Hernias and pregnancy - when and how to manage?

Area of Science:

• General Surgery
• Obstetrics and Gynecology
• Surgical Management

Background:

• Hernias are common surgical issues, frequently presenting during pregnancy.
• Current treatment tactics for hernias in pregnant patients lack consensus.
• Pregnancy introduces unique challenges for hernia management.

Purpose of the Study:

• To provide a guideline for the fast and correct treatment of hernias in pregnancy.
• To synthesize existing literature on surgical management of hernias during gestation.
• To establish evidence-based recommendations for clinicians.

Main Methods:

• Comprehensive literature review of PubMed, Web of Science, and Scopus databases.
• Inclusion of articles found in the reference lists of reviewed publications.
• Analysis and synthesis of data to formulate treatment guidelines.

Main Results:

• Hernia treatment during pregnancy necessitates a highly individualized approach.
• Key factors influencing treatment decisions include the urgency of the condition and the stage of pregnancy.
• A structured approach can optimize outcomes for mother and fetus.

Conclusions:

• Individualized care is paramount for managing hernias in pregnant patients.
• Treatment protocols should integrate emergency status and gestational week.
• Evidence-based guidelines are crucial for effective surgical intervention during pregnancy.