Hernia Repair Right After C-section?

asked 2 years ago by giniageorge in st louis
Latest answer by Farbod Esmailian, MD
Question viewed 3,385 times
Tags: abdomen, female, c-section, hernia, pregnancy

I am pregnant with my 3rd child, which will be a repeat c-section. I already had 2 c-sections with my other two children before. I have developed Crohn's and had surgery to remove 2 feet of small intestine back in 2002. Then within a year, I developed an umbilical hernia which has just gotten worse and worse (no insurance).

Now, my ob-gyn has referred me to general surgery to see if they will repair the hernia when I have my c-section. I am very fearful that the bigger I get with this pregnancy, the worse it's going to be. I am all for it, but what do you think? Is it a good idea? Do you have any suggestions? Thank you so much.

7 answers to Hernia Repair Right After C-section?

Hernia Repair During C-Section

I see no harm doing a hernia repair at the same time of C-section. However, having said that, you do have a slightly higher rate of recurrence (hernia coming back). I think it is an acceptable rate and since you are already numb and it adds very little time to the surgery, it is feasible to have it done at the same time. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Ventral hernia repair during c-section

In my opinion, a pregnant woman's tissues are not "normal" - they are swollen and do not handle nor behave the same way as they would a few months down the road when you returned to normal. So unless we were dealing with an urgent situation, I would advise caution and waiting for better times. However, I would defer this decision to the surgeon who would be doing the hernia repair. I think several factors need to be considered here, in addition to the impact on the mother's... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Hernia repair with C-section

You should seek the adivise of a general surgeon. It seems completely readonable to do an umbilical hernia repair at the same time as the C-section as long as there are no complications at the time. I suspect that the tissues would be so loose during the healing that the chance of recurrence may even be less.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Elective surgery and hernia repair

I see many women who develop umbilical hernias around the time of their pregnancy. Umbilical hernias can get larger during pregnancy as the abodmen enlarges, but they rarely pose a problem. The abdominal tissues get very swollen and are not entirely normal immediately after delivery. For that reason alone, I feel that repair of the hernia should be done about 4-6 months after the C-section (not at the same time), once you are down to your normal weight. If you have your hernia repaired at... more

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Hernia repair and C-section

C-section is usually not the time to undergo elective procedures, at least not for body-contouring procedures. If the main goal is to repair a true hernia without regard to contour, it might be possible to do this from an intra-abdominal approach as the general surgeon might do for a laparoscopic repair of an inguinal hernia. However, since your tissues and body will be changing drastically as you lose weight and your muscles separate or recover, I wouldn't have any expectations from a... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Hernia repair and c-section

Depending on the circumstances at the time of the c-section and depending on the advice of your general surgeon, it might be reasonable to repair it at that time. Certainly as the tissues shrink, there will be no tension on the repair.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Simultaneous c-section and umbilical herniorrhaphy

I would consider first seeking the advice of the general surgeon. If the hernia is exposed in the course of an uncomplicated c-section, it may be convienient to perform a combined procedure.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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