Symptoms Of Hernia In Pregnancy

Cesarean Section (C-Section) and Simultaneous Hernia Repair

Hernia repair during C-section is a common surgical approach. However, these simultaneous surgeries were not well-documented until the 2000s. In 2004, Ochsenbein-Kölble et al. the first case series of simultaneous inguinal or umbilical hernia repairs and C-sections (20) With the informed consent of three patients, a combined surgical procedure was offered to them. In one of them, the umbilical hernia itself served as the indication for a C-section. Compared to C-sections alone, surgery time was longer in cases involving inguinal hernia repair but not umbilical hernia repair. However, Ghnnam et al. reported that compared to a cesarean alone, simultaneous umbilical hernia repair and cesarean required more time (21). They compared 48 patients who underwent a C-section along with the repair of a paraumbilical hernia to 100 patients who underwent a C-section alone. Inpatient periods were similar. Only two patients complained of pain at the umbilicus. The control group needed significantly fewer analgesics. Combined surgery was preferred by all patients. One hernia recurred (2. 8%), following suture repair within 2 years (21). Mesh repairs were free of recurrence.

Gabriele et al. 28 pregnant women who had inguinal or umbilical hernias were reported. These patients were contrasted with 100 patients who underwent a C-section only, as well as concurrent hernia repair (22). Combined procedures took longer than a C-section alone to treat an umbilical and inguinal hernia. Surgeries were uneventful, and no recurrence developed. According to the authors, combining surgeries is safe and prevents readmissions. Also, Jensen et al. after conducting a thorough literature review, they came to the firm conclusion that combining hernia repair with a C-section is the best treatment option (6).

Steinemann et al. recently published a retrospective cohort–control study (23). Using various methods, fourteen patients had umbilical hernias sutured during C-sections. After the Pfannenstiel incision was closed, a paraumbilical semilunar skin incision was used in seven cases to repair external umbilical hernias with sutures. The remaining seven patients underwent suture-assisted internal umbilical hernia repair. Internal suturing required less time than external suturing. Compared to the control group, both strategies extend the time spent in operation. Unfortunately, two recurrences were revealed by ultrasonography in each repair subgroup (28%) The authors recommended mesh repairs in these cases (23).

Interestingly, no patient underwent combined surgery in Haskins et al. ’s most recent review (17). But the paper omits to explain why there haven’t been any instances of simultaneous C-section and hernia repair.

Hernias are caused by a weak spot in the muscle wall or by a muscle that never fully unites. People are more likely to be born with this weakness than to acquire it gradually. However, certain ailments and health issues can also cause tissue weakness, which can result in a hernia. Women are more likely to develop a hernia during pregnancy because muscles tend to stretch, thinning, and weaken during pregnancy.

Causes, Signs, Diagnosis, Care, and Prevention A hernia is a medical condition in which a portion of an internal organ protrudes through a muscle opening. The abdomen and groin region are the most typical areas for hernias to appear. Pregnancy hernias are not always immediately concerning unless they become painful. But if it isn’t treated, it might eventually get worse and even cause complications that could be fatal. It is crucial to let your doctor know if you have a hernia and are trying to get pregnant or are already pregnant so they can check you for potential complications and administer pain relief if necessary. In order to avoid having to worry about having a hernia during pregnancy, it may also be necessary to have a hernia treated before becoming pregnant.

. Heavy lifting is one of the biggest causes of hernia during pregnancy

The only real effective treatment for a hernia is surgery. Surgery is required to reconstruct the muscle wall in order to stop the organ from penetrating. However, unless it poses a risk to you or your unborn child, it is advised against having this surgery during pregnancy. If not, it should be postponed until after childbirth and complete recovery, which can take three to six months. If pregnancy-related surgery is necessary, it is advised to have it in the second trimester. Little can be done to stop a hernia from occurring. The good news is that a hernia usually does not grow larger during pregnancy. To avoid aggravation and additional discomfort, good physical support should be provided at the location of a hernia when laughing, sneezing, or coughing. During any of the aforementioned acts, you can simply push on the hernia with your hand to provide this support. Additionally, it might be necessary to limit vigorous exercise because it can make a hernia worse.

Not all pregnant women experience the telltale signs or symptoms of a hernia. For others, signs can be both seen and felt. When you lie down or press on the area, you can feel a lump where a hernia actually exists. A hernia may also physically manifest as a bulge under the skin, though some are less obvious than others. You might also feel a dull aching pain that usually gets worse when you move around, bend over, sneeze, cough, or laugh vigorously. Additionally, some women find it harder to move around as their pregnancies progress and as they grow larger.

When should I be concerned about a hernia during pregnancy?

Make an appointment with your OB/GYN if you experience any of the following symptoms to ensure that your hernia hasn’t strangled or blocked your intestines:

  • Increased pain at the hernia site that does not resolve with rest.
  • A hernia bulge that protrudes, can’t be pushed back in and is painful.
  • Nausea and vomiting at the same time as a painful hernia bulge that’s red and tender to the touch.
  • Postpartum Hernia, Causes, Signs and Symptoms, Diagnosis and Treatment.

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