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Year : 2019  |  Volume : 32  |  Issue : 3  |  Page : 1137-1141

The role of antibiotic prophylaxis in the prevention of surgical-site infection after hernioplasty in Menoufia University Hospital

Department of General Surgery, Faculty of Medicine, Menoufia University, Shebeen El-Kom, Egypt

Correspondence Address:
Mahmoud M. A. Al-Rahawy
Shebeen El-Kom, Menoufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_10_16

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Objective The aim of this paper was to evaluate the effectiveness of prophylactic antibiotics in the prevention of postoperative wound infection after Lichtenstein open mesh inguinal hernia repair. Background Inguinal hernia is one of the most common conditions encountered in clinical practice. Mesh repair is becoming the most popular technique for the repair of inguinal hernia. A surgical-site infection is defined as an infection that occurs at or near a surgical incision within 30 days of the procedure or within three months if an implant is left in place. The decision of perioperative antibiotic prophylaxis is made according to a number of risk factors, in particular, in aseptic interventions. The use of antibiotic prophylaxis for clean surgical procedures such as inguinal hernia surgery is controversial. Patients and methods Between November 2014 and November 2015, this prospective randomized-controlled study included 40 patients who presented with inguinal hernia. Patients were randomized into two groups. Group A was administered an antibiotic at the induction of anesthesia. Group B was administered sterile normal saline. After Lichtenstein inguinal hernioplasty, patients were followed up at 7–10 and 28–35 days to assess surgical-site infection. Results Of a total of 40 patients (37 men and three women), 20 in each group, one (2.5%) patient developed wound infection in group A and two (5%) patients developed wound infection in group B. Conclusion There is no benefit of an intravenous single-dose antibiotic prophylaxis in the prevention of wound infection following Lichtenstein inguinal hernioplasty in patients with no other co-morbid conditions.

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