跳至主要内容

Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair

Read  full  paper  at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53006#.VK9E7cnQrzE

Author(s)   

ABSTRACT
Purpose: Simultaneous surgeries are increasingly applied in all surgical fields. They bring cost and health advantages to the patient and the economy. Pregnancy is one of the risk factors of hernia in females. We conducted a study for simultaneous tissue repairs of inguinal and umbilical hernias during cesarean section. Methods: Between January 1997 and August 2013 we have operated 42 patients with 45 hernias either umbilical or inguinal. We performed the repairs from the Pfannenstiel incision. Data about maternal age, parity, cause of cesarean section, length of operation, length of stay, complications and patient satisfaction were collected. Results: Within this period there were 19,904 deliveries in total. Incidence of umbilical hernia was found 0.2% and it was 0.1% for the inguinal hernia. Simultaneous hernia repairs significantly prolonged the operative time. There was no recurrence and complication. Conclusions: Our results showed that hernia repair can be performed without any additional risks during cesarean section. We believe that if there is an indication for cesarean section in a pregnancy complicated by an abdominal wall hernia, patients should be informed that it would be safe and effective to repair these hernias during cesarean section. This approach also enables tension-free pure tissue repairs.
 
Cite this paper
Carilli, S. (2015) Hernia Repair during Cesarean Section—Compliance Matters: Tension-Free Tissue Repair. International Journal of Clinical Medicine, 6, 1-6. doi: 10.4236/ijcm.2015.61001.
 
References
[1]Tagaya, N., Kasama, K., Suzuki, N., Taketsuka, S., Horie, K. and Kubota, K. (2005) Simultaneous Laparoscopic Treatment for Diseases of the Gallbladder, Stomach, and Colon. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 15, 169-171.
http://dx.doi.org/10.1097/01.sle.0000166972.23725.47
 
[2]Othman, I. and Abdel-Maguid, A.F. (2005) Combined Transurethral Prostatectomy and Inguinal Hernioplasty. Hernia, 14, 149-153. http://dx.doi.org/10.1007/s10029-009-0575-1
 
[3]Wadhwa, A., Chowbey, P.K., Sharma, A., Khullar, R., Soni, V. and Baijal, M. (2003) Combined Procedures in Laparoscopic Sugery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 13, 382-386.
http://dx.doi.org/10.1097/00129689-200312000-00007
 
[4]Sasaki, A., Nitta, H., Otuska, K., Kimura, Y., Obuchi, T. and Wakabayashi, G. (2010) Concomitant Laparoscopic Splenectomy and Cholecystectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 20, 66-68.
http://dx.doi.org/10.1097/SLE.0b013e3181d8493e
 
[5]Nyhus, L.M. (1995) The Preperitoneal Approach and Iliopubictract Repair of Inguinal Hernias. In: Nyhus, L.M. and Condon, R.E., Eds., Hernia, 4th Edition, J. B. Lippincott Company, Philadelphia, 153-177.
 
[6]Ferguson, A.H. (1908) Indications for Operation. In: The Technic of Modern Operations for Hernia, 2nd Edition, Cleveland Press, Chicago, 58-72.
 
[7]Condon, R.E. and Carilli, S. (1994) The Biology and Anatomy of Inguinofemoral Hernia. Seminars in Laparoscopic Surgery, 2, 75-85.
 
[8]Bendavid, R. (2001) Femoral Hernias in Females: Facts, Figures, and Fallacies. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H., Eds., Abdominal Wall Hernias: Principles and Management, Springer Verlag New York, 639-640.
 
[9]Rutkow, I.M. and Robbins, A.W. (1993) Demographic, Classificatory, and Socioeconomic Aspects of Hernia Repair in the United States. Surgical Clinics of North America, 73, 413-426.
 
[10]Deysine, M. (2001) Umbilical Hernias. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B. and Phillips, E.H., Eds., Abdominal Wall Hernias: Principles and Management, Springer Verlag, New York, 680-684.
 
[11]Altchek, A. and Rudick, J. (1987) Preperitoneal Herniorrhaphy: Adjunct to Cesarean Section. Obstetrics & Gynecology, 70, 470-471.
 
[12]Ochsenbein-Kolble, N., Demartines, N., Ochsenbein-Imhof, N. and Zimmermann, R. (2004) Cesarean Section and Simultaneous Hernia Repair. 139, 893-895.
 
