Freudenberg Sebastian, Sano Daman, Ouangré Edgar, Weiss Christel, Wilhelm Torsten J
Department of Surgery, St. Marienkrankenhaus, Kampenstrasse 51, 75072 , Siegen, Germany.
World J Surg. 2006 Oct;30(10):1784-9; dicussion 1790. doi: 10.1007/s00268-006-0108-3.
The goal of this study was to investigate whether locally available Nylon mosquito net might be a useful alternative to expensive commercial mesh implants for hernia repair, a clinical randomized double-blind study was performed.
Over a period of 3 months 35 patients with a total of 40 inguinal hernias were randomized for hernia repair with either a commercial graft (Ultrapro) or a piece of sterilized 100% Nylon mesh available as mosquito net in most African village markets. The surgeons' comfort in handling the meshes, the incidence of complications, and the patients' quality of life before and 30 days after hernia repair were evaluated. In addition, the costs of the two materials were compared.
There was no significant difference in the clinical short-term outcome of the hernia treatment or the surgeons' comfort in handling the two different materials. The price of the locally bought Nylon mesh was 0.0043 US dollars as compared to 108 US dollars for the commercial mesh.
In situations where superior results of hernia repair depend on the use of a mesh prosthesis but where commercial material is not available or affordable, the use of Nylon mosquito net may be an alternative. Further studies with a larger number of patients and longer follow-up are justified and recommended.
本研究的目的是调查当地可得的尼龙蚊帐是否可能成为用于疝修补的昂贵商业网状植入物的有用替代品，为此进行了一项临床随机双盲研究。
在3个月的时间里，将35例共有40个腹股沟疝的患者随机分为两组，分别使用商业移植物（Ultrapro）或在大多数非洲乡村市场作为蚊帐可得的一块消毒100%尼龙网进行疝修补。评估了外科医生处理网片的舒适度、并发症发生率以及疝修补术前和术后30天患者的生活质量。此外，还比较了两种材料的成本。
疝治疗的临床短期结果或外科医生处理两种不同材料的舒适度方面没有显著差异。当地购买的尼龙网价格为0.0043美元，而商业网片价格为108美元。
在疝修补的优异结果取决于使用网状假体但无法获得或负担不起商业材料的情况下，使用尼龙蚊帐可能是一种替代方法。有必要且建议进行更多患者和更长随访时间的进一步研究。
