Table 1

Study characteristics and quality evaluation of each selected study on the use of antibiotic prophylaxis to prevent postoperative complications in patients undergoing tension-free hernioplasty

CharacteristicPerez et al. (18)Yerdel et al. (19)Aufenacker et al. (20)Celdran et al. (21)Tzovaras et al. (22)Jain et al. (23)
Jadad score545454
RandomizationYesYesYesYesYesYes
Double blindYesYesYesYesYesYes
Lost to follow-up, %3.6NR0.4NR0.5NR
No. of patients360269100891379120
Mean age, yr615658586341
Infection, %3.14.81.74.43.71.7
Wound infection definitionCDC criteriaCDC criteriaCDC criteriaCDC criteriaClinical criteriaClinical criteria
Follow-up1 mo1 yr3 mo2 yr1 mo1 mo
Antibiotic, type and dosageCefazolin, 1 gAmpicillin + sulbactam, 1.5 gCefuroxime, 1.5 gCefazolin, 1 gAmpicillin + clavulanic acid, 1.2 gAmoxicillin + clavulanic acid, 1.2 g
ControlPlacebo*Placebo*Placebo*NRPlacebo*Placebo*
Duration of surgery, min536340654558
Mesh typePolypropylenePolypropylenePolypropylenePolypropylenePolypropylenePolypropylene
  • CDC = Centers for Disease Control and Prevention; NR = not reported.

  • * Placebo = saline solution.