ArticleSurgical endoscopy2015
Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Prophylactic antibiotics for preventing infection after continence surgery in women with stress urinary incontinence.The Cochrane database of systematic reviews · 2022Pooled it
- Meta-analysis of mesh-plug repair and Lichtenstein repair in the treatment of primary inguinal hernia.Updates in surgery · 2021Pooled it
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Perioperative antibiotic prophylaxis in robotic-assisted ventral hernia repair: a propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Metachronous reoperation for recurrent and non-recurrent inguinal hernia after primary unilateral inguinal hernia repair: propensity score matched analysis of large US claims database.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Late-Onset Mesh Infection Manifesting as Preperitoneal Abscess and Cutaneous Fistula Post-TEP Inguinal Hernia Repair: A Case Report.The American journal of case reports · 2024Article
- Article
- Outcomes from Early Experience with Laparoscopic Inguinal Hernia Repair Versus Open Technique: Navigating the learning curve.Sultan Qaboos University medical journal · 2024Article
- Retrospective study of perioperative antimicrobial use in horses undergoing elective laparoscopy at a single institution.Canadian journal of veterinary research = Revue canadienne de recherche veterinaire · 2024Article
- Article
- USA Department of Defense audit of surgical antibiotic prophylaxis prescribing patterns in inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Safety of two common laparoscopic inguinal herniorrhaphy approaches: an updated systematic review with meta-analysis of randomized clinical trials.Translational andrology and urology · 2020Article
- The results of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia: a retrospective study of 146 cases.Surgical endoscopy · 2020Article
- [HerniaSurge: international guidelines on treatment of inguinal hernia in adults : Comments of the Surgical Working Group Hernia (CAH/DGAV) and the German Hernia Society (DHG) on the most important recommendations].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Risk factors for perioperative complications in inguinal hernia repair - a systematic review.Innovative surgical sciences · 2017Review
- Data and outcome of inguinal hernia repair in hernia registers - a review of the literature.Innovative surgical sciences · 2017Review
- [Evidence-based TEP technique].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
- Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe use of antibiotic prophylaxis in inguinal hernia repair is a controversial issue. Accepted randomized controlled trials or registry data with specific analysis of endoscopic repaired patients do not exist. PATIENT AND
methodsThe data presented in this study compared the prospectively collected data from the Herniamed Registry on all patients who had undergone unilateral, bilateral or recurrent repair of inguinal hernias using either endoscopic or open techniques between September 1, 2009, and March 5, 2014. In total, 85,033 patients were enrolled. Of these patients, 48,201 (56.7 ) had an endoscopic and 36,832 (43.3%) an open repair. The target variables analyzed were impaired wound healing and deep infections with mesh involvement within 30 days after the operation.
resultsAnalysis of the patient group with endoscopic/laparoscopic inguinal hernia repair (n = 48,201) did not identify any significant influence of antibiotic prophylaxis on postoperative impaired wound healing, which occurred in 53 cases (p = 0.6431). Nor was it possible to identify any significant impact of antibiotic prophylaxis on the deep infections seen in 27 cases (p = 0.8409). Analysis of the open inguinal hernia repair group revealed that, unlike the laparoscopic/endoscopic group, antibiotic prophylaxis had a significant impact on the postoperative impaired wound healing and deep infection rates. The risk of postoperative impaired wound healing with antibiotic prophylaxis was significantly lower [OR 0.677 (0.479; 0.958), p = 0.027].
conclusionThe positive impact of the endoscopic/laparoscopic technique on avoidance of impaired wound healing and deep infections with mesh involvement is already so great that antibiotic prophylaxis has no additional benefit. In contrast, antibiotic prophylaxis should be administered for open inguinal hernia repair.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.