A comparative study on tension-free inguinal hernia repair whether use of antibiotics
10.3760/cma.j.issn.1673-4904.2013.29.005
- VernacularTitle:腹股沟疝无张力修补术是否应用抗生素的对比研究
- Author:
Feng JIAN
;
Weijian WENG
;
Ping ZENG
- Publication Type:Journal Article
- Keywords:
Hernia,inguinal;
Anti-bacterial agents;
Wound infection
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(29):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of tension-free inguinal hernia repair whether use of antibiotics prophylaxis.Methods A total of 204 cases of adult inguinal hernia were selected and they were divided into treatment group(51 cases)and control group(153 cases)under a hospital order by 1 ∶ 3 randomly.The patients in treatment group were treated by first-generation cephalosporin antibiotics once preoperatively,while the patients in control group received no antibiotics treatment.The incidence of early postoperative infection between two groups was compared.Results Among of 204 cases,5 cases developed surgical site infection,1 case from treatment group,infection rate was 2.0％ (1/51),while 4 cases from control group,infection rate was 2.6％(4/153).There was no significant difference in the infection rate between two groups(x2 =0.000,P =1.000).No significant difference was found in the results of complete white blood cell count,neutrophilic granulocyte ratio,hospital stays and hospital expenses between two groups(P ＞ 0.05).Conclusion There is no real need to apply regular antibiotics prophylaxis treatment for adult tension-free inguinal hernia repair without high risk factors.
