Anthony Abbot Kamara, Foday Daddy Mansaray, Daniel Lavalie, Mark Szymankiewicz, Lesley M Hunt
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引用次数: 0
Abstract
Purpose: To assess patient outcomes after locally processed ultra-low-cost hernia mesh placement became routine practice in a government hospital in one of the world's poorest countries.
Methods: Observational study with comprehensive prospective data collection via electronic registry from June 2023 to January 2026. Interrogation of database after 2.5 years assessed demographics, hernia types and complexity, short term complications and outcomes at 2 years.
Results: Between 01.06.2023 and 01.06.2025, 121 inguinal hernia repairs were repaired with mesh. 76% of inguinal hernias were primary and 24% were recurrent or re-recurrent. No Surgical Site Infection was seen after primary inguinal hernia repair. A 10% superficial wound infection rate was seen after repair of recurrent and re-recurrent inguinal hernias. No mesh infections occurred. Heavy use of prophylactic antibiotics was observed but reduced during the study period. This is a report of the first two years of an on-going service and patients are at varying time points post-surgery. 108 repairs (89%) were > one year post-surgery and one-year FU is documented for 108 repairs (100%). No hernia recurrences identified to date 0% 95% CI [0, 3.35]. 66 repairs were > 2 years post-surgery and 2-year FU is documented for 58 repairs (88%). No hernia recurrences identified to date 0% (95% CL: 0%, 6.16%).
Conclusion: Robust, prospective outcome monitoring is feasible in low-income-countries, even outside of the clinical trial situation. Structured training and local implementation have produced good early hernia outcomes.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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