Cesarean section and simultaneous hernia repair

Détails

ID Serval
serval:BIB_F357EAB0C223
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Cesarean section and simultaneous hernia repair
Périodique
Archives of Surgery
Auteur(s)
Ochsenbein-Kolble  N., Demartines  N., Ochsenbein-Imhof  N., Zimmermann  R.
ISSN
0004-0010 (Print)
Statut éditorial
Publié
Date de publication
08/2004
Volume
139
Numéro
8
Pages
893-5
Notes
Journal Article --- Old month value: Aug
Résumé
HYPOTHESIS: The combination of cesarean section with inguinal or umbilical hernia repair is safe, effective, and well-accepted compared with cesarean section alone. DESIGN: Retrospective comparative study. SETTING: Tertiary care university hospital. PATIENTS: Eight patients undergoing cesarean section combined with hernia repair (inguinal in 5 and umbilical in 3) vs 305 low-risk patients undergoing cesarean section alone. MAIN OUTCOME MEASURES: Operation time, blood loss, opiate use, peripartum complications, hospital stay, hernia recurrence, and patient impression. RESULTS: The combined procedure took significantly longer than cesarean section alone in the case of inguinal but not umbilical hernia. There were no major complications. Wound healing was delayed, without infection, in 1 patient with an inguinal hernia. Blood loss, opiate use, and hospital stay did not differ significantly from those of controls. No hernia recurred after a mean observation period of 56 months. Seven of the 8 patients reported that they would recommend the combined operation. CONCLUSIONS: Combined cesarean section and hernia repair avoids rehospitalization for separate hernia repair. With a single incision (in the case of inguinal hernia repair), single anesthesia, and single hospital stay, the combined procedure confers valuable advantages for both patient and hospital in time, cost, and convenience, not to mention avoiding the separation of mother from newborn entailed by reoperation. Our results in a pilot group indicate that the combination approach is safe, effective, and well accepted. Confirmation in a larger population should establish it as a recommendable procedure.
Mots-clé
Adult *Cesarean Section Female Hernia/complications/*surgery Humans Pilot Projects Pregnancy Retrospective Studies Statistics, Nonparametric Treatment Outcome
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/01/2008 8:53
Dernière modification de la notice
20/08/2019 16:20
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