Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair
Author(s)
Senol Carilli
ABSTRACT
Purpose: Simultaneous surgeries are increasingly applied in all surgical fields. They bring cost and health advantages to the patient and the economy. Pregnancy is one of the risk factors of hernia in females. We conducted a study for simultaneous tissue repairs of inguinal and umbilical hernias during cesarean section. Methods: Between January 1997 and August 2013 we have operated 42 patients with 45 hernias either umbilical or inguinal. We performed the repairs from the Pfannenstiel incision. Data about maternal age, parity, cause of cesarean section, length of operation, length of stay, complications and patient satisfaction were collected. Results: Within this period there were 19,904 deliveries in total. Incidence of umbilical hernia was found 0.2% and it was 0.1% for the inguinal hernia. Simultaneous hernia repairs significantly prolonged the operative time. There was no recurrence and complication. Conclusions: Our results showed that hernia repair can be performed without any additional risks during cesarean section. We believe that if there is an indication for cesarean section in a pregnancy complicated by an abdominal wall hernia, patients should be informed that it would be safe and effective to repair these hernias during cesarean section. This approach also enables tension-free pure tissue repairs.
Cite this paper
Carilli, S. (2015) Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair. International Journal of Clinical Medicine, 6, 1-6. doi: 10.4236/ijcm.2015.61001.
Carilli, S. (2015) Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair. International Journal of Clinical Medicine, 6, 1-6. doi: 10.4236/ijcm.2015.61001.
References
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http://dx.doi.org/10.1097/01.sle.0000166972.23725.47 [2] Othman, I. and Abdel-Maguid, A.F. (2005) Combined Transurethral Prostatectomy and Inguinal Hernioplasty. Hernia, 14, 149-153. http://dx.doi.org/10.1007/s10029-009-0575-1 [3] Wadhwa, A., Chowbey, P.K., Sharma, A., Khullar, R., Soni, V. and Baijal, M. (2003) Combined Procedures in Laparoscopic Sugery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 13, 382-386.
http://dx.doi.org/10.1097/00129689-200312000-00007 [4] Sasaki, A., Nitta, H., Otuska, K., Kimura, Y., Obuchi, T. and Wakabayashi, G. (2010) Concomitant Laparoscopic Splenectomy and Cholecystectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 20, 66-68.
http://dx.doi.org/10.1097/SLE.0b013e3181d8493e [5] Nyhus, L.M. (1995) The Preperitoneal Approach and Iliopubictract Repair of Inguinal Hernias. In: Nyhus, L.M. and Condon, R.E., Eds., Hernia, 4th Edition, J. B. Lippincott Company, Philadelphia, 153-177. [6] Ferguson, A.H. (1908) Indications for Operation. In: The Technic of Modern Operations for Hernia, 2nd Edition, Cleveland Press, Chicago, 58-72. [7] Condon, R.E. and Carilli, S. (1994) The Biology and Anatomy of Inguinofemoral Hernia. Seminars in Laparoscopic Surgery, 2, 75-85. [8] Bendavid, R. (2001) Femoral Hernias in Females: Facts, Figures, and Fallacies. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H., Eds., Abdominal Wall Hernias: Principles and Management, Springer Verlag New York, 639-640. [9] Rutkow, I.M. and Robbins, A.W. (1993) Demographic, Classificatory, and Socioeconomic Aspects of Hernia Repair in the United States. Surgical Clinics of North America, 73, 413-426. [10] Deysine, M. (2001) Umbilical Hernias. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B. and Phillips, E.H., Eds., Abdominal Wall Hernias: Principles and Management, Springer Verlag, New York, 680-684. [11] Altchek, A. and Rudick, J. (1987) Preperitoneal Herniorrhaphy: Adjunct to Cesarean Section. Obstetrics & Gynecology, 70, 470-471. [12] Ochsenbein-Kolble, N., Demartines, N., Ochsenbein-Imhof, N. and Zimmermann, R. (2004) Cesarean Section and Simultaneous Hernia Repair. 139, 893-895. [13] Ghnnam, W.M., Helal, A.S., Fawzy, M., Ragab, A., Shalaby, H. and Elrefaay, E. (2009) Paraumbilical Hernia Repair during Cesarean Section. Annals of Saudi Medicine, 29, 115-118. http://dx.doi.org/10.4103/0256-4947.51798 [14] Gabriele, R., Conte, M., Izzo, L. and Basso, L. (2010) Cesarean Section and Hernia Repair: Simultaneous Approach. Journal of Obstetrics and Gynaecology Research, 36, 944-949.
