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Updated: May 19, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
The use of sterilized mosquito nets for hernioplasty: a systematic review
1University of Copenhagen, Copenhagen, Denmark. caspar_sorensen@hotmail.com
Introduction:
Hernia repair is among the most frequent surgeries performed. Surgeons prefer the tension-free mesh repair, but in large parts of the world, commercial meshes are unavailable or unaffordable. Consequently, surgeons have been experimenting with insertion of inexpensive non-commercial meshes, the most common being a non-impregnated, sterilized mosquito net.
Objective:
To describe the results of inserting non-commercial meshes for hernioplastic surgery.
Methods:
Systematic searches were performed in EMBASE, PubMed, and Cochrane databases, and articles were chosen based on predefined inclusion criteria.
Results:
We found five original studies performed in humans, and one study was performed in goats using non-commercial meshes. A total of 577 non-commercial meshes have been inserted into humans, resulting in 35 patients (6.1 %) having short-term complications and one (0.17 %) recurrence. The majority of meshes inserted were mosquito nets. None of the short-term complications in any of the studies required reoperation.
Conclusions:
There seems to be good short-term and long-term outcomes when using non-commercial meshes for open inguinal hernia repair. Operating using a non-commercial mesh is highly cost-effective. Using non-commercial meshes for hernioplastic surgery is therefore interesting-especially in a resource-limited setting.

