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

Steinemann, Daniel C.; Limani, Përparim; Ochsenbein, Nicole; Krähenmann, Franziska; Clavien, Pierre Alain; Zimmermann, Roland; Hahnloser, Dieter

doi:10.1007/s10029-013-1087-6

Cited by 11 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This can be performed via one single Pfannestiel incision with abdominal wall lifted upwards and umbilical hernia repaired via the same incision; or alternatively, with a separate paraumbilical incision. Combined Caesarean section and umbilical hernia repair are associated with negligible immediate post‐operative complication but longer operative time and significant recurrence, ranging from 2% to 28% 16,17 . These findings have limited the general adoption of such combined approach.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hernia in pregnancy—Does it matter?

Chiu

Law

et al. 2022

Surgical Practice

View full text Add to dashboard Cite

Introduction Pregnancy is a risk factor for hernia development. This review studies the natural history and outcomes of hernias in pregnant women treated in the Hong Kong West Cluster. Methods This is a cluster‐wide, retrospective descriptive study. Electronic medical records of women attending Hernia Clinics at Tung Wah Hospital or Queen Mary Hospital or those emergently admitted into the surgical department between January 2002 and January 2022 were screened. Inclusion criteria were women with: (i) hernia developed during pregnancy; and (ii) known unrepaired hernia developed prior to pregnancy. Results Forty‐one patients were included. Median age of hernia onset was 31 years old. All patients continued with pregnancy with no hernia complications. None received hernia repair before delivery. Nine out of 41 patients (22.0%) received Caesarean section. Fourteen out of 22 (63.6%) patients with inguinal hernias developed during pregnancy reported hernia disappearance after delivery, of whom five experienced hernia recurrence. One out of five patients with ventral hernia developed during pregnancy experienced hernia disappearance after delivery with no recurrence. 43.9% received hernia repair after delivery. Conclusions It is safe to adopt conservative management in pregnant women. Vaginal delivery is not contraindicated. We recommend watchful waiting during pregnancy and repair after delivery.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Combined Caesarean section and umbilical hernia repair are associated with negligible immediate postoperative complication but longer operative time and significant recurrence, ranging from 2% to 28%. 16,17 These findings have limited the general adoption of such combined approach.…”

Section: Conflict Of Interestmentioning

confidence: 99%

Hernia in pregnancy—Does it matter?

Chiu

Law

et al. 2022

Surgical Practice

View full text Add to dashboard Cite

show abstract

“…65 On the other hand, a high rate of post-operative wound complications were reported, although, comparable to that following a standard elective cesarean section has been observed by some researchers. 66,67 Evidence supports the combined procedure of cesarean section and hernia repair, thereby concluding that it is feasible and safe. 65 …”

Section: Hernioplastymentioning

confidence: 99%

Cesarean Section and Associated Surgeries: Feasibility and Surgical Outcomes

Dawood¹

2017

Women Health Open J

View full text Add to dashboard Cite

Cesarean section being the most commonly performed surgery in Egypt, the incidents of cesarean delivery in general hospitals were found to be nearly 50.6%, whereas, in private hospitals such cases were reported to be much higher. Many disorders, either gynecological or non-gynecological could coexist or precede a cesarean delivery. These disorders need to be managed surgically; invariably most patients will prefer to undergo a cesarean section with concomitant surgery for any associated pathology. The feasibility and complications of such dual surgeries have been addressed in this review article.

show abstract

“…Steinemann et al recently published a retrospective cohort–control study ( 23 ). Fourteen patients underwent suture repair of umbilical hernia during C-section by using different techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, two recurrences were revealed by ultrasonography in each repair subgroup (28%). The authors recommended mesh repairs in these cases ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

Umbilical Hernia Repair and Pregnancy: Before, during, after…

Kulaçoğlu¹

2018

Front. Surg.

View full text Add to dashboard Cite

Umbilical hernias are most common in women than men. Pregnancy may cause herniation or render a preexisting one apparent, because of progressively raised intra-abdominal pressure. The incidence of umbilical hernia among pregnancies is 0.08%. Surgical algorithm for a pregnant woman with a hernia is not thoroughly clear. There is no consensus about the timing of surgery for an umbilical hernia in a woman either who is already pregnant or planning a pregnancy. If the hernia is incarcerated or strangulated at the time of diagnosis, an emergency repair is inevitable. If the hernia is not complicated, but symptomatic an elective repair should be proposed. When the patient has a small and asymptomatic hernia it may be better to postpone the repair until she gives birth. If the hernia is repaired by suture alone, a high risk of recurrence exists during pregnancy. Umbilical hernia repair during pregnancy can be performed with minimal morbidity to the mother and baby. Second trimester is a proper timing for surgery. Asymptomatic hernias can be repaired, following childbirth or at the time of cesarean section (C-section). Elective repair after childbirth is possible as early as postpartum of eighth week. A 1-year interval can give the patient a very smooth convalescence, including hormonal stabilization and return to normal body weight. Moreover, surgery can be postponed for a longer time even after another pregnancy, if the patients would like to have more children. Diastasis recti are very frequent in pregnancy. It may persist in postpartum period. A high recurrence risk is expected in patients with rectus diastasis. This risk is especially high after suture repairs. Mesh repairs should be considered in this situation.

show abstract

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

Cited by 11 publications

References 17 publications

Hernia in pregnancy—Does it matter?

Hernia in pregnancy—Does it matter?

Cesarean Section and Associated Surgeries: Feasibility and Surgical Outcomes

Umbilical Hernia Repair and Pregnancy: Before, during, after…

Contact Info

Product

Resources

About