Prophylaxis of Surgical Wound Infection in Incisional Hernia Repair With Topical Antibiotics (PROTOP-PAR) ((PROTOP-PAR))
Postoperative Hernia
About this trial
This is an interventional prevention trial for Postoperative Hernia focused on measuring Surgical site infection, Incisional hernia, Topical prophylaxis, Wound irrigation, Topical antibiotic prophylaxis
Eligibility Criteria
Inclusion Criteria:
- Patients who require an elective surgical procedure due to an abdominal wall incisional hernia.
Exclusion Criteria:
- Emergency surgery
- Parastomal hernia
- Patients under treatment with immunosuppressants, corticosteroids and patients on hemodialysis.
- Patients with liver cirrhosis.
- Patients with suspected allergy to bata-lactams antibiotics.
- Patients who have undergone a recent open abdomen surgical technique (up to 30 days pre-intervention), placement of a prosthesis made of synthetic material (mesh) or in which the wound cannot be closed surgery at the discretion of the surgeon.
- Patients defined as grade 5 of the American Association of Anaesthesiologists classification (ASA 5).
Sites / Locations
- Hospital General de Granollers
Arms of the Study
Arm 1
Arm 2
Sham Comparator
Experimental
Wound irrigation with saline
Wound irrigation with antibiotic
After the closure of the aponeurosis, and before the closure of the skin, the subcutaneous layer of the wound will be rinsed with a determined volume (depending on the diameter of the incision) of a saline solution. Then, a gauze soaked with the same solution will be placed in the wound for 3 minutes.
After the closure of the aponeurosis, and before the closure of the skin, the subcutaneous layer of the wound will be rinsed with a determined volume (depending on the diameter of the incision) of amoxicillin-clavulanate in saline solution. Then, a gauze soaked with the same solution will be placed in the wound for 3 minutes.