scholarly journals Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

BJS Open ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 260-273 ◽  
Author(s):  
S. van Steensel ◽  
L. K. van Vugt ◽  
A. K. Al Omar ◽  
E. H. H. Mommers ◽  
S. O. Breukink ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Mesh Repair ◽  
Meta Analysis ◽  
Single Layer ◽  
Open Mesh Repair ◽  
Open Mesh

Antibiotic Prophylaxis in Patients Undergoing Open Mesh Repair of Inguinal Hernia: A Meta-Analysis

2012 ◽  
Vol 78 (3) ◽  
pp. 359-365 ◽  
Author(s):  
Yuan Yin ◽  
Turun Song ◽  
Banghua Liao ◽  
Qian Luo ◽  
Zongguang Zhou
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Surgical Site Infection ◽  
Antibiotic Prophylaxis ◽  
Mesh Repair ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Site Infection ◽  
Open Mesh Repair ◽  
Open Mesh

The use of antibiotic prophylaxis in hernia repair is still under debate. The aim of this meta-analysis was to assess the effect of antibiotic prophylaxis in patients undergoing open mesh repair of inguinal hernia with respect to incidence of postoperative surgical site infection (SSI). A literature search was conducted in databases of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials. Study selection, data extraction, quality assessment, and meta-analysis were conducted according to the recommendations by Cochrane collaboration. Nine randomized controlled trials were included. Incidence of surgical site infection was 39/1642 (2.38%) in the antibiotic group and 70/1676 (4.18%) in the control group. Antibiotics showed a protective effect in preventing SSI after mesh inguinal hernia repair (odds ratio: 0.61, 95% confidence interval: 0.40–0.92, I2: 0%). Antibiotic prophylaxis did reduce the incidence of SSI in hernia patients undergoing mesh hernioplasty. The cost effectiveness of antibiotic prophylaxis needs further evaluation.

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