ArticleHernia : the journal of hernias and abdominal wall surgery2020
Predictive factors for the development of surgical site infection in adults undergoing initial open inguinal hernia repair.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- The impact of smoking on ventral and inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Meta‑analysis of single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair.Updates in surgery · 2023Pooled it
- Effect of topical gentamicin in preventing surgical site infection in elective incisional hernia repair in a randomized controlled trial.Scientific reports · 2024Trial
- Seasonal trends in surgical site infections after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Application of machine learning algorithms to predict postoperative surgical site infections and surgical site occurrences following inguinal hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
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- Treatment of mesh infection after inguinal hernia repair: 3-year experience with 120 patients.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Severe wound infection by MRCNS following bilateral inguinal herniorrhaphy.BMC infectious diseases · 2023Article
- Modified Metabolic Syndrome Predicts Worse Outcomes in Obese Patients Undergoing Inguinal Hernia Repair.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Simulated training model in a low cost for laparoscopic inguinal hernioplasty.Acta cirurgica brasileira · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDespite being one of the most commonly performed general surgery procedures, surgical site infection (SSI) is still seen in primary, elective, open inguinal hernia repair. Studies have reported a wide range of infection rates, yet predictive risk factors have not been definitely identified leading to variability and controversy in the use of pre-operative antibiotics. In this study, the authors seek to identify factors predictive of SSI development in a large cohort of patients undergoing initial unilateral open inguinal repair.
methodsThe American College of Surgery National Surgical Quality Improvement Program (ACS NSQIP) personal use file (PUF) database was queried for initial, open, reducible inguinal hernia repair cases in adults with clean surgical sites performed from 2012 to 2015 (CPT 49,505 and class one wound). Patient data were analyzed using univariate and multivariate analysis to identify factors predictive of surgical site infection.
results57,951 cases were identified. 90.8% were men with an average age of 58.2 years and a median operative time of 53.0 min. Of all variables evaluated with univariate logistic regression, 17 demonstrated an association with surgical site infection. Performing multiple logistic regression on those 17 variables yielded 3 factors independently associated with surgical site infection: diabetes (OR 2.017, 95% CI 1.012-4.023), BMI ≥ 35 kg/m
conclusionDiabetes, BMI ≥ 35 kg/m
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