scholarly journals Effectiveness of single over triple dose antibiotic prophylaxis in open inguinal hernioplasty

2021 ◽  
Vol 5 (1) ◽  
pp. 297-300
Author(s):  
Dr. Subburathinam ◽  
Dr. A Mohamed Imran ◽  
Dr. Karthick MP ◽  
Dr. Joseline Princy
Keyword(s):  
Antibiotic Prophylaxis ◽  
Inguinal Hernioplasty ◽  
Triple Dose

scholarly journals Antibiotic Prophylaxis In Preventing Surgical Site Infection In Patients Undergoing Lichtenstein’s Hernioplasty

2018 ◽  
Vol 08 (03) ◽  
pp. 147-150
Author(s):  
Rizwanullah Junaid Bhanbhro ◽  
Khalil Ahmed Almani ◽  
Sadia Kazi
Keyword(s):  
Inguinal Hernia ◽  
Surgical Site Infection ◽  
Antibiotic Prophylaxis ◽  
Prophylactic Antibiotic ◽  
University Hospital ◽  
Site Infection ◽  
Inguinal Hernioplasty ◽  
Exclusion Criteria ◽  
Antibiotic Group ◽  
Low Incidence

Objective: To determine the antibiotic prophylaxis in preventing surgical site infection in patients undergoing Lichtenstein’s hernioplasty. Study design: Observational study Place and Duration: Department of surgery, ISRA University Hospital, Hyderabad. from December 2015 to March 2017. Materials and Methods: 120 cases of inguinal hernia planned for Lichtenstein’s hernioplasty were selected according to exclusion criteria and divided into control and antibiotic group. Pre- operative patient history, physical examination and inguinal hernia examination was performed. Prophylactic antibiotic ceftriaxone (1000 mg) was given over night of surgical procedure. Statistical software SPSS 21.0 was used for data analysis at 95% CI (P <0.05). Results: Mean± SD age was noted as 39.51 ± 7.56 years (15 – 61 years). Of 120, who underwent Lichtenstein’s hernioplasty the direct and indirect hernias were noted in 35 (29.16%) and 33 (27.5%) & 25 (20.83%) and 27 (22.5%) of control and antibiotic groups respectively. Of 120 subjects, the SSI was noted in 17 (14.1%) in control and 5 (4.16%) in antibiotic group. Cumulative SSI in 120 cases was 22 (18.33%). Conclusion: The present study reports low incidence of surgical site infection with antibiotic prophylaxis in Lichtenstein’s mesh repair in open inguinal hernioplasty.

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

2017 ◽  
Vol 4 (6) ◽  
pp. 1922
Author(s):  
Gowri Sankar Alagarsamy ◽  
Rajavelu Ramasamy
Keyword(s):  
Inguinal Hernia ◽  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Tertiary Care ◽  
Site Infection ◽  
Care Centre ◽  
Inguinal Hernioplasty ◽  
Hernia Surgery ◽  
Tertiary Care Centre ◽  
Inguinal Hernia Surgery

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.

scholarly journals TO COMPARE THE DURATION OF SURGERY IN SINGLE DOSE INTRAVENOUS ANTIBIOTIC PROPHYLAXIS OVER NO ANTIBIOTIC PROPHYLAXIS IN THE PREVENTION OF WOUND INFECTION FOLLOWING LICHTENSTEIN TENSION FREE INGUINAL HERNIOPLASTY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Prteet Negi ◽  
Priyanka Thakur ◽  
Ramesh Bharti ◽  
Amar Verma ◽  
Rajesh Sharma ◽  
...  
Keyword(s):  
Single Dose ◽  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Inguinal Hernioplasty ◽  
Intravenous Antibiotic ◽  
Duration Of Surgery ◽  
Antibiotic Group ◽  
Group A ◽  
The Mean ◽  
Group B

Background: We conducted a study to compare the duration of surgery in single dose intravenous antibiotic prophylaxis over no antibiotic prophylaxis in the prevention of wound infection following Lichtenstein tension free inguinal hernioplasty Methods: This prospective study was conducted in the Department of Surgery, Dr. Rajendra Prasad Government Medical College Kangra at Tanda from May 2018 to December 2019after being approved by institutional protocol review committe and ethics committee.50 patients were included in the study.These patients were randomised into two groups i.e. Group A (Antibiotic Group) and Group B (Non-antibiotic Group). Results: The mean duration of surgery in Antibiotic group (Group-A) was 56.6±15.66 minutes whereas it was 50.2±9.62 minutes in Non-antibiotic group (Group-B). The mean duration of surgery was more in Antibiotic group (Group-A) as compared to Non-antibiotic group (Group-B), however the difference was not statistically significant (p= 0.088).    Conclusion: In our study, we concluded that statistically insignificant difference was found in the duration of surgery in Antibiotic and Non-antibiotic Group Keywords: Duration of surgery, Antibiotic, Pre-operative

scholarly journals P066 ELECTIVE LICHTENSTEIN INGUINAL HERNIOPLASTY IN GERIATRIC PATIENTS WITHOUT ANTIBIOTIC PROPHYLAXIS : HOW SAFE IS IT ?