http://dx.doi.org/10.1111/j.1447-0756.2010.01283.x [15] Sherwood, O.D. (2004) Relaxin’s Physiological Roles and Other Diverse Actions. Journal of Endocrine Reviews, 25, 205-234. http://dx.doi.org/10.1210/er.2003-0013 [16] Goldman, J.M., Rose, L.S., Morgan, M.D.L. and Denison, D.M. (1996) Measurement of Abdominal Wall Compliance in Normal Subjects and Tetraplegic Patients. Thorax, 41, 513-518.
http://dx.doi.org/10.1136/thx.41.7.513 [17] Papavramidis, T.S., Michalopoulos, N.A., Mistriotis, G., Pliakos, I.G., Kesisoglou, I.I. and Papavramidis, S.T. (2011) Abdominal Compliance, Linearity between Abdominal Pressure and Ascitic Fluid Volume. The Journal of Emergencies, Trauma, and Shock, 4, 194-197. http://dx.doi.org/10.4103/0974-2700.82205 [18] Augustin, G., Matosevic, P., Kekez, T., Majerovic, M. and Delmis, J. (2009) Abdominal Hernias in Pregnancy. Journal of Obstetrics and Gynaecology Research, 35, 203-211.
http://dx.doi.org/10.1111/j.1447-0756.2008.00965.x [19] Rutkow, I.M. (2003) Demographic and Socioeconomic Aspects of Hernia Repair in the United States in 2003. Surgical Clinics of North America, 83, 1045-1051. http://dx.doi.org/10.1016/S0039-6109(03)00132-4 [20] Koch, A., Edwards, A., Haapaniemi, S., Nordin, P. and Kald, A. (2005) Prospective Evaluation of 6895 Groin Hernia Repairs in Women. British Journal of Surgery, 92, 1553-1558.
http://dx.doi.org/10.1002/bjs.5156
[1] Tagaya, N., Kasama, K., Suzuki, N., Taketsuka, S., Horie, K. and Kubota, K. (2005) Simultaneous Laparoscopic Treatment for Diseases of the Gallbladder, Stomach, and Colon. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 15, 169-171.
http://dx.doi.org/10.1097/01.sle.0000166972.23725.47 [2] Othman, I. and Abdel-Maguid, A.F. (2005) Combined Transurethral Prostatectomy and Inguinal Hernioplasty. Hernia, 14, 149-153. http://dx.doi.org/10.1007/s10029-009-0575-1 [3] Wadhwa, A., Chowbey, P.K., Sharma, A., Khullar, R., Soni, V. and Baijal, M. (2003) Combined Procedures in Laparoscopic Sugery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 13, 382-386.
http://dx.doi.org/10.1097/00129689-200312000-00007 [4] Sasaki, A., Nitta, H., Otuska, K., Kimura, Y., Obuchi, T. and Wakabayashi, G. (2010) Concomitant Laparoscopic Splenectomy and Cholecystectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 20, 66-68.
