Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair
Background: To analyse risk factors for cesarean section (CS)-induced incisional hernia in reproductive-aged women. Outcomes of minimal invasive herniorrhaphy and open technique were presented. Methods: Records of patients with Pfannenstiel hernia between 2010 and 2022 were reviewed. Risk factors fo...
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| Format: | Article |
| Language: | English |
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IMR Press
2024-03-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/51/3/10.31083/j.ceog5103062 |
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| author | Nevin Sakoglu Aysun Firat |
| author_facet | Nevin Sakoglu Aysun Firat |
| author_sort | Nevin Sakoglu |
| collection | DOAJ |
| description | Background: To analyse risk factors for cesarean section (CS)-induced incisional hernia in reproductive-aged women. Outcomes of minimal invasive herniorrhaphy and open technique were presented. Methods: Records of patients with Pfannenstiel hernia between 2010 and 2022 were reviewed. Risk factors for incisional hernia were evaluated with surgical outcomes. Results: 76 patients were included. Mean age was 46 ± 8.1 years. Bulging (81.5%), pain or discomfort (57.8%) and distention (31.5%) were the most common symptoms. We combined ultrasonography (90.7%) with contrasted tomography (71%) or magnetic resonance imaging (30%) for surgical planning. Risk factors were found as multiple previous CSs, local wound complications such as seroma, hematoma or abscess, body mass index >25, smoking, pregnancy-induced diabetes mellitus, emergency CS, and inadequate surgical technique (each, p < 0.05). In open technique (51.3%), fascia was closed by polydioxanone suture, with onlay mesh fixation. In laparoscopic hernioplasty (48.6%), tacker was used for mesh reinforcement. There was no bowel injury. Early complications were seroma and infection (p < 0.01 and p < 0.05, respectively). Most significant late complication was recurrence (7.8%). Conclusions: Clinicians should be ready to encounter more reproductive aged women with incisional hernia, since worldwide CS rate continues to rise. Awareness of risk factors, imaging methods, surgical options and outcomes are of great importance. |
| format | Article |
| id | doaj-art-071db29f8ecb46a791a36cd8c15ce67a |
| institution | Kabale University |
| issn | 0390-6663 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-071db29f8ecb46a791a36cd8c15ce67a2025-08-20T03:55:24ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632024-03-015136210.31083/j.ceog5103062S0390-6663(24)02315-7Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical RepairNevin Sakoglu0Aysun Firat1Department of General Surgery, University of Medipol, Medical Faculty, 34718 İstanbul, TurkeyDepartment of Obstetrics and Gynecology, University of Health Sciences, Istanbul Education and Research Hospital, 34098 İstanbul, TurkeyBackground: To analyse risk factors for cesarean section (CS)-induced incisional hernia in reproductive-aged women. Outcomes of minimal invasive herniorrhaphy and open technique were presented. Methods: Records of patients with Pfannenstiel hernia between 2010 and 2022 were reviewed. Risk factors for incisional hernia were evaluated with surgical outcomes. Results: 76 patients were included. Mean age was 46 ± 8.1 years. Bulging (81.5%), pain or discomfort (57.8%) and distention (31.5%) were the most common symptoms. We combined ultrasonography (90.7%) with contrasted tomography (71%) or magnetic resonance imaging (30%) for surgical planning. Risk factors were found as multiple previous CSs, local wound complications such as seroma, hematoma or abscess, body mass index >25, smoking, pregnancy-induced diabetes mellitus, emergency CS, and inadequate surgical technique (each, p < 0.05). In open technique (51.3%), fascia was closed by polydioxanone suture, with onlay mesh fixation. In laparoscopic hernioplasty (48.6%), tacker was used for mesh reinforcement. There was no bowel injury. Early complications were seroma and infection (p < 0.01 and p < 0.05, respectively). Most significant late complication was recurrence (7.8%). Conclusions: Clinicians should be ready to encounter more reproductive aged women with incisional hernia, since worldwide CS rate continues to rise. Awareness of risk factors, imaging methods, surgical options and outcomes are of great importance.https://www.imrpress.com/journal/CEOG/51/3/10.31083/j.ceog5103062cesarean sectionpfannenstiel incisionincisional herniarisk factorslaparoscopyherniorrhaphysurgical outcomes |
| spellingShingle | Nevin Sakoglu Aysun Firat Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair Clinical and Experimental Obstetrics & Gynecology cesarean section pfannenstiel incision incisional hernia risk factors laparoscopy herniorrhaphy surgical outcomes |
| title | Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair |
| title_full | Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair |
| title_fullStr | Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair |
| title_full_unstemmed | Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair |
| title_short | Risk Factors for Pfannenstiel Incisional Hernia Following Cesarean Delivery and Outcomes after Laparoscopic and Open Surgical Repair |
| title_sort | risk factors for pfannenstiel incisional hernia following cesarean delivery and outcomes after laparoscopic and open surgical repair |
| topic | cesarean section pfannenstiel incision incisional hernia risk factors laparoscopy herniorrhaphy surgical outcomes |
| url | https://www.imrpress.com/journal/CEOG/51/3/10.31083/j.ceog5103062 |
| work_keys_str_mv | AT nevinsakoglu riskfactorsforpfannenstielincisionalherniafollowingcesareandeliveryandoutcomesafterlaparoscopicandopensurgicalrepair AT aysunfirat riskfactorsforpfannenstielincisionalherniafollowingcesareandeliveryandoutcomesafterlaparoscopicandopensurgicalrepair |