Ventral hernia and pregnancy: A systematic review.

Female Hernia, Ventral / diagnosis Herniorrhaphy Humans Pregnancy Pregnancy Complications / diagnosis Prevalence Recurrence
Childbearing Epigastric hernia Incisional hernia Pregnancy Umbilical hernia

Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
01 2019
Historique:
received: 19 03 2018
revised: 18 04 2018
accepted: 22 04 2018
pubmed: 26 5 2018
medline: 28 10 2019
entrez: 26 5 2018
Statut: ppublish

Résumé

Consensus lacks concerning management of ventral hernia in women who are, or might become pregnant. The aim of this systematic review was to examine the risk of recurrence following pre-pregnancy ventral hernia repair, and secondly the prevalence of ventral hernia during pregnancy and the risk of surgical repair pre- and post-partum. PubMed, Embase, CINAHL, Cochrane Library and Web of Science were systematically searched for randomized controlled trials, case-control, cohort studies and larger case-series on ventral (umbilical, epigastric or incisional) hernia repair in relation to pregnancy. If possible, elective ventral repair should be postponed until after last pregnancy. A non-mesh repair seems appropriate for smaller primary ventral hernia in women who plan future pregnancies. Umbilical hernia during pregnancy seems very rare and seldom requires repair pre- and post-partum. Routine practice of umbilical hernia repair in combination with cesarean section cannot be recommended. CRD42017073736.

Sections du résumé

BACKGROUND
Consensus lacks concerning management of ventral hernia in women who are, or might become pregnant. The aim of this systematic review was to examine the risk of recurrence following pre-pregnancy ventral hernia repair, and secondly the prevalence of ventral hernia during pregnancy and the risk of surgical repair pre- and post-partum.
DATA SOURCES
PubMed, Embase, CINAHL, Cochrane Library and Web of Science were systematically searched for randomized controlled trials, case-control, cohort studies and larger case-series on ventral (umbilical, epigastric or incisional) hernia repair in relation to pregnancy.
CONCLUSIONS
If possible, elective ventral repair should be postponed until after last pregnancy. A non-mesh repair seems appropriate for smaller primary ventral hernia in women who plan future pregnancies. Umbilical hernia during pregnancy seems very rare and seldom requires repair pre- and post-partum. Routine practice of umbilical hernia repair in combination with cesarean section cannot be recommended.
PROSPERO
CRD42017073736.

Identifiants

DOI: 10.1016/j.amjsurg.2018.04.016 PMID: 29798763
pubmed: 29798763
pii: S0002-9610(18)30329-5
doi: 10.1016/j.amjsurg.2018.04.016
pii:
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

163-168

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Erling Oma (E)

Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark; University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen N, Denmark. Electronic address: erlingom@gmail.com.

Nadia A Henriksen (NA)

Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600 Køge, Denmark. Electronic address: nadiahenriksen@gmail.com.

Kristian K Jensen (KK)

Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark. Electronic address: mail@kristiankiim.dk.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › États anatomopathologiques › Hernie › Hernie abdominale › Hernie ventrale › Ventral hernia and pregnancy: A systematic review.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie reconstructive › Herniorraphie › Ventral hernia and pregnancy: A systematic review.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Ventral hernia and pregnancy: A systematic review.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Ventral hernia and pregnancy: A systematic review.
questionsmedicales.fr › Maladies urogénitales › Maladies de l'appareil urogénital féminin et complications de la grossesse › Complications de la grossesse › Ventral hernia and pregnancy: A systematic review.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Prévalence › Ventral hernia and pregnancy: A systematic review.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Récidive › Ventral hernia and pregnancy: A systematic review.