Summary: For inguinal hernia repair in resource-limited settings, there may be no significant differences in surgical outcomes (eg, recurrence rates, incidence of wound infections) using sterilized mosquito netting or an indigenous bilayer device, compared to using commercial surgical mesh; and mosquito netting or a low-cost locally-manufactured device may be markedly less expensive.

http://www.ncbi.nlm.nih.gov/m/pubmed/21607572

Strength of Recommendation = B

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