Muheza approach: a sustainable mesh hernia service in a resource-poor setting and developing a national methodology to hernia surgery in Tanzania.

ANZ Journal of Surgery
Louise HendraMark Szymankiewicz

Abstract

Hernias are amongst the most common general surgical problems worldwide. In 2019, an estimated 800 000 inguinal hernias remain untreated in Tanzania. Furthermore, only 5% of hernias in Africa are repaired with mesh due to costs, resulting in high recurrence rates. We describe the establishment of a safe, sustainable and affordable mesh hernia programme in Tanzania. Hernia repairs were performed by a UK Consultant General Surgeon and two Tanzanian Surgical Assistant Medical Officers between November 2018 and April 2019. Tanzanian Assistant Medical Officers were taught in a modular fashion. Polyethylene 'mosquito net' mesh was sterilized using a steam autoclave on site. A standardized approach to intraoperative technique and perioperative care was adopted. Patients were followed up and a registry maintained. A total of 50 mesh hernia repairs were performed on all-comers between November 2018 and April 2019. One additional hernia repair was carried out without mesh as the hernia contained perforated bowel with faecal contamination. Of the 50 patients, 47 were followed up. At 2 weeks, none were found to have recurrence, none had evidence of infection and none reported numbness. Of the 47 patients, nine reported low-grade discomfort...Continue Reading

References

Mar 8, 2002·Annals of Surgery·UNKNOWN EU Hernia Trialists Collaboration
Dec 24, 2002·Annals of Surgery·David R FlumThomas Koepsell
Feb 5, 2008·BMJ : British Medical Journal·John T Jenkins, Patrick J O'Dwyer
Oct 20, 2010·Archives of Surgery·Samuel D ShillcuttAndrew N Kingsnorth
May 25, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J YangF Abdullah
Jun 30, 2011·World Journal of Surgery·Brian M Stephenson, Andrew N Kingsnorth
Nov 19, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J H BeardH W Harris
Feb 23, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K Mitura, S Kozieł

❮ Previous
Next ❯

Citations

Aug 31, 2021·The Indian Journal of Surgery·Eric O'FlynnJakub Gajewski

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved