Commentary on: low-cost mesh for inguinal hernia repair in resource-limited settings

Hernia ◽  
2011 ◽  
Vol 15 (5) ◽  
pp. 491-494 ◽  
Author(s):  
A. N. Kingsnorth ◽  
R. R. Tongaonkar ◽  
O. A. Awojobi
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Low Cost ◽  
Resource Limited Settings ◽  
Resource Limited

Low-cost mesh for inguinal hernia repair in resource-limited settings

Hernia ◽  
2011 ◽  
Vol 15 (5) ◽  
pp. 485-489 ◽  
Author(s):  
J. Yang ◽  
D. Papandria ◽  
D. Rhee ◽  
H. Perry ◽  
F. Abdullah
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Low Cost ◽  
Resource Limited Settings ◽  
Resource Limited

A Novel Low-Cost Simulator for Laparoscopic Inguinal Hernia Repair

2011 ◽  
Vol 18 (2) ◽  
pp. 171-175 ◽  
Author(s):  
Yo Kurashima ◽  
Liane Feldman ◽  
Salman Al-Sabah ◽  
Pepa Kaneva ◽  
Gerald Fried ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Low Cost ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia

scholarly journals Outcome of Desarda repair in incarcerated inguinal hernia repair: experience in university hospital

2019 ◽  
Vol 6 (6) ◽  
pp. 2084 ◽  
Author(s):  
Avtar Pachauri ◽  
Awanish Kumar
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Low Cost ◽  
Total Duration ◽  
Recurrent Hernia ◽  
University Hospital ◽  
Complication Rates ◽  
Incarcerated Inguinal Hernia ◽  
Wall Stiffness

Background: Synthetic mesh based hernia repair is usually avoided in contaminated and dirty inguinal hernia repair to minimize the risk of infection. Desarda’s technique is a tissue based inguinal hernia repair method which avoids the use of prosthetic mesh. So this study was conducted with the aim to observe the outcome of Desarda’s technique in incarcerated inguinal hernia repair as an alternative procedure to mesh repair.Methods: This study was conducted in Emergency surgery department KGMU Lucknow. Total 30 patients with incarcerated inguinal hernia were included. Patients with recurrent hernia were excluded. Desarda repair was done in all patients. Patients were followed for 1 year to assess the outcome.Results: The mean age was 52±3 years. Mean operative time was 55±5 mins. Total duration of hospital stay was 4-16 days. Mild to moderate pain observed more frequently on 3rd and 7th post-operative day. Complication rates were found to be SSI (6%), seroma (3%), and recurrence (3%). Time taken to return to daily basic and work activities was 3 (3-5) and 15 days respectively. Patients’ subjective assessment of foreign body sensation done at 6th and 12th month follow up was found in 16% and 13% cases and that of abdominal wall stiffness in 23% followed by a reduction of upto 16% cases by 12th month.Conclusions: Desarda’s method is a safe, effective technique and may potentiate the use of tissue based repair for treating incarcerated, contaminated inguinal hernia repair. It has very low rate of recurrence and low cost of treatment.

Needlescopic assisted internal ring suturing; a novel application of low-cost home-made instruments for pediatric inguinal hernia repair

Hernia ◽  
2019 ◽  
Vol 23 (6) ◽  
pp. 1279-1289 ◽  
Author(s):  
R. Shalaby ◽  
A. Elsaied ◽  
S. Shehata ◽  
Sh. Shehata ◽  
A. Hamed ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Low Cost ◽  
Internal Ring ◽  
Pediatric Inguinal Hernia

scholarly journals Validity of a low-cost Lichtenstein open inguinal hernia repair simulation model for surgical training

Hernia ◽  
2019 ◽  
Vol 24 (4) ◽  
pp. 895-901 ◽  
Author(s):  
T. Nazari ◽  
M. P. Simons ◽  
M. H. Zeb ◽  
J. J. G. van Merriënboer ◽  
J. F. Lange ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Simulation Model ◽  
Inguinal Hernia Repair ◽  
Cost Model ◽  
Low Cost ◽  
Perceived Usefulness ◽  
Rank Test ◽  
Surgical Residents ◽  
Open Inguinal Hernia Repair

