Treatment of hernias in Cameroon with cheap nets using the small incision technique

Laparoscopic approach to the treatment of hernias by prosthesis in poor and low-income countries: the feasibility, clinical effectiveness, and socio-economic aspects of adult patients presenting with primary inguinal hernia treated by totally-extraperitoneal inguinal hernioplasty, comparing implantation of sterilized mosquito mesh with conventional polypropylene mesh

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN24826334

Enrollment

Registered

2021-05-10

Start date

2018-10-01

Completion date

Unknown

Last updated

2023-06-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Inguinal hernia Digestive System Inguinal hernia

Interventions

All patients are examined preoperatively by at least one of the authors and checked as per routine by a senior anesthesiologist. After informed consent is obtained, both for surgery and for inclusion

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adult (aged >16 years) native patients 2. Presenting at one of the participating hospitals between October 2018 and March 2020 3. Suffering from reducible primary or recurrent inguinal hernia, either uni- or bilateral

Exclusion criteria

Exclusion criteria: 1. History of laparotomy or retroperitoneal surgery 2. Strangulated or irreductible inguinal hernia 3. Inguinoscrotal hernia 4. Non-inguinal hernia 5. Participant who refused consent to study 6. Participant deemed unfit to undergo general anesthesia

Design outcomes

Primary

Measure	Time frame
Operating time (from first skin incision to closure) measured using medical notes (anesthesia sheet) at the end of surgery	—

Secondary

Measure	Time frame
1. Conversion to open surgery during laparoscopic procedure, measured using medical notes (desaturation, major bleeding, camera failure, difficult dissection, very low blood pressure) during surgery 2. Incidence of seroma measured by physical examination on day 1 to day 90 postoperative 3. Incidence of hematoma measured by physical examination on day 1 to day 30 postoperative 4. Reoperation measured using medical notes (infection, reject of mesh, major bleeding, recurrence, bowel obstruction) on day 1 to month 30 postoperative relative to the primary operation 5. Infection measured using physical examination, temperature over 38°C, blood tests, on day 1 to month 30 postoperative relative to the primary operation 6. Recurrence measured using physical examination on day 1 to month 30 postoperative	—

Measure

Time frame

1. Conversion to open surgery during laparoscopic procedure, measured using medical notes (desaturation, major bleeding, camera failure, difficult dissection, very low blood pressure) during surgery 2. Incidence of seroma measured by physical examination on day 1 to day 90 postoperative 3. Incidence of hematoma measured by physical examination on day 1 to day 30 postoperative 4. Reoperation measured using medical notes (infection, reject of mesh, major bleeding, recurrence, bowel obstruction) on day 1 to month 30 postoperative relative to the primary operation 5. Infection measured using physical examination, temperature over 38°C, blood tests, on day 1 to month 30 postoperative relative to the primary operation 6. Recurrence measured using physical examination on day 1 to month 30 postoperative

—

Countries

Cameroon

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026