Antimicrobial prophylaxis in clean surgery with special focus on inguinal hernia repair with mesh

Terzi, Cem

doi:10.1016/j.jhin.2005.09.017

Cited by 20 publications

(23 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9 Such a wide range on SSI rates is due to the fact that studies differed in various aspects like difference in study design (retrospective, non-randomized versus prospective, randomized), surveillance methods (surgical team versus independent observer), definition of wound infection (no definition versus CDC definitions), duration of follow-up, type of operation (mesh repair versus nonmesh repair). 10 The association of incidence of SSI with other risk factors like age, duration of surgery, person performing surgery could not be observed in our study. Out of 12 patients with SSI, 8 (4 in each group) were managed by wound dressing with or without removing a suture.…”

Section: Discussioncontrasting

confidence: 69%

The efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre

Alagarsamy¹,

Ramasamy²

2017

Int Surg J

View full text Add to dashboard Cite

Background: Inguinal hernia surgery is the commonest surgery performed worldwide. Lichtenstein tension free repair using polypropylene mesh is the gold standard procedure for inguinal hernioplasty. Wound infection is the most common complication encountered in inguinal hernia surgery. Antibiotic prophylaxis for open inguinal hernioplasty in minimizing wound infection has been a subject of debate since the beginning of mesh repair.Methods: This study is a randomized control trial (double blind study) designed to study the efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre.Results: The overall SSI incidence was found to be 12% in the study population. Among the placebo group, SSI was observed in 7 patients (14%). In the patients in whom antibiotic prophylaxis was administered, SSI was observed in 5 patients (10%).Conclusions: Antibiotic prophylaxis was associated with decreased incidence of wound infection when compared to control group, but the difference was not statistically significant. This study only gives a baseline data about the status of SSI associated with hernia repair in our tertiary care centre highlighting the need for further research in this field.

show abstract

Section: Discussioncontrasting

confidence: 69%

The efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre

Alagarsamy¹,

Ramasamy²

2017

Int Surg J

View full text Add to dashboard Cite

show abstract

“…6,7 However, it remains a practice among many institutes and surgeons to administer antibiotics perioperatively to children undergoing procedures such as herniotomies, circumcisions and orchiopexies. [2][3][4] The incidence of surgical site infection in clean surgeries is reported to be <2%. while in developing countries, the incidence is reported to be nearly 8-10%.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,5 While antibiotic prophylaxis is of indisputable value in clean-contaminated surgeries, antibiotic prophylaxis is not without risks. Inappropriate antibiotic use is associated with significant risk of adverse drug reactions and emergence of bacterial resistance.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 However, the benefit of antibiotics in clean surgeries without implants is less clear. 2,3 It remains a common practice in many centres to administer at least a single dose of antibiotic perioperatively to children undergoing procedures such as herniotomies, open orchiopexies and circumcision. 3,4 The argument for their use is that the morbidity and cost of even infrequent infection can be considerable.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence of wound infection in common paediatric day care surgeries following a no-antibiotic protocol: a viable recommendation for a public hospital in India

et al. 2018

View full text Add to dashboard Cite

Background: The use of broad spectrum antibiotic administered intravenously 1 hour before incision has a well-established role in preventing surgical site infection following major surgeries. However, the benefit of this practice in clean, day care surgeries is less clear. The aim of the our study is to determine the incidence of wound infection in paediatric day care surgeries where antibiotics were not used. The objective of the present study was to observe the rate of Surgical Site Infection in paediatric day care surgery at a tertiary care public hospital where prophylactic antibiotics are not used empirically.Methods: We reviewed all paediatric patients undergoing day care common procedures namely herniotomy, open orchiopexy, circumcision and other minor procedures such as lymph node biopsy, lipoma excision, mucous retention cyst excision and dermoid cyst excision at our institute in a public hospital between January 2015 and December 2016. Those with heart diseases requiring infective endocarditis prophylaxis, those with immunosuppression and those who had received antibiotics perioperatively for any reason other than treatment of surgical site infection were excluded. Surgical site infection (SSI) was classified as superficial or deep as defined by the Centre For Disease Control (CDC). Results: A total of 576 paediatric patients underwent clean day- care procedures at our institute between January 2015 and December 2016, of which 478 patients met the inclusion criteria and were included in the study. 2 (0.41%) of these 478 patients developed surgical site infection. 1 patient had serous discharge at one point along the suture line while the other developed pus and required debridement.Conclusions: Clean day- care surgeries in children can be carried out safely without the empiric use of perioperative antibiotics even in the setting of a public hospital in a developing country.

show abstract

“…In this case, imaging techniques such as ultrasonography, tomography, or magnetic resonance imaging can be used. These techniques indicate the inflammation area in the subcutaneous tissue around the graft [17]. We did not observe any graft-associated infection in any group.…”

Section: Discussionmentioning

confidence: 55%

Is Graft Use Safe in Emergency Inguinal Hernia Repair?

Karaca¹,

Karaca²,

Ali³

et al. 2016

Ann Clin Anal Med

View full text Add to dashboard Cite

Anahtar KelimelerFıtık; Mesh Abstract Aim: The aim of this clinical study is to investigate the consequences of mesh use in cases of inguinal hernia with an indication of emergency operation. Material and Method: Patients who were operated on for incarcerated inguinal hernia (n=246) were included in the study. The patients were divided into the following groups according to the type of operation: Lichtenstein repair (Group 1) and primary repair (Group 2). Results: There were no significant differences in duration of operation and hospitalization, post-operative mortality and post-operative morbidity between the two groups (p>0.05). The incidence of intestinal resection was higher in women and elderly patients. Furthermore, these patients needed longer hospitalization time. In addition, the rate of complication was higher in these patients. Discussion: Polypropylene mesh can be safely and effectively used in cases of strangulated inguinal hernia.

show abstract

Antimicrobial prophylaxis in clean surgery with special focus on inguinal hernia repair with mesh

Cited by 20 publications

References 86 publications

The efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre

The efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre

Incidence of wound infection in common paediatric day care surgeries following a no-antibiotic protocol: a viable recommendation for a public hospital in India

Is Graft Use Safe in Emergency Inguinal Hernia Repair?

Contact Info

Product

Resources

About