Ethnicity-related differences in inguinal canal dimensions between African and Caucasian populations and their potential impact on the mesh size for open and laparoscopic groin hernia repair in low-resource countries in Africa

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dc.contributor.author Mitura, Kryspin
dc.contributor.author Kozieł, Sławomir
dc.contributor.author Pasierbek, Michał
dc.date.accessioned 2021-04-30T09:09:26Z
dc.date.available 2021-04-30T09:09:26Z
dc.date.issued 2018
dc.identifier.citation Videosurgery and Other Miniinvasive Techniques. Nr 1 (2018), s. 74-81 pl
dc.identifier.issn 1895-4588
dc.identifier.uri http://hdl.handle.net/11331/3507
dc.description.abstract Introduction: Access to surgery in Africa is significantly limited. Treatment outcomes in Africa differ significantly com-pared to those achieved in Europe or the US. Therefore, to popularise tension-free repair, it is essential to determine the economically justified mesh size for the African population. Aim: To conduct anthropometric evaluation of the inguinal canal in African and European patients to determine its potential consequences for the mesh size for open and laparoscopic hernia repair. Material and methods: The measurements were made in 44 adult males in Africa (group I) and were compared to measurements in 45 consecutive Caucasian males (group II). The mean age of patients was respectively 48.3 and 51.2 years. Results: There was no statistically significant difference in the internal ring diameter between groups (2.2 vs. 2.1 cm; p = 0.58). The distance between the pubic tubercle and the inferomedial border of the internal inguinal ring was significantly shorter in group I (3.8 vs. 5.1 cm; p < 0.001). A similar difference was found in the length of transverse arch aponeurosis (2.9 vs. 4.0 cm; p < 0.001). The distance between the pubic tubercle and anterior superior iliac spine in group I was approximately 2 cm shorter on each side (10.0 vs. 11.8 cm; p < 0.001). Conclusions: The anatomical differences in inguinal dimensions between Central African and European populations support the potential need to adjust the standard size of synthetic mesh used for hernia repair to the needs of local populations. The significantly smaller dimensions of the inguinal canal in African males may allow the use of smaller meshes. pl
dc.language.iso en pl
dc.publisher Termedia pl
dc.rights Uznanie autorstwa-Użycie niekomercyjne-Na tych samych warunkach 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/pl/ *
dc.subject Africa pl
dc.subject Caucasian population pl
dc.subject Developing countries pl
dc.subject Surgery pl
dc.subject Afryka pl
dc.subject Populacja kaukazka pl
dc.subject Kraje rozwijające się pl
dc.subject Chirurgia pl
dc.title Ethnicity-related differences in inguinal canal dimensions between African and Caucasian populations and their potential impact on the mesh size for open and laparoscopic groin hernia repair in low-resource countries in Africa pl
dc.type Article pl


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Uznanie autorstwa-Użycie niekomercyjne-Na tych samych warunkach 3.0 Polska Except where otherwise noted, this item's license is described as Uznanie autorstwa-Użycie niekomercyjne-Na tych samych warunkach 3.0 Polska

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