Mosquito Net Mesh for Abdominal Wall Hernioplasty: A Comparison of Material Characteristics with Commercial Prosthetics

Abstract

The material and mechanical properties of the polyethylene mosquito net are substantially equivalent to those of commonly used lightweight commercial meshes.

Value innovation: an important aspect of global surgical care

“…This has been confirmed by a meta-analysis, which also demonstrated no increase in septic complications [36]. Subsequent studies have suggested that mosquito nets might actually be better in terms of bursting strength and anisotropy than commercial products in terms of retraction of the mesh [37]. …”

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

“…The use of this alternative mesh requires correct preparation, including sterilization. 22 Preparation and distribution of the mesh to surgical facilities must be carefully monitored, and facilities must incorporate training and education of surgeons and staff and quality assessment in order to minimize adverse events. The meticulous attention to these details in the current study is not routine in the general health care system in most countries.…”

“…17,18 Mosquito meshes, which are similar to commercial meshes, are currently used in some places as a low-cost alternative in hernia repair. [19][20][21][22][23] Previous studies on the use of mosquito mesh in groin hernia repair have shown promising results with respect to tissue reaction, outcome, and cost-effectiveness. 19,[21][22][23][24][25][26] However, data from randomized trials are lacking to inform the safety and long-term effectiveness of this practice.…”

“…[19][20][21][22][23] Previous studies on the use of mosquito mesh in groin hernia repair have shown promising results with respect to tissue reaction, outcome, and cost-effectiveness. 19,[21][22][23][24][25][26] However, data from randomized trials are lacking to inform the safety and long-term effectiveness of this practice. The aim of the current randomized trial was to assess the outcomes of groin hernia repair performed with the use of a low-cost lightweight mesh as compared with a commercial lightweight mesh in a low-income country in sub-Saharan Africa.…”

Cost-effectiveness of groin hernia repair from a randomized clinical trial comparing commercial versus low-cost mesh in a low-income country

“…A commercial mesh costs $125·0 (€118·3) in Uganda today. The structure of the mosquito mesh has been described in detail previously and compared with other commercial meshes.…”