Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry

Surgical Endoscopy
F KöckerlingB Stechemesser

Abstract

The use of antibiotic prophylaxis in inguinal hernia repair is a controversial issue. Accepted randomized controlled trials or registry data with specific analysis of endoscopic repaired patients do not exist. The data presented in this study compared the prospectively collected data from the Herniamed Registry on all patients who had undergone unilateral, bilateral or recurrent repair of inguinal hernias using either endoscopic or open techniques between September 1, 2009, and March 5, 2014. In total, 85,033 patients were enrolled. Of these patients, 48,201 (56.7 %) had an endoscopic and 36,832 (43.3 %) an open repair. The target variables analyzed were impaired wound healing and deep infections with mesh involvement within 30 days after the operation. Analysis of the patient group with endoscopic/laparoscopic inguinal hernia repair (n = 48,201) did not identify any significant influence of antibiotic prophylaxis on postoperative impaired wound healing, which occurred in 53 cases (p = 0.6431). Nor was it possible to identify any significant impact of antibiotic prophylaxis on the deep infections seen in 27 cases (p = 0.8409). Analysis of the open inguinal hernia repair group revealed that, unlike the laparoscopic/endoscopic gr...Continue Reading

References

Aug 3, 2002·The British Journal of Surgery·R BittnerB J Leibl
Nov 29, 2002·Surgical Endoscopy·C TammeF Köckerling
Apr 17, 2007·Annals of Surgery·Alvaro SanabriaGabriel Gómez
Feb 18, 2012·The Cochrane Database of Systematic Reviews·Francisco Javier Sanchez-ManuelJuan Luis Seco-Gil
Mar 6, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B StechemesserF Köckerling
Mar 22, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezM P Simons

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Citations

Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jan 31, 2017·Innovative Surgical Sciences·Ferdinand Köckerling
Feb 29, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D RussellR Lim
Jan 17, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F Köckerling
Feb 25, 2017·Innovative Surgical Sciences·Dirk WeyheVerena-Nicole Uslar
May 26, 2021·Enfermedades infecciosas y microbiología clínica·María Dolores Del Toro-López, Josep María Badía-Pérez
Aug 7, 2021·Enfermedades Infecciosas Y Microbiologia Clinica·María Dolores Del Toro-López, Josep María Badía-Pérez
Oct 2, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N ChristouUNKNOWN Club-Hernie Members

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