Paraumbilical hernia repair during cesarean delivery.
<b>Background and Objectives: </b> Pregnant women with paraumbilical hernia usually postpone hernia repair until after delivery, but some patients request that it be done during cesarean delivery. Therefore, we evaluated the outcome of combined cesarean delivery and paraumbilical hernia...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
King Faisal Specialist Hospital and Research Centre
2009-01-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=2;spage=115;epage=118;aulast=Ghnnam |
| _version_ | 1819232195729948672 |
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| author | Ghnnam Wagih Helal Adel Fawzy Muhammad Ragab Ahmed Shalaby Hend Elrefaay Ehsan |
| author_facet | Ghnnam Wagih Helal Adel Fawzy Muhammad Ragab Ahmed Shalaby Hend Elrefaay Ehsan |
| author_sort | Ghnnam Wagih |
| collection | DOAJ |
| description | <b>Background and Objectives: </b> Pregnant women with paraumbilical hernia usually postpone hernia repair until after delivery, but some patients request that it be done during cesarean delivery. Therefore, we evaluated the outcome of combined cesarean delivery and paraumbilical hernia repair in a prospective study at a tertiary referral university hospital. <b> Patients and Methods: </b> In a prospective study, we compared the outcome of 48 patients undergoing cesarean delivery combined with paraumbilical hernia repair versus 100 low-risk patients undergoing cesarean delivery alone. The main outcome measures were operation time, blood loss, severity of pain, peripartum com--plications, , hospital stay, hernia recurrence, and patient satisfaction. <b> Results: </b> The combined procedure took significantly longer than cesarean delivery alone (75.2 minutes versus 60.5 minutes, P< .001)). There were no major complications. Wound infection occurred in 6 patients (4.1%). Hospital stay did not differ significantly from those of controls. Pain at the hernia site repair occurred in two pa--tients, and one hernia recurred in the hernia repair group during a mean follow-up period of 22 months (range, 6-36 months). All hernia patients reported that they preferred the combined operation. <b> Conclusions: </b> Combined cesarean delivery and paraumbilical hernia repair had the advantage of a single in--cision, single anesthesia, and a single hospital stay while avoiding re-hospitalization for a separate hernia repair. Our results indicate that the combination approach is safe, effective, and well accepted. |
| first_indexed | 2024-12-23T11:57:00Z |
| format | Article |
| id | doaj.art-9802a2f9f4554975b5a0488081a37b7f |
| institution | Directory Open Access Journal |
| issn | 0256-4947 |
| language | English |
| last_indexed | 2024-12-23T11:57:00Z |
| publishDate | 2009-01-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-9802a2f9f4554975b5a0488081a37b7f2022-12-21T17:48:03ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49472009-01-01292115118Paraumbilical hernia repair during cesarean delivery.Ghnnam WagihHelal AdelFawzy MuhammadRagab AhmedShalaby HendElrefaay Ehsan<b>Background and Objectives: </b> Pregnant women with paraumbilical hernia usually postpone hernia repair until after delivery, but some patients request that it be done during cesarean delivery. Therefore, we evaluated the outcome of combined cesarean delivery and paraumbilical hernia repair in a prospective study at a tertiary referral university hospital. <b> Patients and Methods: </b> In a prospective study, we compared the outcome of 48 patients undergoing cesarean delivery combined with paraumbilical hernia repair versus 100 low-risk patients undergoing cesarean delivery alone. The main outcome measures were operation time, blood loss, severity of pain, peripartum com--plications, , hospital stay, hernia recurrence, and patient satisfaction. <b> Results: </b> The combined procedure took significantly longer than cesarean delivery alone (75.2 minutes versus 60.5 minutes, P< .001)). There were no major complications. Wound infection occurred in 6 patients (4.1%). Hospital stay did not differ significantly from those of controls. Pain at the hernia site repair occurred in two pa--tients, and one hernia recurred in the hernia repair group during a mean follow-up period of 22 months (range, 6-36 months). All hernia patients reported that they preferred the combined operation. <b> Conclusions: </b> Combined cesarean delivery and paraumbilical hernia repair had the advantage of a single in--cision, single anesthesia, and a single hospital stay while avoiding re-hospitalization for a separate hernia repair. Our results indicate that the combination approach is safe, effective, and well accepted.http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=2;spage=115;epage=118;aulast=Ghnnam |
| spellingShingle | Ghnnam Wagih Helal Adel Fawzy Muhammad Ragab Ahmed Shalaby Hend Elrefaay Ehsan Paraumbilical hernia repair during cesarean delivery. Annals of Saudi Medicine |
| title | Paraumbilical hernia repair during cesarean delivery. |
| title_full | Paraumbilical hernia repair during cesarean delivery. |
| title_fullStr | Paraumbilical hernia repair during cesarean delivery. |
| title_full_unstemmed | Paraumbilical hernia repair during cesarean delivery. |
| title_short | Paraumbilical hernia repair during cesarean delivery. |
| title_sort | paraumbilical hernia repair during cesarean delivery |
| url | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=2;spage=115;epage=118;aulast=Ghnnam |
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