Ventral hernia and pregnancy: A systematic review

Erling Oma; Nadia A Henriksen; Kristian K Jensen

doi:10.1016/j.amjsurg.2018.04.016

Ventral hernia and pregnancy: A systematic review

Erling Oma^*, Nadia A Henriksen, Kristian K Jensen

^*Corresponding author af dette arbejde

Kirurgisk Afdeling

Publikation: Bidrag til tidsskrift › Review › Forskning › peer review

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.

Originalsprog	Engelsk
Sider (fra-til)	163-168
Antal sider	6
Tidsskrift	American Journal of Surgery
Vol/bind	217
Udgave nummer	1
DOI	https://doi.org/10.1016/j.amjsurg.2018.04.016
Status	Udgivet - jan. 2019

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10.1016/j.amjsurg.2018.04.016

Citationsformater

@article{6b7e52784bb74158b63f5c426664ca3c,

title = "Ventral hernia and pregnancy: A systematic review",

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.",

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

author = "Erling Oma and Henriksen, \{Nadia A\} and Jensen, \{Kristian K\}",

year = "2019",

month = jan,

doi = "10.1016/j.amjsurg.2018.04.016",

language = "English",

volume = "217",

pages = "163--168",

journal = "American Journal of Surgery",

issn = "0002-9610",

publisher = "Elsevier",

number = "1",

}

TY - JOUR

T1 - Ventral hernia and pregnancy

T2 - A systematic review

AU - Oma, Erling

AU - Henriksen, Nadia A

AU - Jensen, Kristian K

PY - 2019/1

Y1 - 2019/1

N2 - 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.

AB - 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.

KW - Female

KW - Hernia, Ventral/diagnosis

KW - Herniorrhaphy

KW - Humans

KW - Pregnancy

KW - Pregnancy Complications/diagnosis

KW - Prevalence

KW - Recurrence

KW - Childbearing

KW - Incisional hernia

KW - Epigastric hernia

KW - Umbilical hernia

U2 - 10.1016/j.amjsurg.2018.04.016

DO - 10.1016/j.amjsurg.2018.04.016

M3 - Review

C2 - 29798763

SN - 0002-9610

VL - 217

SP - 163

EP - 168

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 1

ER -

Ventral hernia and pregnancy: A systematic review

Abstract

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