UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Double standards in healthcare innovations: The case of mosquito net mesh for hernia repair

Skopec, M; Grillo, A; Kureshi, A; Bhatti, Y; Harris, M; (2020) Double standards in healthcare innovations: The case of mosquito net mesh for hernia repair. BMJ Innovations 10.1136/bmjinnov-2020-000535. (In press). Green open access

[thumbnail of bmjinnov-2020-000535.full.pdf]
Preview
Text
bmjinnov-2020-000535.full.pdf - Published Version

Download (1MB) | Preview

Abstract

With over two decades of evidence available including from randomised clinical trials, we explore whether the use of low-cost mosquito net mesh for inguinal hernia repair, common practice only in low-income and middle-income countries, represents a double standard in surgical care. We explore the clinical evidence, biomechanical properties and sterilisation requirements for mosquito net mesh for hernia repair and discuss the rationale for its use routinely in all settings, including in high-income settings. Considering that mosquito net mesh is as effective and safe as commercial mesh, and also with features that more closely resemble normal abdominal wall tissue, there is a strong case for its use in all settings, not just low-income and middle-income countries. In the healthcare sector specifically, either innovations should be acceptable for all contexts, or none at all. If such a double standard exists and worse, persists, it raises serious questions about the ethics of promoting healthcare innovations in some but not all contexts in terms of risks to health outcomes, equitable access, and barriers to learning.

Type: Article
Title: Double standards in healthcare innovations: The case of mosquito net mesh for hernia repair
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjinnov-2020-000535
Publisher version: http://dx.doi.org/10.1136/bmjinnov-2020-000535
Language: English
Additional information: © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Ortho and MSK Science
URI: https://discovery.ucl.ac.uk/id/eprint/10120013
Downloads since deposit
50Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item