Mesh versus suture repair of primary inguinal hernia in Ghana

Research output: Contribution to journalArticle

Standard

Mesh versus suture repair of primary inguinal hernia in Ghana. / Tabiri, S.; Owusu, F.; Atindaana Abantanga, F.; Moten, A.; Nepogodiev, D.; Omar, O.; Bhangu, A.

In: BJGP Open, Vol. 3, No. 5, 10.2019, p. 629-633.

Research output: Contribution to journalArticle

Harvard

Tabiri, S, Owusu, F, Atindaana Abantanga, F, Moten, A, Nepogodiev, D, Omar, O & Bhangu, A 2019, 'Mesh versus suture repair of primary inguinal hernia in Ghana', BJGP Open, vol. 3, no. 5, pp. 629-633. https://doi.org/10.1002/bjs5.50186

APA

Tabiri, S., Owusu, F., Atindaana Abantanga, F., Moten, A., Nepogodiev, D., Omar, O., & Bhangu, A. (2019). Mesh versus suture repair of primary inguinal hernia in Ghana. BJGP Open, 3(5), 629-633. https://doi.org/10.1002/bjs5.50186

Vancouver

Tabiri S, Owusu F, Atindaana Abantanga F, Moten A, Nepogodiev D, Omar O et al. Mesh versus suture repair of primary inguinal hernia in Ghana. BJGP Open. 2019 Oct;3(5):629-633. https://doi.org/10.1002/bjs5.50186

Author

Tabiri, S. ; Owusu, F. ; Atindaana Abantanga, F. ; Moten, A. ; Nepogodiev, D. ; Omar, O. ; Bhangu, A. / Mesh versus suture repair of primary inguinal hernia in Ghana. In: BJGP Open. 2019 ; Vol. 3, No. 5. pp. 629-633.

Bibtex

@article{55c611774855421eb8645790ce462cd3,
title = "Mesh versus suture repair of primary inguinal hernia in Ghana",
abstract = "Background: Most patients in Ghana undergo suture repair for primary inguinal hernia. Although there is strong evidence from high-income country settings to indicate superiority of mesh repair for inguinal hernia, the evidence to support the safety and effectiveness of mesh repair in the Ghanaian setting is limited. This study aimed to compare hernia recurrence rates following suture versus mesh repair in Ghana. Methods: Men aged 18 years or over presenting with symptomatic, reducible inguinal hernias were included. Over the first 6 months all consecutive patients were enrolled prospectively and underwent a standardized suture repair; an equal number of patients were subsequently enrolled to undergo mesh repair. The primary outcome was hernia recurrence within 3 years of the index operation. Multivariable analysis was adjusted for age and right or left side. Adjusted odds ratios (ORs) with 95 per cent confidence intervals are reported.Results: A total of 116 sutured and 116 mesh inguinal hernia repairs were performed. Three years after surgery, follow-up data were available for 206 of the 232 patients (88·8 per cent). Recurrence occurred significantly more frequently in the suture repair group (23 of 103, 22·3 per cent) than in the mesh group (7 of 103, 6·8 per cent) ( P = 0·002). In multivariable analysis, suture repair was independently associated with an increased risk of recurrence (OR 4·51, 95 per cent c.i. 1·76 to 11·52; P = 0·002). Conclusion: In Ghana, mesh inguinal hernia repair was associated with reduced 3-year recurrence compared with sutured repair. Controlled dissemination across Ghana should now be assessed.",
author = "S. Tabiri and F. Owusu and {Atindaana Abantanga}, F. and A. Moten and D. Nepogodiev and O. Omar and A. Bhangu",
note = "{\textcopyright} 2019 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.",
year = "2019",
month = oct,
doi = "10.1002/bjs5.50186",
language = "English",
volume = "3",
pages = "629--633",
journal = "BJGP Open",
issn = "2398-3795",
publisher = "RCGP",
number = "5",

}

RIS

TY - JOUR

T1 - Mesh versus suture repair of primary inguinal hernia in Ghana

AU - Tabiri, S.

AU - Owusu, F.

AU - Atindaana Abantanga, F.

AU - Moten, A.

AU - Nepogodiev, D.

AU - Omar, O.

AU - Bhangu, A.

N1 - © 2019 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.

PY - 2019/10

Y1 - 2019/10

N2 - Background: Most patients in Ghana undergo suture repair for primary inguinal hernia. Although there is strong evidence from high-income country settings to indicate superiority of mesh repair for inguinal hernia, the evidence to support the safety and effectiveness of mesh repair in the Ghanaian setting is limited. This study aimed to compare hernia recurrence rates following suture versus mesh repair in Ghana. Methods: Men aged 18 years or over presenting with symptomatic, reducible inguinal hernias were included. Over the first 6 months all consecutive patients were enrolled prospectively and underwent a standardized suture repair; an equal number of patients were subsequently enrolled to undergo mesh repair. The primary outcome was hernia recurrence within 3 years of the index operation. Multivariable analysis was adjusted for age and right or left side. Adjusted odds ratios (ORs) with 95 per cent confidence intervals are reported.Results: A total of 116 sutured and 116 mesh inguinal hernia repairs were performed. Three years after surgery, follow-up data were available for 206 of the 232 patients (88·8 per cent). Recurrence occurred significantly more frequently in the suture repair group (23 of 103, 22·3 per cent) than in the mesh group (7 of 103, 6·8 per cent) ( P = 0·002). In multivariable analysis, suture repair was independently associated with an increased risk of recurrence (OR 4·51, 95 per cent c.i. 1·76 to 11·52; P = 0·002). Conclusion: In Ghana, mesh inguinal hernia repair was associated with reduced 3-year recurrence compared with sutured repair. Controlled dissemination across Ghana should now be assessed.

AB - Background: Most patients in Ghana undergo suture repair for primary inguinal hernia. Although there is strong evidence from high-income country settings to indicate superiority of mesh repair for inguinal hernia, the evidence to support the safety and effectiveness of mesh repair in the Ghanaian setting is limited. This study aimed to compare hernia recurrence rates following suture versus mesh repair in Ghana. Methods: Men aged 18 years or over presenting with symptomatic, reducible inguinal hernias were included. Over the first 6 months all consecutive patients were enrolled prospectively and underwent a standardized suture repair; an equal number of patients were subsequently enrolled to undergo mesh repair. The primary outcome was hernia recurrence within 3 years of the index operation. Multivariable analysis was adjusted for age and right or left side. Adjusted odds ratios (ORs) with 95 per cent confidence intervals are reported.Results: A total of 116 sutured and 116 mesh inguinal hernia repairs were performed. Three years after surgery, follow-up data were available for 206 of the 232 patients (88·8 per cent). Recurrence occurred significantly more frequently in the suture repair group (23 of 103, 22·3 per cent) than in the mesh group (7 of 103, 6·8 per cent) ( P = 0·002). In multivariable analysis, suture repair was independently associated with an increased risk of recurrence (OR 4·51, 95 per cent c.i. 1·76 to 11·52; P = 0·002). Conclusion: In Ghana, mesh inguinal hernia repair was associated with reduced 3-year recurrence compared with sutured repair. Controlled dissemination across Ghana should now be assessed.

U2 - 10.1002/bjs5.50186

DO - 10.1002/bjs5.50186

M3 - Article

C2 - 31592101

VL - 3

SP - 629

EP - 633

JO - BJGP Open

JF - BJGP Open

SN - 2398-3795

IS - 5

ER -