Role of Prophylactic Antibiotics in Open Mesh Inguinal Hernioplasty: A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 9
Abstract
Background: Surgical site infection is the most frequent complication in inguinal hernioplasty. Although there is no controversy in the use of prophylactic antibiotics in clean-contaminated, contaminated and dirty wounds in other type of surgeries, there is controversy surrounding the use of prophylactic antibiotics in clean wounds like Lichtenstein mesh hernioplasty. Aims and Objectives: The aim of the study was to determine the effectiveness of prophylactic antibiotics on the prevention of post-operative wound infection in open mesh inguinal hernioplasty. Materials and Methods: This single-blinded randomized controlled trial was conducted at the Department of General Surgery in Nil Ratan Sirkar Medical College and Hospital, Kolkata among patients requiring mesh inguinal hernioplasty. Among the case group, there were 50 patients who were administered antibiotic prophylactically, and among 50 controls, placebo was given before the surgery. Patient record sheet was used to enter the details of each patient. Results: It was found that the adjusted odds ratio came out to be 0.65 with a confidence interval of 0.565–0.95. This means that the odds of having wound infection postoperatively were 0.65 times lower among cases as compared to controls. Statistically, the difference was found to be significant with P < 0.05. Conclusion: Antibiotic coverage before open mesh hernioplasty incurs protective effect against post-surgical wound infection.
Authors and Affiliations
Debasis Ray, Abhishek Bhaumik, Sudeb Saha
Clinical Study of Hydatid Disease
ntroduction: Hydatid disease has been known form the time of Hippocrates who refers to the disease as “Liver full of water.” The most common form is Echinococcus granulosus, which gives rise to cysts. Hydatid disease is...
Varied Presentations and Management of Symptomatic Meckel’s Diverticulum
Meckel’s diverticulum is a true diverticulum arising from the antimesenteric border of the distal ileum. It is a remnant of vitellointestinal duct present. Majority of the population with Meckel’s diverticulum are asympt...
A Clinical Study on Primary Lymphoma of the Thyroid in a Tertiary Hospital
Background: The incidence of primary thyroid lymphoma is uncommon and accounts for <5% of all thyroid malignancies. Diagnosis by fine needle aspiration cytology (FNAC) is difficult due to its rarity, and therefore patien...
Prevalence of HIV, HBV, and HCV Markers in Multi-transfused Patients
Background: Transfusion-transmitted infections (TTIs) are a major challenge to the transfusion services all over the world. The problem of TTIs is directly proportional to the prevalence of the infections in the blood do...
A Study of Modified Alvarado Score and Rovsing’s Sign in Diagnosis of Acute Appendicitis
Background: Acute appendicitis remains a common abdominal emergency throughout the world. The diagnosis of acute appendicitis continues to be difficult due to the variable presentation of the disease and the lack of reli...