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Vladimir Cijan ◽  
Predrag Bojovic ◽  
Jovana Bojicic
Keyword(s):  
Placebo Group ◽  
Surgical Site Infection ◽  
Antibiotic Prophylaxis ◽  
Geriatric Patients ◽  
Operating Time ◽  
Prophylactic Antibiotic ◽  
Operation Time ◽  
Site Infection ◽  
Inguinal Hernioplasty ◽  
Elective Repair

Abstract Aim Elective surgery is becoming increasingly common in geriatric patients, particularly as the population is aging. The incidence of inguinal hernia in the elderly is also increasing. Lichtenstein inguinal hernioplasty is the most frequent procedure for the elective repair. There is ambiguity about the usefulness of antibiotic prophylaxis in inguinal mesh hernioplasty and the evidence for its value is still a matter of debate. Our aim was to evaluate the outcomes of Lichtenstein inguinal hernioplasty without antibiotic prophylaxis in geriatric patients. Material and Methods A database of patients aged 70 and more undergoing elective Lichtenstein inguinal hernioplasty was established. Patients were randomly categorized in antibiotic (received antibiotics) and placebo group (received placebo). Demographics, American Society of Anesthesiologists (ASA) classification, comorbidity, hernia type, operating time and hospitalisation were analyzed. Infections were evaluated 1 week, 2 weeks and 1 month postoperatively according to Center for Disease Control criteria. Results Between 2015.-2019., 400 patients were evaluated, 200 patients in each group. All patients were operated under local anaesthesia with 24-hours hospitalisation. Groups were well matched regarding demographics, ASA-type, comorbidity, hernia type, operation time. Superficial surgical site infection developed in 16 patients from the antibiotic and 19 from the placebo group. Three from each group developed deep infection. Two mesh removal was required in the placebo group. Conclusions Prophylactic antibiotic usage in geriatric patients undergoing Lichtenstein inguinal hernioplasty did not show any significant beneficial efects in reduction of surgical site infection. Our results do not support the routine use of antibiotics for elective inguinal hernioplasty.

scholarly journals ROLE OF ANTIBIOTIC PROPHYLAXIS IN ELECTIVE MESH INGUINAL HERNIOPLASTY

2018 ◽  
Vol 5 (17) ◽  
pp. 1427-1430
Author(s):  
Santhi B ◽  
Kenny Robert ◽  
Sudhagar Rengasamy
Keyword(s):  
Antibiotic Prophylaxis ◽  
Inguinal Hernioplasty

scholarly journals Role of single dose antibiotic prophylaxis in prevention of wound infection following lichtenstein inguinal hernioplasty: a randomized clinical trial

2013 ◽  
Vol 2 (2) ◽  
pp. 108-113
Author(s):  
Bidur KC ◽  
R Regmi ◽  
CS Agrawal ◽  
OP Pathania
Keyword(s):  
Single Dose ◽  
Inguinal Hernia ◽  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Inguinal Hernioplasty ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery ◽  
Group 2 ◽  
Group 1

Background: Inguinal hernia is one of commonest condition encountered in clinical practice. Mesh repair is becoming the most popular technique for repair of inguinal hernia. The use of antibiotic prophylaxis for clean surgical procedure such as inguinal hernia surgery is controversial. Methods: All patients above 18 years of age with primary unilateral inguinal hernia over 14 months period were enrolled. Patients were randomized into 2 groups. Patients with antibiotic prophylaxis group were administered intravenous antibiotic at the induction of anesthesia or just before the incision if operated under local anesthesia (group 1); patients with no antibiotic prophylaxis group were administered sterile normal saline intravenously at the same time (group 2). After Lichtenstein inguinal hernioplasty, patients were followed up twice at 7-9 days and 28-42 days to assess surgical site infection, persistent pain, chronic sinus, testicular atrophy and recurrence if any as final outcome of treatment. Results: Total of sixty patients (59 male and 1 female), thirty in each group were enrolled. During the first follow up, 1 patient (3.3%) developed wound infection from group 2 where as none of the patients developed wound infection (0%) from group 1. During the second follow up, none of the patients from both the groups had any complication. Conclusion: Inguinal hernia surgery is a clean operation. There is no benefit of intravenous single dose antibiotic prophylaxis in the prevention of wound infection following Lichtenstein inguinal hernioplasty in patients with no other co-morbid conditions. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 108-113 DOI: http://dx.doi.org/10.3126/njms.v2i2.8952

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