[13]Ghnnam, W.M., Helal, A.S., Fawzy, M., Ragab, A., Shalaby, H. and Elrefaay, E. (2009) Paraumbilical Hernia Repair during Cesarean Section. Annals of Saudi Medicine, 29, 115-118. http://dx.doi.org/10.4103/0256-4947.51798
 
[14]Gabriele, R., Conte, M., Izzo, L. and Basso, L. (2010) Cesarean Section and Hernia Repair: Simultaneous Approach. Journal of Obstetrics and Gynaecology Research, 36, 944-949.
http://dx.doi.org/10.1111/j.1447-0756.2010.01283.x
 
[15]Sherwood, O.D. (2004) Relaxin’s Physiological Roles and Other Diverse Actions. Journal of Endocrine Reviews, 25, 205-234. http://dx.doi.org/10.1210/er.2003-0013
 
[16]Goldman, J.M., Rose, L.S., Morgan, M.D.L. and Denison, D.M. (1996) Measurement of Abdominal Wall Compliance in Normal Subjects and Tetraplegic Patients. Thorax, 41, 513-518.
http://dx.doi.org/10.1136/thx.41.7.513
 
[17]Papavramidis, T.S., Michalopoulos, N.A., Mistriotis, G., Pliakos, I.G., Kesisoglou, I.I. and Papavramidis, S.T. (2011) Abdominal Compliance, Linearity between Abdominal Pressure and Ascitic Fluid Volume. The Journal of Emergencies, Trauma, and Shock, 4, 194-197. http://dx.doi.org/10.4103/0974-2700.82205
 
[18]Augustin, G., Matosevic, P., Kekez, T., Majerovic, M. and Delmis, J. (2009) Abdominal Hernias in Pregnancy. Journal of Obstetrics and Gynaecology Research, 35, 203-211.
http://dx.doi.org/10.1111/j.1447-0756.2008.00965.x
 
[19]Rutkow, I.M. (2003) Demographic and Socioeconomic Aspects of Hernia Repair in the United States in 2003. Surgical Clinics of North America, 83, 1045-1051. http://dx.doi.org/10.1016/S0039-6109(03)00132-4
 
[20]Koch, A., Edwards, A., Haapaniemi, S., Nordin, P. and Kald, A. (2005) Prospective Evaluation of 6895 Groin Hernia Repairs in Women. British Journal of Surgery, 92, 1553-1558.
http://dx.doi.org/10.1002/bjs.5156                                                                                eww150109lx
标签：

评论

发表评论

此博客中的热门博文

A Comparison of Methods Used to Determine the Oleic/Linoleic Acid Ratio in Cultivated Peanut (Arachis hypogaea L.)

Cultivated peanut ( Arachis hypogaea L.) is an important oil and food crop. It is also a cheap source of protein, a good source of essential vitamins and minerals, and a component of many food products. The fatty acid composition of peanuts has become increasingly important with the realization that oleic acid content significantly affects the development of rancidity. And oil content of peanuts significantly affects flavor and shelf-life. Early generation screening of breeding lines for high oleic acid content greatly increases the efficiency of developing new peanut varieties. The objective of this study was to compare the accuracy of methods used to classify individual peanut seed as high oleic or not high oleic. Three hundred and seventy-four (374) seeds, spanning twenty-three (23) genotypes varying in oil composition (i.e. high oleic (H) or normal/not high oleic (NH) inclusive of all four peanut market-types (runner, Spanish, Valencia and Virginia), were individually tested ...
发表评论
阅读全文

Location Optimization of a Coal Power Plant to Balance Costs against Plant’s Emission Exposure

Fuel and its delivery cost comprise the biggest expense in coal power plant operations. Delivery of electricity from generation to consumers requires investment in power lines and transmission grids. Placing a coal power plant or multiple power plants near dense population centers can lower transmission costs. If a coalmine is nearby, transportation costs can also be reduced. However, emissions from coal plants play a key role in worsening health crises in many countries. And coal upon combustion produces CO 2 , SO 2 , NO x , CO, Metallic and Particle Matter (PM10 & PM2.5). The presence of these chemical compounds in the atmosphere in close vicinity to humans, livestock, and agriculture carries detrimental health consequences. The goal of the research was to develop a methodology to minimize the public’s exposure to harmful emissions from coal power plants while maintaining minimal operational costs related to electric distribution losses and coal logistics. The objective was...
发表评论
阅读全文

Evaluation of the Safety and Efficacy of Continuous Use of a Home-Use High-Frequency Facial Treatment Appliance

At present, many home-use beauty devices are available in the market. In particular, many products developed for facial treatment use light, e.g., a flash lamp or a light-emitting diode (LED). In this study, the safety of 4 weeks’ continuous use of NEWA TM , a high-frequency facial treatment appliance, every alternate day at home was verified, and its efficacy was evaluated in Japanese individuals with healthy skin aged 30 years or older who complained of sagging of the facial skin.  Transepidermal water loss (TEWL), melanin levels, erythema levels, sebum secretion levels, skin color changes and wrinkle improvement in the facial skin were measured before the appliance began to be used (study baseline), at 2 and 4 weeks after it had begun to be used, and at 2 weeks after completion of the 4-week treatment period (6 weeks from the study baseline). In addition, data obtained by subjective evaluation by the subjects themselves on a visual analog scale (VAS) were also analyzed. Fur...
发表评论
阅读全文