Abstract Purpose Simulation training allows trainees to gain experience in a safe environment. Computer simulation and animal models to practice a Lichtenstein open inguinal hernia repair (LOIHR) are available; however, a low-cost model is not. We constructed an inexpensive model using fabric, felt, and yarn that simulates the anatomy and hazards of the LOIHR. This study examined the fidelity, and perceived usefulness of our developed simulation model by surgical residents and expert surgeons. Methods A total of 66 Dutch surgical residents and ten international expert surgeons were included. All participants viewed a video-demonstration of LOIHR on the simulation model and subsequently performed the surgery themselves on the model. Afterward, they assessed the model by rating 13 statements concerning its fidelity (six model, three equipment, and four psychological) and six usefulness statements on a five-point Likert scale. One-sample Wilcoxon signed-rank test was used to compare to the neutral value of 3. Results The fidelity was assessed as being high by residents [model 4.00 (3.00–4.00), equipment 4.00 (3.00–4.00), psychological 4.00 (3.00–4.00); all p’s < 0.001] and by expert surgeons [model 4.00 (3.00–4.00), p = 0.025; equipment 4.00 (3.00–5.00), p < 0.001; psychological 4.00 (3.00–4.00), p = 0.053]. The usefulness was rated high by residents and experts, especially the usefulness for training of residents [residents 4.00 (4.00–5.00), p < 0.001; experts 4.50 (3.75–5.00), p = 0.015]. Conclusion Our developed Lichtenstein open inguinal hernia repair simulation model was assessed by surgical residents and expert surgeons as a model with high fidelity and high potential usefulness, especially for the training of surgical residents.

scholarly journals OV01 A LOW-COST HERNIA MODEL FOR THE TRAINING OF THE SHOULDICE AND THE LICHTENSTEIN INGUINAL HERNIA REPAIR

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Theo Wiggers ◽  
Tahmina Nazari
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Cost Model ◽  
Low Cost ◽  
Training Session ◽  
Simulation Models ◽  
Lichtenstein Technique ◽  
National Training ◽  
Conjoint Tendon

Abstract Aim Based on an international European survey, residents prefer to study inguinal hernia repair through lectures or video-demonstrations or want to practice either on simulation or cadaveric models. Simulation models in inguinal hernia are scarce or expensive. Material and Methods A low-cost model was developed that can be produced everywhere with the aid of the instruction video: “How to build an inguinal hernia model”. Initially, the model was designed to practice the Lichtenstein technique but after some minor modifications (adding the conjoint tendon, enough slack in the transversalis fascia) it was also possible to practice the Shouldice technique on the same model. It only needs the removal of the stitches of the third and fourth layer before the Lichtenstein can be performed. Results The model was used for several studies with students and residents and proved to be realistic and was approved by an international survey among experienced hernia surgeons. It has been used once in a national training session of residents. Conclusions The video shows the execution of both procedures on the same model.

Outcome of tension free open mesh repair of inguinal hernia

2020 ◽  
Vol 22 (1) ◽  
pp. 21-24
Author(s):  
Mohammad Masum ◽  
Md Aminul Islam ◽  
Masflque Ahmed Bhuiyan ◽  
Kazi Mazharul Lslam ◽  
Md Selim Morshed ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Repair ◽  
Groin Hernia ◽  
Synthetic Mesh ◽  
Indirect Inguinal Hernia ◽  
Prolene Mesh ◽  
Tension Free ◽  
Open Mesh Repair

Background: In the practice of General Surgery, hernia repair is the second most common procedure after appendectomy. Several methods have been developed over the years to try to improve hernia repair. Good result can be expected using Bassini's, McVay's, Shouldice's techniques provided the exact nature of hernia is recognized and the repair is done without tension using healthy tissue. The introduction of synthetic mesh started a new era in hernia surgery. The use of synthetic mesh repair of primary and recurrent hernias has gradually gained acceptance among surgeons. Objective: To find out the outcome and complications of open inguinal hernia repair with prolene mesh. Methods: This is a prospective cross sectional study conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from December, 2011 to May, 2012. One hundred patients of inguinal hernia admitted in different surgical units of BSMMU, Dhaka for elective surgery were studied. We have given 1 gm ijv Cephradine per operatively and then 500 gm cephradine ijv 6 hourly for 24 hours followed by oral form of Cephradine for next 5 days. Polypropylene mesh of 11 cm x 7 cm size was used in all cases. All the operations were done by open tension free prolene mesh repair technique. Patients were followed for one year to see the outcome. Results: Out of 100 cases of inguinal hernia, 71 patients (71%) had indirect inguinal hernia and 29 cases (29%) had direct inguinal hernia; 90 cases (90%) were primary hernia and only 10 cases (10%) were recurrent hernia; 58 cases were right sided, 34 cases (34%) were left sided and 8 cases (8%) were bilateral. Complications of mesh repair of groin hernia in this study included wound infection (5%), scrotal oedema (2%), mesh infection (0%), scrotal hematoma (2%), echymoces of peri-incisional skin (5%), early wound and groin pain (7%), chronic inguinodynia (2%), hernia recurrence (1%). Conclusion: In the present study an attempt is made to evaluate the outcome of patients undergoing inguinal hernia repair by prolene mesh. The results confirm that Lichtenstein tension free mesh repair of inguinal hernia is safe and reliable for both primary and recurrent groin hernia, with less recurrence rate. Patient's compliance was good with minimum morbidity. Journal of Surgical Sciences (2018) Vol. 22 (1): 21-24

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