Antibiotic Prophylaxis and Open Groin Hernia Repair

Taylor, Eric; Byrne, D. J.; Leaper, David; Karran, S. J.; Browne, M. K.; Mitchell, K. J.

doi:10.1007/s002689900311

Cited by 100 publications

(77 citation statements)

References 7 publications

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“…In clean surgical interventions like breast cancer surgeries; antibiotic prophylaxis should be considered [13]. However; for other clean neck surgeries and hernia repair it is not recommended due to the low incidence of wound infection [15]. In Brazil Fonseca and Contemnor reported that 26% of patients were unnecessarily given antibiotics for surgical prophylaxis [16].…”

Section: Discussionmentioning

confidence: 99%

Prophylactic Antibiotics and Wound Infection

Elbur¹

2013

JCDR

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Section: Discussionmentioning

confidence: 99%

Prophylactic Antibiotics and Wound Infection

Elbur¹

2013

JCDR

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“…In a randomised controlled trial of antibiotic prophylaxis, Taylor and co-workers 58 gave each discharged patient a diary card on which their GP or nurse was asked to record any suggestion of wound infection and details of any therapeutic intervention after discharge. Bacteriology culture swabs were also given to patients and they were asked to return them to the laboratory in the event of their wound discharging (wound infection defined as per the SISG definition: a purulent wound discharge or spreading erythema indicative of cellulitis, wound breakdown or dehiscence with clinical evidence of infection 29 ).…”

Section: Patient Diary Cardsmentioning

confidence: 99%

The measurement and monitoring of surgical adverse events

Bruce

Russell

Mollison

et al. 2001

Health Technol Assess

298

209

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“…Antibiotic prophylaxis is not given, nor prophylaxis for thromboembolism in day-cases. 18,19 Intravenous access is established for the administration of sedation or other medication in all instances. A 100 mg Diclofenac suppository is given prior to the insertion of a field block of local anaesthetic (by the surgeon) or induction of general anaesthesia.…”

Section: Methodsmentioning

confidence: 99%

A prospective study of 1000 hernias: results of the Plymouth Hernia Service

Kingsnorth¹,

Bowley²,

Porter³

2003

Annals of the Royal College of Surgeons of England

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Background: A hernia service within a general hospital was prospectively evaluated to establish whether evidence-based protocols could deliver results comparable to those reported from specialist hernia clinics. Methods: Protocols were devised according to established models. With the support of a nurse specialist, 1015 patients with inguinal hernia were treated. Quality-of-life analysis was undertaken using the Short Form 36. Results: Patients ranged in age from 16-98 years (median, 56 years). Ambulatory day-case surgery was achieved in 820 patients (81%), with local anaesthesia in 891 (88%). Wound infection occurred in 10 patients (0.98%). Wound haematoma requiring surgical intervention occurred in three patients. Two patients formed wound seromas that settled spontaneously. One patient developed ischaemic orchitis resulting in testicular atrophy. At 5 days after operation, 91% of patients had returned to normal activity. At 1 year, 7 patients (0.7%) had pain sufficient to limit normal activity or employment. There were 8 recurrences (0.78%) at a median follow-up of 2.5 years. Quality-of-life was enhanced at 1 year postoperatively. Conclusion: A protocol-driven hernia service within a general hospital can provide patient outcomes comparable to specialist hernia clinics.

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Antibiotic Prophylaxis and Open Groin Hernia Repair

Cited by 100 publications

References 7 publications

Prophylactic Antibiotics and Wound Infection

Prophylactic Antibiotics and Wound Infection

The measurement and monitoring of surgical adverse events

A prospective study of 1000 hernias: results of the Plymouth Hernia Service

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