The Usefulness of International Cooperation in the Repair of XXXX in Sub-Saharan Africa.

@entity1 @entity169 @entity7502 @entity547
INTRODUCTION: The burden of disease and mortality associated with @entity169 in Africa, especially in sub-Saharan Africa, is very high. The purpose of this study is to show that International Cooperation work in the field of @entity547 repair is effective; it minimizes the delay in @entity547 repairs in the targeted population, and can prevent a large number of disability-adjusted life years (DALYs). MATERIALS AND METHODS: As a part of an International Cooperation program, a total of 990 black @entity1 with @entity169 were studied, in whom hernioplasty was performed using @entity7502 mesh. The type of @entity547 and surgical technique were studied. Indicators of scientific and technical quality, indicators of efficiency and of effectiveness were analyzed. The results on the usefulness of interventions were calculated as avoided DALYs. RESULTS: Surgery was performed on 926 @entity1 with a total of 1033 @entity547 repairs. 87.2 % of the repairs were made with mesh. There was no mortality in the series, complications were minor, and 85.7 % of @entity1 remained less than 24 h in the center. There was a 2.8 % of recurrence, with a follow-up 58.7 % of the @entity1 in the first year. 5014 DALYs were avoided, and the average of the avoided DALYs per @entity1 was of 5.41. CONCLUSIONS: Hernia repair with mesh in low development countries is a procedure with low morbidity and high effectiveness that can prevent a large number of DALYs.
