Hernia repair and C-section

Robin T.W. Yuan, MD answers: Hernia repair right after c-section?

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.


Robin T.W. Yuan, MD
1 month ago

 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 contouring point of view. 

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A: Elective surgery and hernia repair

Kevin Brenner, MD
1 month ago

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 the time of C-section, you run a higher risk of the hernia recurring.

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