Paraumbilical hernia repair during caesarean section; maternal and neonatal outcome

ABSTRACT

A prospective study to evaluate the outcome of combined cesarean section and paraumblical hernia repair in tertiary referral university hospital. Patients and methods: 48 patients undergoing Cesarean section combined with paraumbilical hernia repair versus 100 patients undergoing cesarean section alone. Main Outcome Measures: Operation time, Apgar Score, blood loss, uterine atony, breast feeding initiation, pain sensation, periparturn complications, prolonged lochia [more than 42 days], deep venous thrombosis, hospital stay, hernia recurrence, and patient choice. The combined procedure consumed significantly longer time than cesarean section alone in the mesh hernioplasty subgroup. There were no major complications. Apgar Score, uterine atony, initiation of breastfeeding, prolonged tochia, wound infection and hospital stay did not differ significantly from those of controls. Pain at hernia site repair in two patients, one hernia recurred in the primary repair subgroup during follow up period which reach up to 3 years. All hernia group patients reported that they prefere the combined operation. Combined cesarean section and paraumbilical hernia repair had the advantage of single incision, single anesthesia, and single hospital stay. The combination approach proved to be safe, effective, and well accepted