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.
Answer: 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.
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Answer: 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.
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Answer: Is Hernia Repair a Good Idea Right After a C-Section? Thank you for your question regarding the possibility of hernia repair right after your C-section. Given your history of multiple C-sections, Crohn's disease, and an umbilical hernia that has worsened, I understand your concerns as your pregnancy progresses.
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Answer: Is Hernia Repair a Good Idea Right After a C-Section? Thank you for your question regarding the possibility of hernia repair right after your C-section. Given your history of multiple C-sections, Crohn's disease, and an umbilical hernia that has worsened, I understand your concerns as your pregnancy progresses.
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October 23, 2009
Answer: 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.
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October 23, 2009
Answer: 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.
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October 22, 2009
Answer: 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 the time of C-section, you run a higher risk of the hernia recurring.
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October 22, 2009
Answer: 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 the time of C-section, you run a higher risk of the hernia recurring.
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January 25, 2010
Answer: 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.
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January 25, 2010
Answer: 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.
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