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Prophylactic antibiotic therapy for hernia repair

Fonnes, S.; Holzknecht, B.J.; Arpi, M.; Rosenberg, J.

Ugeskrift for Laeger 179(37)

2017

ISSN/ISBN: 1603-6824
PMID: 28918776
Document Number: 692056
This article aims at outlining and recommending use of prophylactic antibiotic therapy for hernia repair according to literature and newly released guidelines. We do not recommend prophylaxis for elective repair of inguinal and ventral hernias in a low infection risk environment as Denmark except in patients with incisional hernia > 10 cm or presumed increased risk for wound infection, e.g. diabetes or immunosuppression. Antibiotic prophylaxis should always be used in emergent hernia repair. We recommend a prophylactic regimen of second-generation cephalosporin given as a single dose perioperatively.

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