From the Journals

Umbilical hernia repair during pregnancy safe, but often serious


 

FROM HERNIA

Umbilical hernia repair during pregnancy is rare and safe, but more than half of surgeries required incarceration or strangulation repair, according to Dr. I.N. Haskins and associates.

A total of 126 pregnant women underwent umbilical hernia repair from 2005 to 2014, according to data collected from the American College of Surgeons National Surgical Quality Improvement Program. All but six women underwent open surgery, and of these 120 patients, 71 had umbilical hernia incarceration or strangulation at the time of surgery.

Umbilical hernia Wikimedia Commons/Saltanat/Creative Commons
Within 30 days of operation, four patients experienced superficial surgical site infections, three experienced postsurgical urinary tract infections, one experienced postsurgical sepsis, and three had unplanned returns to the operating room. The average length of stay for all patients was 1.3 days.

“Additional studies are needed to determine the long-term recurrence rate of umbilical hernia repairs performed in pregnant patients and the effects of surgical intervention and approach on the fetus,” the investigators concluded.

Find the study in Hernia (doi: 10.1007/s10029-017-1633-8).

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