In low-resource countries, a suture repair is still in common use due to the limited access to commercial mesh implants. The search for less expensive alternatives to the synthetic meshes has led to using mosquito nets. Sterilized mosquito net appears to be a low-cost and commonly available product that closely resembles commercially available meshes. However, the extent to which sterilization alters the structure of mosquito nets is still unknown. The aim of this research was to assess the effects of different sterilization types on physico-mechanical properties of mosquito nets.
Nine different polymers were analyzed (six mosquito nets from low-resource countries, one European net, and two commercial meshes). The analyzed parameters included: polymer type, net surface area, fiber diameter, net thickness, mesh weight, pore size, tensile strength, and tear force. The measurements were taken before sterilization, after sterilization at 121 and at 134 °C.
Sterilization altered net surface and pore size, but did not significantly alter the single fiber diameter, weave of filaments, or net thickness. Steam sterilization did not affect the tensile strength or tear force.
The reduction of the mosquito net surface area by more than 40% due to sterilization at 121 °C, results in a loss of macroporous structure, turning the mesh into hard, shrunken, non-pliable masses. Sterilization at 134 °C causes some mosquito nets to melt and completely destroys their porous structure. Maximum pressure in the abdominal cavity is higher than the tensile strength and tear force of some locally available mosquito nets; therefore, these nets should not be used.
Scott N, Go PM, Graham P, McCormack K, Ross SJ, Grant AM (2001) Open mesh versus non-mesh for groin hernia repair. Cochrane Database Syst Rev 3:CD002197
Mitura K, Romanczuk M (2009) Redundant modifications of Lichtenstein technique in hernia repair—a descriptive study of practising surgeons. Videosurg Miniinv 4:1–5
Mitura K, Kozieł S, Pasierbek M (2015) Groin hernia surgery in northern Ghana—humanitarian mission of Polish surgeons in Tamale. Polish J Surg 1:29–40
Fox CA (2008) Mosquito net: a story of the pioneers of tropical medicine. i2i Publishers, Manchester
Medical Device Agency Usfss (2002) Benchtop steam sterilizers—guidance on purchase, operation and maintenance. http://www.mhra.gov.uk/home/groups/dts-bi/documents/publication/con007327.pdf. Accessed 6 Jan 2013
Freudenberg S, Sano D, Ouangre E et al (2006) Commercial mesh versus nylon mosquito net for hernia repair. A randomized double-blind study in Burkina Faso. World J Surg 30:1784–1789. https://doi.org/10.1007/s00268-006-0108-3discussion1790CrossRefPubMed
Klosterhalfen B, Junge K, Klinge U (2005) The lightweight and large porous mesh concept for hernia repair. Exp Rev Med Dev 2(1):103–117 CrossRef
Lake SP, Ray S, Zihni AM (2015) Pore size and pore shape—but not mesh density—alter the mechanical strength of tissue ingrowth and host tissue response to synthetic mesh materials in a porcine model of ventral hernia repair. J Mech Behav Biomed Mater 42:186–197
Tongaonkar RR, Reddy BV, Mehta VK et al (2003) Preliminary multicentric trial of cheap indigenous mosquito-net cloth for tension-free hernia repair. Indian J Surg 65:89–95
- The influence of different sterilization types on mosquito net mesh characteristics in groin hernia repair
- Springer Paris
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