Incisional hernia repair after caesarean section: a population‐based study

  title={Incisional hernia repair after caesarean section: a population‐based study},
  author={A. Shand and J. S. Chen and M. Schnitzler and C. Roberts},
  journal={Australian and New Zealand Journal of Obstetrics and Gynaecology},
BACKGROUND Incisional hernias occur at surgical abdominal incision sites, but the association with caesarean section (CS) has not been examined. [...] Key MethodMATERIALS AND METHODS Population-based cohort study in Australia using linked birth and hospital data for women who gave birth from 2000 to 2011. Survival analysis was used to explore the association between CS and subsequent incisional hernia repair. Analyses were adjusted for confounding factors, including other abdominal surgery.Expand
Incisional hernia after cesarean section: A systematic review.
Overall, it is found a low risk of incisional hernia subsequent to cesarean sections, even after a long follow-up period, and further well-designed studies are warranted. Expand
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The present report shows that removal of mesh can safely control surgical site infection during pregnancy. Expand
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The open approach for SIH repair was safe and efficient and could help moving toward a standardization of SIH surgical management, due to the paucity of adequate scientific studies. Expand
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Scars resulting from scheduled cesarean sections are more thick, and with little incidence of defects than in emergency sections. Expand
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Despite the increasing use of advanced surgical techniques, availability of modern prosthetic materials, and increasing understanding of ventral hernias, the long-term outcome remains poor, with a 10-year failure rate (recurrence) of 30% in the simplest Ventral hernia defects and more than 70% in more complex ventralHernia repair. Expand
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Female hernia patients in this population are more comorbid, with higher body mass index, thicker subcutaneous fat volume and a higher ratio of hernia volume to intra-abdominal fat volume. Expand
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Individualisierter oder Standardzugangsweg zum Abdomen
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Midline incisions should be closed in one layer by a continuous-suture technique using a monofilament suture material tied with self-locking knots, with a suture length to wound length ratio higher than 4. Expand
Incidence and aetiological factors of incisional hernia in post-caesarean operations in a Nigerian hospital.
  • A. Adesunkanmi, B. Faleyimu
  • Medicine
  • Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
  • 2003
The incidence of incisional hernia was influenced by the type of incison, as all those who developed incisionals had a midline incision, the need for additional operative procedures and antibiotic administration longer than usual with more potent antibiotics, and the presence of postoperative abdominal distention. Expand
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An incisional hernia is higher than previously estimated in women undergoing ElMCS and Counseling on the family size will reduce the chance for further CS with its associated risk. Expand
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A review of the literature shows that only the choice of incisional approach (transverse incision or laparotomy vs. midline laparoscopy) allows a significant decrease in the incidence of ventral incisonal hernia. Expand
The modern management of incisional hernias
This work searched PubMed from 1970-2012 and Embase and the Cochrane Library from inception using the terms “hernia” and “incisional”and “ventral” (using the Boolean operator AND) and the reference lists were also used to identify studies of interest. Expand
Comparison of transverse and vertical skin incision for emergency cesarean delivery.
Although the incidence of severe postcesarean delivery adhesions may be low, the presence of adhesion seems to be a more important factor associated with the delayed incision-to-delivery interval at repeat cesarean deliveries than does skin-incision type. Expand
Elective Midline Laparotomy Closure: The INLINE Systematic Review and Meta-Analysis
No further trials should be conducted for evaluation of technique and available materials for elective midline abdominal fascial closure, according to the results of the cumulative meta-analysis. Expand
A survey of women and health providers about information regarding the timing of driving a car after experiencing a caesarean section
In NSW, around 30% of women experience a caesarean section, and few receive consistent information regarding driving after a caESarean delivery, according to a report commissioned by the Department of Health. Expand
The biology of hernia formation.
Increased collagen breakdown mediated by matrix metalloproteinase-2 (MMP-2) is suggested to be involved in inguinal hernia formation and published data point towards hernia disease as an inherited disease. Expand
The Pfannenstiel or so called “bikini cut”: Still effective more than 100 years after first description
The original Pfannenstiel incision is discussed including the technique, history, current indications, advantages, and disadvantages, including the principles of less traumatic surgery and long-time use. Expand