Advertisement

Hernia

, Volume 21, Issue 3, pp 335–339 | Cite as

Primary ventral or groin hernia in pregnancy: a cohort study of 20,714 women

  • E. Oma
  • M. Bay-Nielsen
  • K. K. Jensen
  • L. N. Jorgensen
  • A. Pinborg
  • T. Bisgaard
Original Article

Abstract

Background

Prevalence, management, and risk of emergency operation for primary ventral or groin hernia in pregnancy are unknown. The objective of this study was to estimate the prevalences of primary ventral or groin hernia in pregnancy and the potential risks for elective and emergency repair.

Methods

This single-institutional retrospective study included all pregnant women attending one or more prenatal consultations at Hvidovre Hospital, Denmark, during a 3-year period. Patients’ medical records were electronically retrieved. A free-text search algorithm and subsequent manual review was conducted to identify patients registered with a primary ventral or groin hernia in pregnancy. Follow-up was conducted by review of medical record notes within the Capital Region of Denmark supplemented with structured telephone interviews on indication.

Results

In total, 20,714 pregnant women were included in the study cohort. Seventeen (0.08%) and 25 (0.12%) women were registered with a primary ventral and groin hernia, respectively. None underwent elective or emergency repair in pregnancy, and all had uncomplicated childbirth. In 10 women, the groin bulge disappeared spontaneously after delivery. During postpartum follow-up of median 4.4 years (range 0.2–6.0 years), five (0.02%) and four (0.02%) underwent elective primary ventral and groin hernia repair, respectively.

Conclusion

Primary ventral or groin hernia seems rare in pregnancy, and the incidence of emergency repair is extremely low. Watchful waiting strategy is recommended during pregnancy in women suspected for a primary ventral or groin hernia.

Keywords

Umbilical hernia Inguinal hernia Femoral hernia Pregnancy Prevalence 

Notes

Compliance with ethical standards

Conflict of interest

EO, MB, KKJ, LNJ, AP and TB declare that they have no conflict of interest.

Funding

No financial support.

Ethical statement

According to Danish law, approval from a local ethics committee was not required.

Statement on human rights

For this type of study, formal consent is not required.

Statement on the welfare of animals

This article does not contain any studies with animals performed by any of the authors.

Informed consent

According to Danish law, informed consent from included individuals is not required for this type of study.

References

  1. 1.
    Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietanski M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13:407–414. doi: 10.1007/s10029-009-0518-x CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J (2013) Nationwide prevalence of groin hernia repair. PLoS One 8:e54367. doi: 10.1371/journal.pone.0054367 CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, Hoeferlin A, Kingsnorth AN, Mandala V, Palot JP, Schumpelick V, Simmermacher RKJ, Stoppa R, Flament JB (2008) The European hernia society groin hernia classication: simple and easy to remember (vol 11, pg 113, 2007). Hernia 12:335. doi: 10.1007/s10029-008-0361-5 CrossRefGoogle Scholar
  4. 4.
    Lappen JR, Sheyn D, Hackney DN (2016) Does pregnancy increase the risk of abdominal hernia recurrence after prepregnancy surgical repair? Am J Obstet Gynecol. doi: 10.1016/j.ajog.2016.05.003 Google Scholar
  5. 5.
    Oma E, Jensen KK, Jorgensen LN (2017) Increased risk of ventral hernia recurrence after pregnancy: a nationwide register-based study. Am J Surg. doi: 10.1016/j.amjsurg.2017.03.044 PubMedGoogle Scholar
  6. 6.
    Jensen KK, Henriksen NA, Jorgensen LN (2015) Abdominal wall hernia and pregnancy: a systematic review. Hernia 19:689–696. doi: 10.1007/s10029-015-1373-6 CrossRefPubMedGoogle Scholar
  7. 7.
    Brixval CS, Thygesen LC, Johansen NR, Rorbye C, Weber T, Due P, Koushede V (2015) Validity of a hospital-based obstetric register using medical records as reference. Clin Epidemiol 7:509–515. doi: 10.2147/CLEP.S93675 CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Knudsen LB, Olsen J (1998) The Danish Medical Birth Registry. Dan Med Bull 45:320–323PubMedGoogle Scholar
  9. 9.
    Lau B, Kim H, Haigh PI, Tejirian T (2012) Obesity increases the odds of acquiring and incarcerating noninguinal abdominal wall hernias. Am Surg 78:1118–1121PubMedGoogle Scholar
  10. 10.
    Abramson JH, Gofin J, Hopp C, Makler A, Epstein LM (1978) The epidemiology of inguinal hernia. A survey in western Jerusalem. J Epidemiol Community Health 32:59–67CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Lofgren J, Makumbi F, Galiwango E, Nordin P, Ibingira C, Forsberg BC, Wladis A (2014) Prevalence of treated and untreated groin hernia in eastern Uganda. Br J Surg 101:728–734. doi: 10.1002/bjs.9457 CrossRefPubMedGoogle Scholar
  12. 12.
    Patel HD, Groen RS, Kamara TB, Samai M, Farahzad MM, Cassidy LD, Kushner AL, Wren SM (2014) An estimate of hernia prevalence in Sierra Leone from a nationwide community survey. Hernia 18:297–303. doi: 10.1007/s10029-013-1179-3 CrossRefPubMedGoogle Scholar
  13. 13.
    Burcharth J, Pedersen MS, Pommergaard HC, Bisgaard T, Pedersen CB, Rosenberg J (2015) The prevalence of umbilical and epigastric hernia repair: a nationwide epidemiologic study. Hernia 19:815–819. doi: 10.1007/s10029-015-1376-3 CrossRefPubMedGoogle Scholar
  14. 14.
    Staelens AS, Van Cauwelaert S, Tomsin K, Mesens T, Malbrain ML, Gyselaers W (2014) Intra-abdominal pressure measurements in term pregnancy and postpartum: an observational study. PLoS One 9:e104782. doi: 10.1371/journal.pone.0104782 CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Buch KE, Tabrizian P, Divino CM (2008) Management of hernias in pregnancy. J Am Coll Surg 207:539–542. doi: 10.1016/j.jamcollsurg.2008.04.030 CrossRefPubMedGoogle Scholar
  16. 16.
    Lechner M, Fortelny R, Ofner D, Mayer F (2014) Suspected inguinal hernias in pregnancy–handle with care! Hernia 18:375–379. doi: 10.1007/s10029-013-1082-y CrossRefPubMedGoogle Scholar
  17. 17.
    Lynge E, Sandegaard JL, Rebolj M (2011) The Danish national patient register. Scand J Public Health 30–33Google Scholar

Copyright information

© Springer-Verlag France 2017

Authors and Affiliations

  1. 1.Digestive Disease Center, Bispebjerg HospitalUniversity of CopenhagenCopenhagen NVDenmark
  2. 2.Department of SurgeryNykoebing Falster HospitalNykøbing FalsterDenmark
  3. 3.Department of Obstetrics/GynecologyHvidovre Hospital, University of CopenhagenHvidovreDenmark
  4. 4.Gastro Unit, Surgical DivisionHvidovre Hospital, University of CopenhagenHvidovreDenmark

Personalised recommendations