Mohamed Daffalla-Awadalla Gismalla, Monzer Mohammed Abdallah Ibrahim, Mohammed Abdelhaleem Mahmoud, Alsidiek Abdelazeem Hassan Alamalhuda
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引用次数: 0
Abstract
Background: Recently, mesh repair has become a standard treatment for inguinal and ventral hernial disease worldwide. Consequently, mesh-related complications have increased, especially superficial site infections. This study aimed to determine the role of topical gentamicin in reducing superficial surgical site infection.
Methods: This was a prospective, cross-sectional, comparative, hospital-based study conducted between July 2022 and March 2023. Patients who underwent elective mesh repair for inguinal or para-umbilical hernia were reviewed. Participants were divided into two groups: the control group (G1), which did not receive topical gentamicin, and the study group (G2), which received topical gentamicin. The surgical site was examined on the 1st, 7th, and 30th postoperative days for signs of infection according to the definitions provided by the Centers for Disease Control Control.
Results: A total of 197 fulfilled our inclusion criteria. The infection rate in all study participants (N = 197) was 4.5%. A total of (n = 9) 4.5% SSIs occurred among the 197 patients, with 3.5% (n = 7) in G1 and 1% (n = 2) in G2 (Table 2). Four patients (2.0%) developed a hematoma, all of whom had an inguinal hernia. Three of these patients developed SSI, with two in G1 and one in G2 All infections observed were superficial surgical infections (SSI); No statistical significance was ruled out.
Conclusion: Our study sheds light on the use of topical gentamicin in preventing early SSIs following hernia and para-umbilical mesh repair surgery in developing countries. There are no significant differences when using topical gentamicin to prevent surgical site infections.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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