What is the role of antibiotic prophylaxis in open inguinal hernia repair?

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

Other techniques, such as epidural anesthesia, have been widely reported, but results depend largely on local expertise.

Elective inguinal hernia repair is considered a clean procedure and, as such, should carry a surgical site infection rate of less than 2%. The data remain controversial, but one meta-analysis supported the use of antibiotic prophylaxis in the performance of a mesh-based repair. [51] Cephalosporins (eg, cefazolin) are commonly administered by the anesthesiologist in a single dose before the skin incision. [52] A properly powered, prospectively randomized study is needed to determine whether such prophylaxis is necessary.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!