Antibiotic prophylaxis for open mesh repair of groin hernia: systematic review and meta-analysis

@article{Erdas2016AntibioticPF,
  title={Antibiotic prophylaxis for open mesh repair of groin hernia: systematic review and meta-analysis},
  author={Ernico Erdas and Fabio Medas and Giuseppe Pisano and Angelo Nicolosi and Pietro Giorgio Cal{\`o}},
  journal={Hernia},
  year={2016},
  volume={20},
  pages={765-776}
}
PurposeAbstractA meta-analysis was performed to asses whether antibiotic prophylaxis is effective in reducing the incidence of surgical site infection (SSI) after open mesh repair of groin hernia.MethodsA literature search for randomized controlled trials (RCT) evaluating the effectiveness of antibiotic prophylaxis in adult patients undergoing open mesh repair of groin hernia was performed in November 2015. Incidence of overall and deep SSI was considered as primary and secondary outcome… 
Antibiotic Prophylaxis against Surgical Site Infection after Open Hernia Surgery: A Systematic Review and Meta-Analysis
TLDR
The present meta-analysis suggests that AP is beneficial prior to open mesh hernia repair, however, the quality of evidence was low, and further well-designed trials are needed.
Antibiotic prophylaxis for prevention of postoperative wound infection in adults undergoing open elective inguinal or femoral hernia repair.
TLDR
It is uncertain whether antibiotic prophylaxis as compared to placebo (or no treatment) prevents all types of postoperative wound infections after herniorrhaphy surgery, and it is likely that moderate-quality evidence shows that it makes little or no difference for the outcomes of 'prevention of all wound infections'.
Antibiotic prophylaxis in laparoendoscopic hernia surgery
  • F. Kõckerling
  • Medicine
    International Journal of Abdominal Wall and Hernia Surgery
  • 2018
TLDR
Overall, there is a paucity of studies on antibiotic prophylaxis in laparoendoscopic hernia surgery, and those studies available are not able to demonstrate that the use of antibiotic pro PHYAS in laparendoscopic repair of inguinal and abdominal wall hernias has a definite effect on the SSI rate.
Post-surgical Hidden Costs: Infections
TLDR
Combined surgical and medical approach is usually required to achieve clinical cure and avoid hernia and/or infection recurrence in patients with increased preoperative risk for infection.
Patient Comorbidities Complicating a Hernia Repair: The Preoperative Workup and Postoperative Planning
TLDR
This chapter reviews the available literature as it pertains to the management of patients prior to hernia repair and makes recommendations based on this evidence.
Prevention of Complications of Incisional Hernia Repair: Current Problem State (Review)
TLDR
The principles of component separation is considered as one of the most promising directions of abdominal surgery, and the emphasis was made on the description of fast-track principles when studying the postoperative preventive methods.
Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
TLDR
Late-onset ileocutaneous fistula should be considered in the differential diagnosis in patients who present inflammation and abscess formation after hernia repair, and for patients with suspected intestinal fistula after hernian repair, laparoscopic exploration should be given priority, and the mesh removal approach should be tailored according to the results of laparoscope exploration.
...
...

References

SHOWING 1-10 OF 47 REFERENCES
Prophylactic Antibiotics for Mesh Inguinal Hernioplasty: A Meta-analysis
TLDR
Meta-analysis found that antibiotic prophylaxis use in patients submitted to mesh inguinal hernioplasty decreased the rate of surgical site infection by almost 50%.
THE ROLE OF ANTIBIOTIC PROPHYLAXIS IN PREVENTION OF WOUND INFECTION AFTER LICHTENSTEIN REPAIR OF PRIMARY INGUINAL HERNIA
TLDR
It does not appear that antibiotic prophylaxis offers any benefits in the elective mesh inguinal hernia repair using a tension-free polypropylene mesh technique.
The Role of Antibiotic Prophylaxis in Prevention of Wound Infection After Lichtenstein Open Mesh Repair of Primary Inguinal Hernia: A Multicenter Double-Blind Randomized Controlled Trial
TLDR
A low percentage of wound infection after Lichtenstein open mesh inguinal (primary) hernia repair was found, and there was no difference between the antibiotic prophylaxis or placebo group.
The role of antibiotic prophylaxis in elective tension‐free mesh inguinal hernia repair: results of a single‐centre prospective randomised trial
TLDR
From the results of this study it does not appear that antibiotic prophylaxis offers any benefits in the elective mesh inguinal hernia repair.
Antibiotic prophylaxis for hernia repair.
TLDR
The administration of antibiotic prophylaxis for elective inguinal hernia repair cannot be universally recommended and its administration cannot either be recommended against or recommended against when high rates of wound infection are observed.
Prophylactic antibiotic use in elective inguinal hernioplasty in a trauma center
TLDR
In these settings antibiotic prophylaxis has no significant effect on the incidence of SSI in elective repair of inguinal hernia surgery with mesh with mesh, and the most effective way to reduce the incidence in prosthetic repair may be a specific center for treatment of abdominal wall hernias.
Recurrence of inguinal herniae following removal of infected prosthetic meshes: a review of the literature
PurposeLate-onset mesh infection, occurring months to years following hernia repair, is a rare complication of hernia surgery. Its management usually requires removal of the mesh. The aim of this
...
...