THE ROLE OF PROPHYLACTIC ANTIBIOTIC IN MESH INGUINAL HERNIORRHAPHY
*Dr. Saad Y. Ibrahm, Dr. Jalil I. Khalaf and Dr. Hassan A. Hamad
Background: Inguinal hernia is one of most common type of elective case that present in outpatient clinic. Repair of hernia with mesh is the most popular technique for repair of inguinal hernia, there is a controversy in use of prophylactic antibiotics to prevent the infection at surgical site of operation. The aim of this study is to find out the efficacy of antibiotics in prevention of infection at mesh inguinal hernia repair. Method and material: it is randomized double- blind trial for patients had inguinal hernia repair with mesh. the study conducted at Baquba teaching hospital from 1st Feb 2012 till 31th Dec. 2016. patients included in this study divided into 2 groups, 1st which given prophylactic antibiotic, 1gm cefotaxime intravenously, before 30 minutes of operation and the other placebo group which given distilled water. Result: A 200 patients included in the study divided into 2 equal groups. infection occur in 2 of 100 (2%) in prophylactic group while 5 of 100(5%) in placebo group, most of infection occur between day 5 and 10 postoperatively. Most of them treated with conservative method without need to remove of mesh. Prophylactic antibiotic was not decrease incidence of infection when compared to placebo group. Conclusion: the study indicates that there is no big difference between prophylactic group and placebo group. According to our results we recommend not to use the prophylactic antibiotic in elective cases of inguinal hernias mesh repair.
Keywords: Inguinal hernias mesh repair, prophylactic antibiotics, surgical site of infection.
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