Comparative study of preoperative and post operative antibiotic in hernioplasty
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 12
Abstract
Background: Antibiotic prophylaxis use in mesh inguinal hernioplasty is uncommon. Because of the low number of clinical trials assessing its effectiveness, it is not conclusive. Aim: to compare the preoperative and post operative antibiotic use in hernioplasty. Methods: Randomized control trial was done to measure the benefits of antibiotics given pre and postoperatively on surgical site infection rate in648 patients of mesh inguinal hernioplasty. Study was conducted in NIMS Medical College and Hospital, Jaipur between May 2012 to October 2014. Patients with a primary inguinal hernia scheduled for hernioplasty were randomized to a preoperative single dose of 1g intravenous cephalosporin plus 500mg of amikacin and another group where single dose of cephalosporin plus amikacin are given postoperatively. Results: A total of 648 patients were analyzed. Surgical site infection was 1.26% in the antibiotic prophylaxis group versus 2.10% in the post operative antibiotic. Conclusion: Preoperative antibiotic use in patients of mesh inguinal hernioplasty decreased the rate of surgical site infection by almost 50%.
Authors and Affiliations
Gaurav Kumar Nirwal, Sunil Kumar Agarwal, Abhay Setia, Harendra Singh
Keywords
Related Articles
- EP ID EP198238
- DOI -
- Views 68
- Downloads 0
Cutaneous manifestations in diabetes mellitus
Introduction: Diabetes mellitus (DM) can be complicated by a variety of cutaneous manifestations. Good metabolic control may prevent some of these manifestations and may support cure. Unfortunately, most glucose-lowering...
Oral misoprostol for cervical ripening prior to surgical termination of pregnancy (MTP)
Objective: To evaluate the efficacy of misoprostol as an adjunct to manual vacuum aspiration in termination of pregnancy of 6-12 weeks with previous caesarean section. Method: During the study period of 2 years from Janu...
A comparative study between two port and four port laparoscopic cholecystectomy
Aims: To study the feasibility and hence practical utility of Two Port Laparoscopic Cholecystectomy as compared to conventional/four port laparoscopic cholecystectomy. Also to study the indication for putting additional...
Comparison of intravaginal misoprostol alone and in combination with intracervical foley’s catheter for termination of second trimester pregnancy at a tertiary care hospital
Background: Termination of pregnancy in the second trimerter is more dangerous than the first. Main concern is to provide more effective method of termination and to reduce time of induction as well Objectives: To assess...
A comparative study of repair of hernia with darn versus mesh
Introduction: The history of hernia is the history of surgery (FalixPatino). The trial for optimal operation is still going on regarding cost effectiveness, low recurrence rate and acceptable postoperative pain and no or...