Erling Oma1, Nadia A Henriksen2, Kristian K Jensen3. 1. 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. 2. Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600 Køge, Denmark. Electronic address: nadiahenriksen@gmail.com. 3. Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark. Electronic address: mail@kristiankiim.dk.
Abstract
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.
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.
Authors: N A Henriksen; R Kaufmann; M P Simons; F Berrevoet; B East; J Fischer; W Hope; D Klassen; R Lorenz; Y Renard; M A Garcia Urena; A Montgomery Journal: BJS Open Date: 2020-01-09