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A Journal on Surgery

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Chirurgia 2005 August;18(4):163-6

language: Italian

Antibiotic prophylaxis in prosthetic hernioplasty

Sciannameo F., Coccetta M., Morelli M., Tocchio M., Locci E., Ronca P.


Aim. The aim of this study was to demonstrate the advantage of using antibiotic prophylaxis in prosthetic hernioplasty. The use of prosthesis in hernioplasty presents undoubtable advantages. It is possible to perform, also by local anesthesia, surgical operations with minimum discomfort for the patient and very short stay in hospital and convalescence. Late results are also excellent. On the other hand, the use of prosthetic materials is related to additional risks, first of all infection. Prosthetic infections represent a serious complication, absolutely to avoid. Rigorous asepsis and antibiotic prophylaxis are fundamental for infection prevention. A good antibiotic prophylaxis must be effective, cheap and without side effects.
Methods. The authors report their experience in over 3000 hernioplasties with prosthesis. In all these patients an antibiotic prophylaxis has been performed by only one infusion in the immediate preoperative period. The antibiotic used has been ampicillin-sulbactam and, in patients with allergy to penicilline, teicoplanin.
Results. Mortality was 0.1% (3 patients); these 3 patients were submitted to emergency surgery. In other 3 patients (0.1%), notwithstanding drainage and antibiotic therapy, a prosthesis infection occurred. Late complications observed were 0.3% for hernia recurrence and 0.1% for redo surgery due to persisting pain symptomatology.
Conclusion. The results obtained (prosthesis infections in 0.1% of cases) demonstrate the validity of this procedure.

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