Concomitant Hernia Repair and Caesarean Section | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 37, Volume 100, Issue 1, July 2025, Page 2784-2788 PDF (478.39 K) | ||||
| DOI: 10.21608/ejhm.2025.438120 | ||||
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| Abstract | ||||
| Background: Concomitant hernia repair during Cesarean section (CS) remains an uncommon practice despite the overlapping anatomical site and rising incidence of both CS and ventral hernias. Limited data exist regarding its safety and efficacy. Aim: This study aimed to evaluate the outcomes of combining ventral hernia repair with elective Cesarean section in comparison with Cesarean section alone. Patients and methods: This retrospective study included 24 women (Group I) who underwent simultaneous mesh repair of ventral hernia (Umbilical, paraumbilical, or incisional) during elective CS, compared with 50 women (Group II) who underwent CS alone between 2013 and 2019. Hernias repaired had defect sizes < five centimeters. Postoperative pain, length of hospital stay, operative time, hemoglobin levels, and complication rates were evaluated. Results: Demographic variables including age, gravidity, and parity were comparable between groups. The mean operative time was significantly longer in group I (90 ± 25 minutes) than in group II (60 ± 10 minutes) (p below 0.001). There were statistically insignificant variances in hospital stay, pre- and post-operative hemoglobin levels, or rates of posto-perative complications like wound sepsis, seroma, or wound disruption (p > 0.05). Conclusion: Concomitant ventral hernia repair during Cesarean section is a safe and efficient option for selected patients. Although, associated with a longer operative time, it does not increase postoperative morbidity or hospital stay, supporting its consideration in properly selected cases. | ||||
| Keywords | ||||
| Cesarean section; Ventral hernia; Concomitant surgery; Mesh repair; Maternal outcomes | ||||
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