Abstract | HYPOTHESIS: DESIGN: Retrospective comparative study. SETTING: Tertiary care university hospital. PATIENTS: MAIN OUTCOME MEASURES: 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.
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Authors | Nicole Ochsenbein-Kölble, Nicolas Demartines, Nadin Ochsenbein-Imhof, Roland Zimmermann |
Journal | Archives of surgery (Chicago, Ill. : 1960)
(Arch Surg)
Vol. 139
Issue 8
Pg. 893-5
(Aug 2004)
ISSN: 0004-0010 [Print] United States |
PMID | 15302700
(Publication Type: Journal Article)
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Topics |
- Adult
- Cesarean Section
- Female
- Hernia
(complications)
- Herniorrhaphy
- Humans
- Pilot Projects
- Pregnancy
- Retrospective Studies
- Statistics, Nonparametric
- Treatment Outcome
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