POST OPERATIVE WOUND INFECTION

Background: The use of antibiotic prophylaxis during Lichtenstein inguinal hernia surgery is controversial, and no definitive guidelines are available in literature. Objective: To determine effects of prophylactic antibiotics in reducing the frequency of postoperative wound infection in Lichtenstein hernia repair. Study Design: Case control study. Setting: Surgical Unit II, Allied Hospital, Faisalabad.Duration: One year, between January 2007 and December 2007. Methods: Patients undergoing unilateral, primary inguinal hernia repair electively with the Lichtenstein technique using polypropylene mesh were randomized to receive 1.0 g intravenous Cefazolin before the incision or an equal volume of placebo. Wound infection was defined according to the criteria of Centers for Disease Control and recorded. Results wereassessed using chi-square test. Results: 100 patients were included in the study. Minimum age of patients in this study was 20 and maximum 75 years with a mean of 44.06 in group A and 44.84 in group B. The total number of wound infections was 7 (7%); 2 (4%) in the antibiotic prophylaxis group and 5 (10%) in the placebo group. Statistical analysis showed no significant difference in the number of wound infections inboth groups (p value=0.240). Conclusions: We conclude that in Lichtenstein inguinal hernia repair routine use of prophylactic antibiotics is not needed, as it does not significantly reduce the postoperative wound infection rates.

Download Full-text

POST OPERATIVE WOUND INFECTION

The Professional Medical Journal ◽

10.29309/tpmj/2010.17.02.2340 ◽

2010 ◽

Vol 17 (02) ◽

pp. 174-179

Author(s):

AAMIR IJAZ ◽

SUHAIL AMER

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Antibiotic Prophylaxis ◽

Wound Infection ◽

Prophylactic Antibiotics ◽

Postoperative Wound Infection ◽

Wound Infections ◽

Postoperative Wound ◽

Lichtenstein Hernia Repair ◽

Significant Difference

Background: The use of antibiotic prophylaxis during Lichtenstein inguinal hernia surgery is controversial, and no definitive guidelines are available in literature. Objective: To determine effects of prophylactic antibiotics in reducing the frequency of postoperative wound infection in Lichtenstein hernia repair. Study Design: Case control study. Setting: Surgical Unit II, Allied Hospital, Faisalabad. Duration: One year, between January 2007 and December 2007. Methods: Patients undergoing unilateral, primary inguinal hernia repairelectively with the Lichtenstein technique using polypropylene mesh were randomized to receive 1.0 g intravenous Cefazolin before the incision or an equal volume of placebo. Wound infection was defined according to the criteria of Centers for Disease Control and recorded. Results were assessed using chi-square test. Results: 100 patients were included in the study. Minimum age of patients in this study was 20 and maximum 75 years with a mean of 44.06 in group A and 44.84 in group B. The total number of wound infections was 7 (7%); 2 (4%) in the antibiotic prophylaxis group and 5 (10%) in the placebo group. Statistical analysis showed no significant difference in the number of wound infections in both groups (p value=0.240). Conclusions: We conclude that in Lichtenstein inguinal hernia repair routine use of prophylactic antibiotics is not needed, as it does not significantly reduce the postoperative wound infection rates.

Download Full-text

Postoperative Wound Infections

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894810903s206 ◽

1981 ◽

Vol 90 (3_suppl2) ◽

pp. 17-18 ◽

Cited By ~ 1

Author(s):

Fred S. Herzon

Keyword(s):

Wound Healing ◽

Surgical Technique ◽

Wound Infection ◽

Surgical Procedure ◽

Prophylactic Antibiotics ◽

Host Factors ◽

Postoperative Wound Infection ◽

Wound Infections ◽

Postoperative Wound ◽

Normal Wound Healing

Postoperative wound infection represents a serious complication of any surgical procedure. Prevention is the cornerstone when approaching this problem. Host factors, prophylactic antibiotics and meticulous surgical technique are key elements in achieving normal wound healing. These are discussed, as is wound infection in various types of surgery of the head and neck.

Download Full-text

Antibiotic prophylaxis for prevention of postoperative wound infection in adults undergoing open elective inguinal or femoral hernia repair

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd003769.pub5 ◽

2020 ◽

Cited By ~ 3

Author(s):

Claudia C Orelio ◽

Coen van Hessen ◽

Francisco Javier Sanchez-Manuel ◽

Theodorus J Aufenacker ◽

Rob JPM Scholten

Keyword(s):

Hernia Repair ◽

Antibiotic Prophylaxis ◽

Wound Infection ◽

Femoral Hernia ◽

Postoperative Wound Infection ◽

Postoperative Wound

Download Full-text

Postoperative wound infection: A controlled study of antibiotic prophylaxis

Oral Surgery Oral Medicine Oral Pathology ◽

10.1016/0030-4220(62)90422-x ◽

1962 ◽

Vol 15 (12) ◽

pp. 1522

Author(s):

T.J.C

Keyword(s):

Antibiotic Prophylaxis ◽

Wound Infection ◽

Controlled Study ◽

Postoperative Wound Infection ◽

Postoperative Wound

Download Full-text

Relevance of Antibiotic Prophylaxis in Non-Mesh Inguinal Hernia Repair in Remote and Poor Medical Settings in Sub-Saharan Africa

Surgical Infections ◽

10.1089/sur.2020.387 ◽

2021 ◽

Author(s):

Meva Razafinimanana ◽

Olivier Aoun ◽

Sandrine Durond ◽

Pierre Pasquier ◽

Fulgence Kassi ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Antibiotic Prophylaxis ◽

Inguinal Hernia Repair ◽

Sub Saharan Africa ◽

Medical Settings ◽

Sub Saharan

Download Full-text

Cynoacrylate surgical glue as an alternative to suturing for mesh fixation in lichtenstein hernia repair

International Surgery Journal ◽

10.18203/2349-2902.isj20181602 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1882

Author(s):

Deepak Jaiswal ◽

TRV Wilkinson ◽

Murtaza Akhtar

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Mesh Fixation ◽

Tertiary Care ◽

Operating Time ◽

Recurrent Hernia ◽

Care Hospital ◽

Lichtenstein Hernia Repair ◽

Average Pain

Background: Tension free repair using mesh in open hernia repair has become more popular in recent years. Chronic pain remains a frequent complication after Lichtenstein inguinal hernia repair. The use of sutures to fix the mesh has been implicated. Fixing the mesh using cynoacrylate glue could avoid this complication. The purpose of the present study is to study the incidence of pain and other complications following inguinal hernia repair performed by the Lichtenstein technique with mesh fixation by cyanoacrylate surgical glue.Methods: T This study was conducted at tertiary care hospital. Inclusion criteria were all patients coming to the hospital with inguinal or inguinoscrotal hernias diagnosed clinically. Exclusion criteria were all complicated inguinal hernia namely obstructed, strangulated, and large hernias with scrotal abdomen, recurrent hernia. Patient not fit for surgery or not consenting to join the study. The patients will be informed about the surgery and thereafter requested to sign an informed consent. Primary outcome was postoperative pain. Secondary endpoints were operating time, surgical site infection and recurrence rate.Results: Total number of 31 cases enrolled in the study of which twenty-two had unilateral and seven had bilateral inguinal hernias. Average pain score on POD 1, 3, 7 was 5.75; 4.53; 3.32 respectively. One patient developed seroma which was managed conservatively. No evidence of recurrence during study period.Conclusions: Cyanoacrylate surgical glue is a reliable method and can be used as an alternative for conventional Lichtenstein hernia repair.

Download Full-text