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

  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}},
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… 

Evaluation of administration of prophylactic antibiotics in mesh repair of inguinal hernia

The Lichtenstein mesh hernioplasty is currently the most popular operative technique for open repair of inguinal hernia, due to its superior outcome and reduced recurrence rates.

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

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
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.

Surgical site infection: the “Achilles Heel” of all types of abdominal wall hernia reconstruction

Suggested preventative strategies discussed in this manuscript include: treatment of remote site infections, perioperative normothermia and normoglycemia, avoidance of hypoxemia, antiseptic preparation of surgical team hands and patient skin, treatment of obesity, smoking cessation, correction of malnutrition, and physical conditioning.

Laparoscopic evaluation and management of 47 patients with late-onset mesh infection after inguinal hernioplasty

Laroscopic exploration is an effective and minimally invasive method for managing the late-onset infection which can identify whether internal organ was involved and consult for the further treatment.

Post-surgical Hidden Costs: Infections

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

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.



Prophylactic Antibiotics for Mesh Inguinal Hernioplasty: A Meta-analysis

Meta-analysis found that antibiotic prophylaxis use in patients submitted to mesh inguinal hernioplasty decreased the rate of surgical site infection by almost 50%.


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

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.

Antibiotic prophylaxis for hernia repair.

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

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

Open mesh versus non-mesh for repair of femoral and inguinal hernia.

There is evidence that the use of open mesh repair is associated with a reduction in the risk of recurrence of between 50% and 75%.

Prospective randomized evaluation of prophylactic antibiotic usage in patients undergoing tension free inguinal hernioplasty

Prophylactic antibiotic usage in patients undergoing tension free inguinal hernioplasty did not show any statistically significant beneficial effects in reduction of surgical site infection.