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Eur J Surg. 1996 Dec;162(12):945-8; discussion 949.

Antibiotic prophylaxis in umbilical and incisional hernia repair: a prospective randomised study.

Author information

1
Department of Surgery A and B, Shaare Zedek Medical Center, Jerusalem, Israel.

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.

PMID:
9001875
[Indexed for MEDLINE]
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