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Use of a Rat Model to Study Ventral Abdominal Hernia Repair
Published on: October 2, 2017
9.8K
Ventral hernia and pregnancy: A systematic review.
Erling Oma1, Nadia A Henriksen2, Kristian K Jensen3
1Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark; University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen N, Denmark.
American Journal of Surgery
|May 26, 2018
Summary
For women planning pregnancy, elective ventral hernia repair should be delayed. Non-mesh repair is suitable for small hernias, and umbilical hernias during pregnancy rarely need intervention.
Area of Science:
- General Surgery
- Obstetrics & Gynecology
Background:
- Management of ventral hernias in pregnant or potentially pregnant women lacks consensus.
- Ventral hernias include umbilical, epigastric, and incisional types.
Purpose of the Study:
- To review recurrence risk after pre-pregnancy ventral hernia repair.
- To determine ventral hernia prevalence during pregnancy.
- To assess risks of surgical repair during or after pregnancy.
Main Methods:
- Systematic search of PubMed, Embase, CINAHL, Cochrane Library, and Web of Science.
- Included randomized controlled trials, case-control, cohort studies, and large case-series.
- Focused on ventral hernia repair in relation to pregnancy.
Main Results:
- Elective ventral hernia repair is best postponed until after childbearing.
- Non-mesh repair is recommended for small primary ventral hernias in women desiring future pregnancies.
- Umbilical hernias during pregnancy are rare and seldom require surgical repair, either pre- or post-partum.
Conclusions:
- Delaying elective ventral hernia repair until after pregnancy is advised.
- Non-mesh repair is a viable option for smaller ventral hernias in women planning future pregnancies.
- Routine repair of umbilical hernias with cesarean sections is not recommended.
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