How are infections prevented following an open inguinal hernia repair?

Updated: Jan 17, 2018
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

As in all operations, infection is a concern, but in clinical settings where the rate of wound infection is low (< 5%), there is no indication for the routine use of antibiotic prophylaxis in low-risk patients. However, if any risk factors for wound infection (eg, recurrent hernia, advanced age, diabetes mellitus, immunosuppressive conditions, or expected prolonged operating times) are present, antibiotic prophylaxis should be considered. Such prophylaxis should also be used at centers where high wound infection rates are observed in elective settings. [34, 35]

Anticoagulation prophylaxis is generally unnecessary; the duration of the operation is not long, and the patient can be mobilized the same evening.


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