Abdominal hernias in pregnancy.

Authors:
Goran Augustin, MD, Phd
Goran Augustin, MD, Phd
University Hospital Center Zagreb
Abdominal Surgeon
Zagreb | Croatia

J Obstet Gynaecol Res 2009 Apr;35(2):203-11

Department of Surgery, Division of Abdominal Surgery, Clinical Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.

A hernia is an area of weakness or complete disruption of the fibromuscular tissues of the body wall. In addition to the body wall, hernias can occur in the diaphragm, pelvic wall, perineum, pelvic floor, and internal abdominal viscera (hernias through omental or mesenteric defects, ligaments and folds). Surgical repair of different types of hernia is the most common general surgical procedure with more than 20 million hernioplasties performed each year. Abdominal wall hernias are not common during pregnancy. Hernias can be symptomless or have minimal symptoms, including slight discomfort or pain. Such hernias are not life-threatening and should be controlled on regular basis. After spontaneous delivery and uterine involution, they should be repaired on an elective basis. It is of utmost importance for a clinician to diagnose emergent situations, which include incarceration, strangulation and perforation caused by hernia because consultation with a surgeon and emergency operation are mandatory. There is still no consensus for irreducible hernia during pregnancy, but complications during pregnancy outweigh elective operation. Therefore, hernioplasty is recommended during pregnancy, especially in early gestation.

Download full-text PDF

Source
http://dx.doi.org/10.1111/j.1447-0756.2008.00965.xDOI Listing
April 2009
11 Reads
1 Citation
0.931 Impact Factor

Publication Analysis

Top Keywords

wall hernias
8
body wall
8
hernias
5
pregnancy
5
pregnancy hernias
4
common pregnancy
4
abdominal wall
4
hernias common
4
hernias symptomless
4
symptomless minimal
4
consultation surgeon
4
symptoms including
4
minimal symptoms
4
year abdominal
4
surgeon emergency
4
emergency operation
4
hernia common
4
mandatory consensus
4
emergent situations
4
repair types
4

References

(Supplied by CrossRef)
Hernias: Inguinal and incisional
Kingsnorth et al.
Lancet 2003
Mortality after groin hernia surgery
Nilsson et al.
Ann Surg 2007
Radical excision of inguinal endometriosis
Fedele et al.
Obstet Gynecol 2007
Torsion of uterine fibroma associated with incarcerated inguinal hernia in pregnancy. Case report
Sciannameo et al.
Minerva Ginecol 1996
Recurrent inguinal hernia: Preferred operative approach
Janu et al.
Am Surg 1998

Similar Publications