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Paraumbilical hernia repair during cesarean delivery
Wagih M Ghnnam1, Adel S Helal, Muhammad Fawzy
1Department of General Surgery, Mansoura University, Mansoura, Dakahlia, Egypt. wghnnam@gmail.
Annals of Saudi Medicine
|March 26, 2009
Summary
Combining cesarean delivery with paraumbilical hernia repair is safe and effective for pregnant patients. This approach offers a single surgery, reducing hospital stays and improving patient satisfaction.
Area of Science:
- Obstetrics and Gynecology
- General Surgery
Background:
- Paraumbilical hernias in pregnant women are often repaired postpartum.
- Some patients desire simultaneous repair during cesarean delivery.
Purpose of the Study:
- To evaluate the outcomes of combined cesarean delivery and paraumbilical hernia repair.
- To compare this combined approach with cesarean delivery alone.
Main Methods:
- Prospective study comparing 48 patients undergoing combined procedures with 100 controls.
- Outcome measures included operation time, blood loss, pain, complications, hospital stay, recurrence, and satisfaction.
Main Results:
- Combined procedure increased operation time (75.2 vs. 60.5 minutes).
- No major complications; 4.1% wound infection rate.
- Similar hospital stays, low recurrence rate (1/48), and high patient preference for the combined approach.
Conclusions:
- Combined cesarean delivery and paraumbilical hernia repair is safe and effective.
- Offers benefits of a single incision, anesthesia, and hospital stay.
- Well-accepted by patients, avoiding separate hernia repair hospitalization.
