106.66 minutes. Out of 400 patients, 355 patients (88.75%) had no complications. Among the postoperative patients, 14 patients (3.5%) experienced surgical site infection; 9 patients (2.25%) experienced headache; 5 patients (1.25%) experienced hematoma; 12 patients (3%) experienced urinary retention; and 5 patients (1.25%) experienced testicular pain. The average hospital stay of patients was 4.25 days. Patients returned to their daily activities and employment in an average of 7.29 days. The market cost of a single standard polypropylene mesh was Rs.1,660/-. For making a single mosquito net mesh of the same size, we had an expenditure of Rs. 11.83/- including the cost of sterilization. In this
study, 382 patients (95.5%) gave us good feedback, 11 patients (2.75) gave satisfactory feedback, and 7 patients (1.75%) gave excellent feedback. Conclusion In environments with limited resources, using mosquito net mesh for hernioplasty is reasonable, acceptable, doable, and economical.