title: The use of nontreated mosquito-net mesh cloth for a tension free inguinal hernia repair: our experience.
abstract: BACKGROUND
  The prohibitive costs and scarcity of the imported prosthetic mesh for hernioplasty, has prevented its widespread use in most developing countries. We then set out to ascertain the outcome, complications (undue pain, wound infection, recurrence, and mesh extrusion) and cost implications in the use of a nontreated mosquito-net for inguinal hernioplasty.
  
  
  METHODS
  A prospective study of all consecutive adult patients with uncomplicated inguinal hernia who were admitted for open herniorrhaphy between January 2012 and December, 2013 at the Federal Medical Centre, Ido - Ekiti, South West, Nigeria. A sheet of the nontreated mosquito-net mesh 10 cm Χ 8 cm, autoclaved, a day prior to surgery was used for each patient's hernia repair. The operation sites were exposed and examined 3(rd) and 6(th) postoperative days. Findings were documented for analysis.
  
  
  RESULTS
  A total of 130 adult patients were recruited for this study of which 115 of the patients were males and 15 were females. Forty-four (41.53%) had inguinal hernia and 76 (58.46%) of them had inguinoscrotal hernia. They all had successful repair and were followed-up for complications for a period of 6 weeks to 6 months at the surgical out-patient department.
  
  
  CONCLUSIONS
  Locally-sourced and autoclaved mosquito-net mesh is an effective alternative for hernioplasty especially in situations where commercial mesh is not readily available or affordable.
authors.affiliation: Department of Surgery, Federal Medical Centre, Ido Ekiti, Ekiti, Nigeria.
authors.forename: Felix O
authors.initials: FO
authors.lastname: Oribabor
authors.affiliation: Department of General Surgery Division, Federal Medical Centre, Ido Ekiti, Ekiti, Nigeria.
authors.forename: Oluwasegun A
authors.initials: OA
authors.lastname: Amao
authors.affiliation: Department of General Surgery Division, Federal Medical Centre, Ido Ekiti, Ekiti, Nigeria.
authors.forename: Saheed O
authors.initials: SO
authors.lastname: Akanni
authors.affiliation: Department of General Surgery Division, Federal Medical Centre, Ido Ekiti, Ekiti, Nigeria.
authors.forename: Samuel O
authors.initials: SO
authors.lastname: Fatidinu
keywords: An effective alternative; locally-sourced autoclaved nontreated mosquito-net mesh; readily available and affordable
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