European Journal of Biomedical and Pharmaceutical Sciences

THE RISK OF WOUND INFECTION AFTER LAPAROSCOPIC INGUINAL HERNIA REPAIR A RETROSPECTIVE STUDY AT THE ROYAL MEDICAL SERVICE, JORDAN

Hamzah Al Karabsheh MD, Husam Al Mharat MD, Mutaz Haddain MD, Tareq Al Zoubi MD, Osamah Althalege MD, Mohammad Al Huniti MD, Ramadan Hassanat MD, Alaa Badyneh MD, Ghidaa Maswadah

ABSTRACT

Objective: to assess the risk of surgical site infection after laparoscopic inguinal hernia repair. Methodology: It’s a retrospective study of 269 procedures performed at King Hussien Medical Hospital over a one-year duration from January 2023 to January 2024. All surgical procedures were transabdominal preperitoneal (TAPP) laparoscopic hernia repair with an underlay polypropylene mesh at the same hospital and by one unit. Data before surgery were collected and documented regarding age, sex, and type of inguinal hernia. All patients were followed for one month after surgery through two outpatient visits. Surgical site infection diagnosed clinically (hotness, redness, pain, and fever) and proven by doing laboratory tests of WBCs and detecting wound collection radiologically (ultrasound or CT scan). Results: The commonest site in both groups was the right side, followed by the left and finally the bilateral, Rt 116 (43.1%), Lt 105 (39.0%), bilateral 48 (17.8%), with a significant difference between the two groups, P value < 0.001; most of the bilateral inguinal hernia were managed laparoscopically. On the 7th day after surgery, the infection rate was significantly different and common in group B, open approach, with a P value of 0.003, while the results were completely different on the 14th day after surgery; there was a significant difference in both groups, and the rate of infection was very low, Phi test 0.178. Conclusion: we conclude that the laparoscopic inguinal hernia is better than the open technique and carries a lower infection rate and shorter hospital stay.

Keywords: infection rate, inguinal hernia, laparoscopy.