A rare acute complication of caesarean section: Preperitoneal incisional hernia

2021 ◽  
Author(s):  
Warunika Jayasena ◽  
Sarah Bormann ◽  
Rebecca Thomas
Keyword(s):  
Caesarean Section ◽  
Incisional Hernia ◽  
Acute Complication

scholarly journals Incisional Hernia of Elective Midline Caesarean Section: Incidence and Risk Factors

2013 ◽  
Vol 25 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Md Hasan Al-Dahamsheh
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Incisional Hernia ◽  
Wound Complications ◽  
Control Group ◽  
Postoperative Fever ◽  
Parity Number ◽  
Potential Risk Factors ◽  
Independent Risk Factors ◽  
And Control

Objective: To analyze the incidence and risk factors for development hernia after elective  lower midline caesarean section(ElMCS).Method: A prospective cohort study of 284 women for development of incisional hernia after  repeated elective midline CS. Patients enrollment done from April 13th 2001 and December  12th 2002. follow up to two years for hernia development. Hernias were identified radiographically  or during physical exam. 2-year hernia rates were calculated. Patients were distributed in two  groups, study group consisted of women who had incisional hernia and control group consisted  from women who had not within 2-years postoperatively. Within the two groups potential risk  factors (age, body mass index (BMI), parity, number of previous cesareans, chronic cough,  diabetes mellitus(DM), heart disease, low serum albumin, type of previous incision, anesthesia  type, presence of postoperative fever and wound complications) were collected and statistically  analyzed with the development of incisional hernia (IH).  Setting: Prince Hashem Ben Al-Hussein Hospital, Jordanian Royal Medical Services of Jordan  / Zarqa.  Results: The 2-year hernia was 5.6 % .Independent risk factors of IH development include:  increase in number of previous CSs, wound complications and obesity.  Conclusion: An incisional hernia is higher than previously estimated in women undergoing  ElMCS. Counseling on the family size will reduce the chance for further CS with its associated  risk. Also measures to reduce wound infection after surgery may reduce the incidence of  incisional hernia following ElMCS. DOI: http://dx.doi.org/10.3329/bjog.v25i1.13724 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 9-14

scholarly journals Incisional hernia repair after caesarean section: a population-based study

2014 ◽  
Vol 55 (2) ◽  
pp. 170-175 ◽  
Author(s):  
Antonia W. Shand ◽  
Jian Sheng Chen ◽  
Margaret Schnitzler ◽  
Christine L. Roberts
Keyword(s):  
Caesarean Section ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Population Based ◽  
Population Based Study

scholarly journals Surgical complications after caesarean section: A population-based cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258222
Author(s):  
Charlotta Larsson ◽  
Elin Djuvfelt ◽  
Anna Lindam ◽  
Katarina Tunón ◽  
Pär Nordin
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Incisional Hernia ◽  
Bowel Obstruction ◽  
Surgical Complications ◽  
Mode Of Delivery ◽  
Population Based ◽  
Control Group ◽  
Safe Procedure ◽  
Increased Risk

Background The rate of caesarean section without medical indication is rising but the risk for surgical complications has not been fully explored. Methods Altogether 79 052 women from the Swedish Medical Birth Register who delivered by caesarean section only from 2005 through 2016 were identified and compared with a control group of women delivering vaginally only from the same register and the same period of time. By cross-linking data with the National Patient Register the risks for bowel obstruction, incisional hernia and abdominal pain were analysed, as well as risk factors for these complications. We also analysed acute complications, uterine rupture, and placenta praevia. Findings Caesarean section is associated with an increased risk for bowel obstruction (OR 2.92; CI 2.55–3.34), surgery for bowel obstruction (OR 2.12; CI 1.70–2.65), incisional hernia (OR 2.71; CI 2.46–3.00), surgery for incisional hernia (OR 3.35; CI 2.68–4.18), and abdominal pain (OR 1.41; CI 1.38–1.44). Smoking, obesity, and more than one section delivery added significantly to the risk for these complications. Interpretation Caesarean section is considered a safe procedure, but awareness of the risk for serious complications is important when deciding on mode of delivery. In this study, more than one section, obesity and smoking significantly increased the risk for complications after caesarean section. Prevention of smoking and obesity among fertile women worldwide must continue to be a high priority.

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