http://dx.doi.org/10.1097/SLE.0b013e3181d8493e [5] Nyhus, L.M. (1995) The Preperitoneal Approach and Iliopubictract Repair of Inguinal Hernias. In: Nyhus, L.M. and Condon, R.E., Eds., Hernia, 4th Edition, J. B. Lippincott Company, Philadelphia, 153-177. [6] Ferguson, A.H. (1908) Indications for Operation. In: The Technic of Modern Operations for Hernia, 2nd Edition, Cleveland Press, Chicago, 58-72. [7] Condon, R.E. and Carilli, S. (1994) The Biology and Anatomy of Inguinofemoral Hernia. Seminars in Laparoscopic Surgery, 2, 75-85. [8] Bendavid, R. (2001) Femoral Hernias in Females: Facts, Figures, and Fallacies. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H., Eds., Abdominal Wall Hernias: Principles and Management, Springer Verlag New York, 639-640. [9] Rutkow, I.M. and Robbins, A.W. (1993) Demographic, Classificatory, and Socioeconomic Aspects of Hernia Repair in the United States. Surgical Clinics of North America, 73, 413-426. [10] Deysine, M. (2001) Umbilical Hernias. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B. and Phillips, E.H., Eds., Abdominal Wall Hernias: Principles and Management, Springer Verlag, New York, 680-684. [11] Altchek, A. and Rudick, J. (1987) Preperitoneal Herniorrhaphy: Adjunct to Cesarean Section. Obstetrics & Gynecology, 70, 470-471. [12] Ochsenbein-Kolble, N., Demartines, N., Ochsenbein-Imhof, N. and Zimmermann, R. (2004) Cesarean Section and Simultaneous Hernia Repair. 139, 893-895. [13] Ghnnam, W.M., Helal, A.S., Fawzy, M., Ragab, A., Shalaby, H. and Elrefaay, E. (2009) Paraumbilical Hernia Repair during Cesarean Section. Annals of Saudi Medicine, 29, 115-118. http://dx.doi.org/10.4103/0256-4947.51798 [14] Gabriele, R., Conte, M., Izzo, L. and Basso, L. (2010) Cesarean Section and Hernia Repair: Simultaneous Approach. Journal of Obstetrics and Gynaecology Research, 36, 944-949.
http://dx.doi.org/10.1111/j.1447-0756.2010.01283.x [15] Sherwood, O.D. (2004) Relaxin’s Physiological Roles and Other Diverse Actions. Journal of Endocrine Reviews, 25, 205-234. http://dx.doi.org/10.1210/er.2003-0013 [16] Goldman, J.M., Rose, L.S., Morgan, M.D.L. and Denison, D.M. (1996) Measurement of Abdominal Wall Compliance in Normal Subjects and Tetraplegic Patients. Thorax, 41, 513-518.
http://dx.doi.org/10.1136/thx.41.7.513 [17] Papavramidis, T.S., Michalopoulos, N.A., Mistriotis, G., Pliakos, I.G., Kesisoglou, I.I. and Papavramidis, S.T. (2011) Abdominal Compliance, Linearity between Abdominal Pressure and Ascitic Fluid Volume. The Journal of Emergencies, Trauma, and Shock, 4, 194-197. http://dx.doi.org/10.4103/0974-2700.82205 [18] Augustin, G., Matosevic, P., Kekez, T., Majerovic, M. and Delmis, J. (2009) Abdominal Hernias in Pregnancy. Journal of Obstetrics and Gynaecology Research, 35, 203-211.
http://dx.doi.org/10.1111/j.1447-0756.2008.00965.x [19] Rutkow, I.M. (2003) Demographic and Socioeconomic Aspects of Hernia Repair in the United States in 2003. Surgical Clinics of North America, 83, 1045-1051. http://dx.doi.org/10.1016/S0039-6109(03)00132-4 [20] Koch, A., Edwards, A., Haapaniemi, S., Nordin, P. and Kald, A. (2005) Prospective Evaluation of 6895 Groin Hernia Repairs in Women. British Journal of Surgery, 92, 1553-1558.
http://dx.doi.org/10.1002/bjs.5156