Abdominal hernias in pregnancy

Augustin, Goran; Matošević, Petar; Kekez, Tihomir; Majerović, Mate; Đelmiš, Josip

doi:10.1111/j.1447-0756.2008.00965.x

Cited by 18 publications

(5 citation statements)

References 45 publications

(60 reference statements)

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“…It is estimated that groin hernia is associated with 1 of every 1000 to 3000 pregnancies [18]. Umbilical hernia is the second most frequent hernia after groin hernias in non-pregnant population [19].…”

Section: Discussionmentioning

confidence: 99%

Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair

Carilli¹

2015

IJCM

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Purpose: Simultaneous surgeries are increasingly applied in all surgical fields. They bring cost and health advantages to the patient and the economy. Pregnancy is one of the risk factors of hernia in females. We conducted a study for simultaneous tissue repairs of inguinal and umbilical hernias during cesarean section. Methods: Between January 1997 and August 2013 we have operated 42 patients with 45 hernias either umbilical or inguinal. We performed the repairs from the Pfannenstiel incision. Data about maternal age, parity, cause of cesarean section, length of operation, length of stay, complications and patient satisfaction were collected. Results: Within this period there were 19,904 deliveries in total. Incidence of umbilical hernia was found 0.2% and it was 0.1% for the inguinal hernia. Simultaneous hernia repairs significantly prolonged the operative time. There was no recurrence and complication. Conclusions: Our results showed that hernia repair can be performed without any additional risks during cesarean section. We believe that if there is an indication for cesarean section in a pregnancy complicated by an abdominal wall hernia, patients should be informed that it would be safe and effective to repair these hernias during cesarean section. This approach also enables tension-free pure tissue repairs.

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Section: Discussionmentioning

confidence: 99%

Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair

Carilli¹

2015

IJCM

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“…La incidencia de hernia de útero gestante después de una cesárea es del 3 %. No existen series en la literatura y se refieren como casos clínicos aislados [6][7][8] .…”

Section: Introductionunclassified

Giant incisional hernia with incarcerated gravid uterus

Muas¹

2021

Rev Hispanoam Hernia

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Conflictos de interés: los autores declaran no tener conflictos de interés. RESUMENIntroducción: La hernia incisional gigante con saco ocupado por un útero grávido es una entidad rara, pero representa una condición ginecológica y obstétrica con potenciales complicaciones tanto para la vida de la madre como para la del hijo.Caso clínico: Presentamos a una paciente de 32 años con embarazo de 26.4 semanas, con útero grávido en el saco de una hernia incisional poscesárea, úlceras y escaras en la piel de la pared abdominal. Se asocia como morbilidad una obesidad con índice de masa corporal de 37.5 kg/m 2 y una diabetes gestacional. Se realiza un manejo personalizado y multidisciplinario que le permite llegar a las 35 semanas de gestación y realizar cesárea electiva, hernioplastia incisional anatómica y dermolipectomía de necesidad, con lo que se logra un resultado materno y fetal satisfactorio.Conclusión: Se considera que las pacientes embarazadas que presentan el útero gestante en el saco herniario tienen un embarazo de alto riesgo. Durante su manejo es recomendable realizar una valoración y una conducta personalizadas por un equipo multidisciplinario que efectúe, tanto como sea posible, una planificación táctica segura, con una actitud terapéutica conservadora para lograr un final del embarazo satisfactorio y un adecuado cierre parietal.

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“…In addition, slow enlargement over a period of years is common and strangulation is much more frequent than in pediatric umbilical hernias. 4 Severe diastasis recti abdominis can lead to umbilical hernia in postpartum women and this condition should be corrected. 5 Here, we report two cases of abdominoplasty in postpartum Korean women with severe diastasis recti abdominis with abdominal hernia.…”

Section: Introductionmentioning

confidence: 99%

Severe Irreversible Diastasis Recti Abdominis and Abdominal Hernia in Postpartum Women: Rare Case Report

Song

Yoon

et al. 2016

International Surgery

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Diastasis recti abdominis is a condition defined as the separation between the rectus abdominis and the linea alba, which leads to weakness in the abdominal muscles. Diastasis may be slight or severe, sometimes resulting in herniation of the abdominal viscera. Following childbirth, most women develop some extent of muscle separation in the postpartum period. However, if the diastasis recti abdominis in the postpartum period remain severe, it should be corrected to prevent concurrent abdominal hernia, strangulation or incarceration. We herein present two Korean cases of postpartum women with severe diastasis recti abdominis with abdominal hernia; it is the first report of its kind from Korea. Two women were referred to our clinic with severe abdominal bulge. Computerized tomography scan showed widening of the linea alba with abdominal hernia. The standard abdominoplasty with multiple wide longitudinal plications of the abdominal wall was performed in each patient under general anesthesia. There was no recurrence of diastasis recti abdominis or abdominal hernia during follow-up periods. The application of abdominoplasty in postpartum women with severe diastasis recti abdominis with abdominal hernia is thus considered to be an efficient management option. We hope these cases can provide a reference for the treatment of similar situations.

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Abdominal hernias in pregnancy

Cited by 18 publications

References 45 publications

Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair

Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair

Giant incisional hernia with incarcerated gravid uterus

Severe Irreversible Diastasis Recti Abdominis and Abdominal Hernia in Postpartum Women: Rare Case Report

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