Cesarean section and hernia repair: simultaneous approach

R, Gabriele; Conte, Marco; Izzo, Luciano; Basso, L.

doi:10.1111/j.1447-0756.2010.01283.x

Cited by 20 publications

(9 citation statements)

References 20 publications

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“…They used the same approach with us, transperitoneal access, and they used mesh repair if the defect was larger than 3 cm and detected 1 recurrence in 36 patients who underwent primary hernia repair. Recently, Gabriele et al published 19 women with inguinal hernias and 9 with umbilical hernias that were repaired during CS [14]. They used mesh repair via periumbilical incision for the umbilical hernias and Lichtenstein repair via a Pfannenstiel incision.…”

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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“…There was a tendency for a higher procedure satisfaction in the IR subgroup (10/10 points vs. 6/10 points, p = 0.087). Both the median body image and cosmesis (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) 0.038* score showed a higher level of functioning in the IR group (p = 0.02; p = 0.04) ( Table 3).…”

Section: Follow-upmentioning

confidence: 99%

“…Three small case series have demonstrated the feasibility of combined caesarean section and umbilical or inguinal hernia repair with infection rates of 0-4.3 % and recurrence rates of 0-2.1 % [7][8][9]. However, inguinal and umbilical hernia repair were analysed together.…”

Section: Introductionmentioning

confidence: 99%

Suture repair of umbilical hernia during caesarean section: a case–control study

Steinemann

Limani

Ochsenbein

et al. 2013

Hernia

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Despite a high recurrence rate, internal suture repair of a symptomatic umbilical hernia during elective caesarean section should be offered to women if requested. No additional morbidity or scar is added to caesarean section. Internal repair is faster, and cosmetic results are better, additional skin or fascia dissection is avoided, and it seems to be as effective as an external approach. Yet, women must be informed on the high recurrence rate.

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“…One appropriate approach could be to perform combined cesarean section and cholecystectomy in one sitting. A number of procedures have been done at the time of cesarean section, including gynaecological procedures, hernia repair, appendectomy and cholecystectomy (4)(5)(6)(7). The combination of cholecystectomy with gynaecologic surgery or cesarean section is virtually undocumented outside of a case report (8,9).…”

Section: Introductionmentioning

confidence: 97%

Combined lower segment cesarean section and cholecystectomy in single sitting-our initial experience

Mushtaque¹,

Guru²,

Malik³

et al. 2012

J Turkish German Gynecol Assoc

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Combined cesarean section and cholecystectomy avoids rehospitalisation for separate cholecystectomy. With an additional small subcostal incision, single anaesthesia, and single hospital stay, the combined procedure confers valuable advantages for both patient and hospital in time, cost, and convenience, including avoiding the separation of mother from newborn entailed by reoperation. It also prevents the possibility of developing acute cholecystitis while the patient is waiting for cholecystectomy. Our results indicate that the combination approach is safe, effective, and well accepted.

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Cesarean section and hernia repair: simultaneous approach

Cited by 20 publications

References 20 publications

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

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

Suture repair of umbilical hernia during caesarean section: a case–control study

Combined lower segment cesarean section and cholecystectomy in single sitting-our initial experience

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