Antibiotic Prophylaxis in Umbilical and Incisional Hernia Repair: A Prospective Randomised Study

Dan Abramov, Igor Jeroukhimov, Amos M. Yinnon, Yoram Abramov, Eli Avissar, Ziona Jerasy, Omri Lernau

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To find out if preoperative prophylaxis would reduce infection rates after umbilical and incisional hernia repair. Design: Randomised controlled trial. Setting: Teaching hospital, Israel. Subjects: 35 Patients who presented with umbilical (n = 19) or incisional (n = 16) hernias during a period of 8 months. Interventions: Cefonicid 1 g was given by intravenous infusion to alternate patients 30 minutes before the operation. Main outcome measures: Wound infection. Results: The groups were comparable for age, body mass index, grade of surgeon, operating time, and size of hernial ring. The wound infection rates were 0/8 compared with 4/8 for incisional hernia repairs (p = 0.08) and 1/9 compared with 4/10 for umbilical hernia repairs (p = 0.3). The overall rate was 1/17 compared with 8/18 (p = 0.02). Conclusions: Single dose antibiotic puphylaxis seems to exert a beneficial effect on the wound infection rate after umbilical and incisional hernia repair.

Original languageEnglish
Pages (from-to)945-948
Number of pages4
JournalBritish Journal of Surgery
Volume162
Issue number12
StatePublished - 1996
Externally publishedYes

Keywords

  • Glove
  • Glove perforation
  • Infusion port
  • Venous access

ASJC Scopus subject areas

  • Surgery

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