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Laparoscopic ventral hernia repair during pregnancy.
1Section of Gastrointestinal Surgery, Department of Surgery, Yale University School of Medicine, Suite 7B, 40 Temple Street, New Haven, CT 06520, USA.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|March 13, 2009
Summary
Laparoscopic ventral hernia repair is safe in pregnant patients when managed appropriately. This approach offers benefits similar to non-pregnant patients, with careful consideration for fetal well-being.
Area of Science:
- Minimally Invasive Surgery
- Obstetrics and Gynecology
- Surgical Oncology
Background:
- Laparoscopic ventral hernia repair offers advantages over open surgery, including shorter recovery and fewer complications.
- It is the standard of care for complex hernias in non-pregnant individuals.
- However, guidelines for pregnant patients undergoing this procedure are lacking.
Purpose of the Study:
- To evaluate the safety and outcomes of laparoscopic ventral hernia repair in a pregnant patient.
- To review existing literature on laparoscopy during pregnancy.
Main Methods:
- A case report of a pregnant patient undergoing laparoscopic ventral herniorrhaphy was analyzed.
- Literature search conducted using terms: laparoscopy, surgery, pregnancy (1997-2007).
Main Results:
- The first published case of successful laparoscopic ventral hernia repair at 21 weeks gestation.
- The study discusses techniques to minimize risks to mother and fetus.
Conclusions:
- Laparoscopic ventral hernia repair is feasible and safe in pregnancy with proper fetal monitoring.
- Elective repairs should be postponed until after delivery; semi-elective cases should wait until after the first trimester.
