TY - JOUR
T1 - Primary ventral or groin hernia in pregnancy
T2 - a cohort study of 20,714 women
AU - Oma, E
AU - Bay-Nielsen, M
AU - Jensen, K K
AU - Jorgensen, L N
AU - Pinborg, A
AU - Bisgaard, T
PY - 2017/6/1
Y1 - 2017/6/1
N2 - BACKGROUND: Prevalence, management, and risk of emergency operation for primary ventral or groin hernia in pregnancy are unknown. The objective of this study was to estimate the prevalences of primary ventral or groin hernia in pregnancy and the potential risks for elective and emergency repair.METHODS: This single-institutional retrospective study included all pregnant women attending one or more prenatal consultations at Hvidovre Hospital, Denmark, during a 3-year period. Patients' medical records were electronically retrieved. A free-text search algorithm and subsequent manual review was conducted to identify patients registered with a primary ventral or groin hernia in pregnancy. Follow-up was conducted by review of medical record notes within the Capital Region of Denmark supplemented with structured telephone interviews on indication.RESULTS: In total, 20,714 pregnant women were included in the study cohort. Seventeen (0.08%) and 25 (0.12%) women were registered with a primary ventral and groin hernia, respectively. None underwent elective or emergency repair in pregnancy, and all had uncomplicated childbirth. In 10 women, the groin bulge disappeared spontaneously after delivery. During postpartum follow-up of median 4.4 years (range 0.2-6.0 years), five (0.02%) and four (0.02%) underwent elective primary ventral and groin hernia repair, respectively.CONCLUSION: Primary ventral or groin hernia seems rare in pregnancy, and the incidence of emergency repair is extremely low. Watchful waiting strategy is recommended during pregnancy in women suspected for a primary ventral or groin hernia.
AB - BACKGROUND: Prevalence, management, and risk of emergency operation for primary ventral or groin hernia in pregnancy are unknown. The objective of this study was to estimate the prevalences of primary ventral or groin hernia in pregnancy and the potential risks for elective and emergency repair.METHODS: This single-institutional retrospective study included all pregnant women attending one or more prenatal consultations at Hvidovre Hospital, Denmark, during a 3-year period. Patients' medical records were electronically retrieved. A free-text search algorithm and subsequent manual review was conducted to identify patients registered with a primary ventral or groin hernia in pregnancy. Follow-up was conducted by review of medical record notes within the Capital Region of Denmark supplemented with structured telephone interviews on indication.RESULTS: In total, 20,714 pregnant women were included in the study cohort. Seventeen (0.08%) and 25 (0.12%) women were registered with a primary ventral and groin hernia, respectively. None underwent elective or emergency repair in pregnancy, and all had uncomplicated childbirth. In 10 women, the groin bulge disappeared spontaneously after delivery. During postpartum follow-up of median 4.4 years (range 0.2-6.0 years), five (0.02%) and four (0.02%) underwent elective primary ventral and groin hernia repair, respectively.CONCLUSION: Primary ventral or groin hernia seems rare in pregnancy, and the incidence of emergency repair is extremely low. Watchful waiting strategy is recommended during pregnancy in women suspected for a primary ventral or groin hernia.
KW - Adolescent
KW - Adult
KW - Denmark/epidemiology
KW - Elective Surgical Procedures/statistics & numerical data
KW - Emergencies/epidemiology
KW - Female
KW - Groin
KW - Hernia, Inguinal/epidemiology
KW - Hernia, Umbilical/epidemiology
KW - Hernia, Ventral/epidemiology
KW - Humans
KW - Incidence
KW - Middle Aged
KW - Pregnancy
KW - Pregnancy Complications/epidemiology
KW - Prevalence
KW - Retrospective Studies
KW - Risk Factors
KW - Young Adult
U2 - 10.1007/s10029-017-1618-7
DO - 10.1007/s10029-017-1618-7
M3 - Journal article
C2 - 28434040
SN - 1265-4906
VL - 21
SP - 335
EP - 339
JO - Hernia
JF - Hernia
IS - 3
ER -