The Role of Antibiotic Prophylaxis in Prevention of Wound Infection After Lichtenstein Open Mesh Repair of Primary Inguinal Hernia

The use of antibiotic prophylaxis in hernia repair is still under debate. The aim of this meta-analysis was to assess the effect of antibiotic prophylaxis in patients undergoing open mesh repair of inguinal hernia with respect to incidence of postoperative surgical site infection (SSI). A literature search was conducted in databases of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials. Study selection, data extraction, quality assessment, and meta-analysis were conducted according to the recommendations by Cochrane collaboration. Nine randomized controlled trials were included. Incidence of surgical site infection was 39/1642 (2.38%) in the antibiotic group and 70/1676 (4.18%) in the control group. Antibiotics showed a protective effect in preventing SSI after mesh inguinal hernia repair (odds ratio: 0.61, 95% confidence interval: 0.40–0.92, I2: 0%). Antibiotic prophylaxis did reduce the incidence of SSI in hernia patients undergoing mesh hernioplasty. The cost effectiveness of antibiotic prophylaxis needs further evaluation.

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Postoperative Pain in Laparoscopic Transabdominal Preperitoneal Versus Lichtenstein Open Mesh Repair Techniques for Inguinal Hernia

Journal of Surgery Pakistan ◽

10.21699/jsp.22.3.3 ◽

2017 ◽

Vol 22 (3) ◽

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Mesh Repair ◽

Transabdominal Preperitoneal ◽

Open Mesh Repair ◽

Open Mesh ◽

Repair Techniques

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Rare giant inguinal hernia causing end-stage dialysis-dependent renal failure

BMJ Case Reports ◽

10.1136/bcr-2019-233140 ◽

2020 ◽

Vol 13 (4) ◽

pp. e233140

Author(s):

Jacob Levi ◽

Karl Chopra ◽

Mubashar Hussain ◽

Shafiul Chowdhury

Keyword(s):

Inguinal Hernia ◽

Mesh Repair ◽

Obstructive Uropathy ◽

Kidney Injury ◽

Past Medical History ◽

Bladder Hernia ◽

Open Mesh Repair ◽

Catheter Tip ◽

End Stage ◽

Open Mesh

A 72-year-old man presented with urinary retention, weight loss, haematuria and severe acute kidney injury. He had never before been admitted to hospital and his past medical history included only an inguinal hernia. On examination, he appeared uraemic and had a right-sided painful hernia. A three-way catheter was inserted, bladder washouts performed and irrigation started. An ultrasound showed severe bilateral hydronephrosis and a ‘thickened bladder’ and this was thought to be obstructive uropathy secondary to bladder cancer. Twenty-four hours later his hernia doubled in diameter, became incarcerated and a CT of the abdomen and pelvis showed an inguinal hernia of both bladder and bowel, with the catheter tip inside the bladder hernia. He was taken to theatres and an open mesh repair was performed with a rigid cystoscopy to assist in locating and reducing the bladder. He required intensive care and dialysis postoperatively and remains on regular dialysis following discharge.

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