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Heart Disease (Expert Forum)
Antiobotics for Hernia Surgery after Valve repair Surgery
Answered by
Cleveland - OH
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Antiobotics for Hernia Surgery after Valve repair Surgery
by gcc, Aug 26, 2003 12:00AM
I had mitral valve repir surgery(annuoplasty band) at the Clinic in June of 2000. I am scheduled for surgery to repair a small abdominal hernia nect week and want to know if antibiotics are needed prior to, and or after the surgery? The surgeon said after would be appropriate. Thanks.
Doctor's Answer
by Cleveland Clinic, Aug 26, 2003 12:00AM
, Aug 26, 2003 12:00AM
gcc,
Thanks for the post. As a patient at the clinic, I encourage you to call your Cardiologist here to find out his/her personal preferences before actually undergoing surgery.
Guidlines for antibiotic prophylaxis depend on a persons risk for developing endocarditis, and the likelyhood of the particular procedure to produce the release of a bacteria into the blood that can cause the disease.
Given your prior valve surgery you fall into a high risk category based on your outcome if you were to deveolp endocarditis. While a surgical incision itself is not criteria for antibiotic prophylaxis, incision through the bowel mucosa is and thus would require prophylaxis.
There are several regimens and some debate over the actual timing of prophylaxis, but they are best administered perioperatively so as to ensure adequet levels during and after the procedure. This would be the time that the bacteria would be in highest concetration in the bloodstream and your risk would also be highest.
Again, I encourage you to call your cardiologist to let him/her know you are undergoing a procedure.
Hope this helps
Thanks for the post. As a patient at the clinic, I encourage you to call your Cardiologist here to find out his/her personal preferences before actually undergoing surgery.
Guidlines for antibiotic prophylaxis depend on a persons risk for developing endocarditis, and the likelyhood of the particular procedure to produce the release of a bacteria into the blood that can cause the disease.
Given your prior valve surgery you fall into a high risk category based on your outcome if you were to deveolp endocarditis. While a surgical incision itself is not criteria for antibiotic prophylaxis, incision through the bowel mucosa is and thus would require prophylaxis.
There are several regimens and some debate over the actual timing of prophylaxis, but they are best administered perioperatively so as to ensure adequet levels during and after the procedure. This would be the time that the bacteria would be in highest concetration in the bloodstream and your risk would also be highest.
Again, I encourage you to call your cardiologist to let him/her know you are undergoing a procedure.
Hope this helps
