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Abdominal wall hernia and pregnancy: a systematic review
K K Jensen1, N A Henriksen2, L N Jorgensen2
1Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark. mail@kristiankiim.dk.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|April 12, 2015
Summary
Abdominal wall hernia repair in fertile women before or during pregnancy is generally safe. Combining hernia repair with cesarean section is an optimal approach for pregnant patients with symptomatic hernias.
Area of Science:
- Reproductive Medicine
- Surgical Innovation
- Women's Health
Background:
- Abdominal wall hernias present unique challenges in fertile women.
- Lack of consensus exists regarding optimal management strategies for these hernias in women of reproductive age.
Purpose of the Study:
- To review the current literature on the treatment of abdominal wall hernias in fertile women.
- To evaluate management approaches before or during pregnancy.
Main Methods:
- Comprehensive literature search conducted using PubMed and Embase databases.
- Cross-reference search of eligible studies was performed.
Main Results:
- Thirty-one papers were included, with 23 being case reports.
- Hernia repair (suture or mesh) before or during pregnancy showed no major complications.
- Combined hernia repair and cesarean section (elective or emergency) were safe procedures.
Conclusions:
- Literature on abdominal wall hernias and pregnancy is limited.
- Hernia repair during pregnancy may lead to discomfort in later trimesters.
- Cesarean section combined with hernia repair is the preferred strategy for symptomatic hernias in pregnant women.
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