Abdominal Wall Hernia and Pregnancy: a Systematic Review

Overview

Journal Hernia

Publisher Springer

Date 2015 Apr 12

PMID 25862027

Citations 14

Authors

K K Jensen

N A Henriksen

L N Jorgensen

Affiliations

Soon will be listed here.

Abstract

Purpose: There is no consensus as to the treatment strategy for abdominal wall hernias in fertile women. This study was undertaken to review the current literature on treatment of abdominal wall hernias in fertile women before or during pregnancy.

Methods: A literature search was undertaken in PubMed and Embase in combination with a cross-reference search of eligible papers.

Results: We included 31 papers of which 23 were case reports. In fertile women undergoing sutured or mesh repair, pain was described in a few patients during the last trimester of a subsequent pregnancy. Emergency surgery of incarcerated hernias in pregnant women, as well as combined hernia repair and cesarean section appears as safe procedures. No major complications were reported following hernia repair before or during pregnancy. The combined procedure of elective cesarean section and abdominal wall hernia repair was reported in 102 patients without major complications.

Conclusions: The literature on abdominal wall hernia and pregnancy is sparse. Abdominal wall hernia repair with suture or mesh may cause pain in the last trimester of a subsequent pregnancy. Hernia repair in conjunction with cesarean section appear as the optimal treatment of a pregnant patient with a symptomatic abdominal wall hernia.

Citing Articles

A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester.

Stemmer S, Gomes C, Cardonick E Case Rep Obstet Gynecol. 2024; 2024:5881260.

PMID: 38229587 PMC: 10789513. DOI: 10.1155/2024/5881260.

Successful management of strangulated incisional hernia in pregnancy - A case report.

Thayalan Dias S, Gobishangar S, Heerthikan K Int J Surg Case Rep. 2023; 110:108745.

PMID: 37659159 PMC: 10509923. DOI: 10.1016/j.ijscr.2023.108745.

Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure.

Kinoshita M, Nagahisa Y, Kawamoto K CRSLS. 2023; 9(2).

PMID: 36816459 PMC: 9903251. DOI: 10.4293/CRSLS.2022.00007.

Ventral hernia repair and mesh use in females of childbearing age.

Shen M, Howard R, Ehlers A, Delaney L, Solano Q, Englesbe M Surg Endosc. 2022; 37(4):3084-3089.

PMID: 35927347 DOI: 10.1007/s00464-022-09429-x.

How to Treat Hernias in Pregnant Women?.

Danawar N, Mekaiel A, Raut S, Reddy I, Malik B Cureus. 2020; 12(7):e8959.

PMID: 32766002 PMC: 7398739. DOI: 10.7759/cureus.8959.

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