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Monoflamen Poupropilen Mesh (marlex) Kullanılarak Yapılan Hernıoplastılerde Topikal Antıbıyotık Profılaksısının Enfeksıyon Rıskı Uzerıne Etkisi
Mustafa Şahin, Nuri Aydın Kama, Filiz Avşar, Hasan Yavuz, Hakan Kulaçoğlu
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Monoflamen Poupropilen Mesh (marlex) Kullanılarak Yapılan Hernıoplastılerde Topikal Antıbıyotık Profılaksısının Enfeksıyon Rıskı Uzerıne Etkisi
The Effect Of TopIcal AntIbIotIc ProphylaxIs On The InfectIon RIsk After HernIoplaxty WIth Mo-Nofflamented Polypropylene Meshes (marlex).
Amac: Polipropilen mesh kullandarak yaptlan hernioplasti opera.syonlarmda enfeksivon stkligt ve topikal antibiyotik profilaksisinin enfeksivon stkhgt tizerinde etkisini araptrmak. Cal:maims Yaptldtir yer: Ankara Mutilate Has-tanesi 4. Cerrahi Klinigi. Materyal ve Metodlar: Mays 1995- Ocak 1996 ta-riltleri herni nedenifle opere edilen 75 hasta fahonaya aim& I, gntba 25 hasta clinch ve klasik .1.on-tentkrle hernioplasti vaprkh. 11. gruba 26 hasta ahndt. Polipropilen mesh kllantlarak hernioplasti _vapildt. Ill gruba 24 hasty ahndt ve polipropilen mesh her-nioplasti + topikal antibiotik uygulandt. Bulgular: I. Grupta enfeksiyon gazknntedi. !ki hastada enflamatuar reaksiyon, bir hastada cord odemi gelisti. Il. grupta bir hastada yara en-jeksiymit (%4) ve bir hastada enflamatuar re-aksiyon gelilti. 111. grupta bir hastada yarn en-feksiyonu (%4) ye bir hastada cord odemi Sonuf: Polipropilen mesh kullantlarak yapdan hernioplastilerde enfeksiyon riskinin artmadtgt ve topikal antibiyoik profilaksisine gerek ohnadigt ka-naat ine vanldt.
Purpose: The aim of this study is to investigate the incidence of infection after polypropylen mesh hernioplasty and the effect of topical antibiotic prophylaxis. Instution: Ankara Numune Hostipal, 4th Su•-gical Clinic. Metarial and Methods: 75 patients operated on between May 1995- Jan 1996 for hernia were included in this study. Group 1: 25 patients were included in this group and clasical hernioplasty techniques were app-lied. Group 11:26 patients were included in this group and poloropylen mesh was used for hernia repair. Group III: 24 patients were included in this group and polypropylen mesh + npical antibiodtic propylaxis were used for hernia repair. Findings: Group I: There was no infection, but inflammatory reaction occured in two patients and Cord edema occured in one patient. Group II: There was infection in one patient (4%) and inflammatory reaction in one patient. Group 111: There was in-fection in one patient (4%) and Cord edeme in one paient.. Conclusion: We concluded that, polypropylene mesh did not increase the incidence of infection and there was no need to use topical antibiotic prophylaxis.
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