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Symptomatic Abdominal Wall Hernia

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Acute Abdomen During Pregnancy

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Abstract

A hernia is an area of weakness or complete disruption of the fibromuscular tissues of the body wall. Abdominal wall hernias are not common during pregnancy because these are commonly repaired before a planned pregnancy to avoid possible complications during gestation. Specific differential diagnosis in pregnancy is round ligament varicosities which disappear after pregnancy. Hernias can be symptomless or present with slight discomfort or pain. Such hernias are not life-threatening and should be controlled regularly during pregnancy. Conservative measures should include weight control, stool softeners, abdominal binders, and avoiding heavy lifting. After spontaneous delivery and uterine involution, elective hernioplasty is indicated. A clinician should recognize emergent presentations—incarceration, strangulation, and bowel perforation because surgical consultation and emergency operation are mandatory. There is still no consensus on an irreducible hernia during pregnancy, but complications during pregnancy outweigh semi-elective operation. (Incarcerated) gravid uterus in a hernia poses a problem due to a higher risk of fetal death or obstetric complications. Therefore, operative treatment is recommended, including simultaneous obstetric and surgical management.

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References

  1. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003;362(9395):1561–71.

    PubMed  Google Scholar 

  2. Kahriman G, Donmez H, Mavili E, Ozcan N. Bilateral round ligament varicosities mimicking an inguinal hernia in pregnancy: case report. J Clin Ultrasound. 2010;38(9):512–4.

    PubMed  Google Scholar 

  3. Gaudier O. Rev Chir. 1894;14:859.

    Google Scholar 

  4. Manley T. Hernia in pregnancy and pregnancy in hernia with note on umbilical hernia. Med Newsl. 1900;76:130–3.

    Google Scholar 

  5. Primatesta MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol. 1996;25:835–9.

    CAS  PubMed  Google Scholar 

  6. Nilsson G, Haapamäki M, et al. Mortality after groin hernia surgery. Ann Surg. 2007;245:656–60.

    PubMed  PubMed Central  Google Scholar 

  7. Buch P, Divino CM. Management of hernias in pregnancy. J Am Coll Surg. 2008;207:539–42.

    PubMed  Google Scholar 

  8. Carilli S. Hernia repair during Cesarean section. Int J Clin Med. 2015;6:1–6.

    Google Scholar 

  9. Ochsenbein-Kölble N, Ochsenbein ND, Imhof R. Cesarean section and simultaneous hernia repair. Arch Surg. 2004;139:893–5.

    PubMed  Google Scholar 

  10. Oma E, Bay-Nielsen M, Jensen KK, Jorgensen LN, Pinborg A, Bisgaard T. Primary ventral or groin hernia in pregnancy: a cohort study of 20,714 women. Hernia. 2017;21:335–9.

    CAS  PubMed  Google Scholar 

  11. Robinson S. Hernia complicating pregnancy. Can Med Assoc J. 1954;68:592–3.

    Google Scholar 

  12. Berkeley V, MacLeod DH, editors. The abnormal in obstetrics. London: Arnold; 1938.

    Google Scholar 

  13. McKenna DA, Carter JT, Poder L, Gosnell JE, Maa J, Pearl JM, et al. Round ligament varices: sonographic appearance in pregnancy. Ultrasound Obstet Gynecol. 2008;31(3):355–7.

    CAS  PubMed  Google Scholar 

  14. Uzun M, Akkan K, Coşkun B. Round ligament varicosities mimicking inguinal hernias in pregnancy: importance of color Doppler sonography. Diagn Interv Radiol. 2010;16(2):150–2.

    PubMed  Google Scholar 

  15. Ij FF, Boddeus KM, de Haan HH, van Geldere D. Bilateral round ligament varicosities mimicking inguinal hernia during pregnancy. Hernia. 2009;13(1):85–8.

    Google Scholar 

  16. Chi C, Taylor A, Munjuluri N, Abdul-Kadir R. A diagnostic dilemma: round ligament varicosities in pregnancy. Acta Obstet Gynecol Scand. 2005;84(11):1126–7.

    PubMed  Google Scholar 

  17. Cheng D, Lam H, Lam C. Round ligament varices in pregnancy mimicking inguinal hernia: an ultrasound diagnosis. Ultrasound Obstet Gynecol. 1997;9(3):198–9.

    CAS  PubMed  Google Scholar 

  18. Verovitz CH, editor. Diseases of the veins and lymphatics of the lower extremity. Boston: Christopher Publishing House; 1941.

    Google Scholar 

  19. Gold MM, editor. Occopodian. Cleveland: Ohio College of Chiropody; 1942. p. 15.

    Google Scholar 

  20. Dodd H, Wright H. Vulval varicose veins in pregnancy. BMJ. 1959;1:831–2.

    CAS  PubMed  PubMed Central  Google Scholar 

  21. Hodgkinson C, Kroll J. Inguinal swelling during pregnancy. Am J Obstet Gynecol. 1957;73:966–73.

    CAS  PubMed  Google Scholar 

  22. Ryu KH, Yoon JH. Ultrasonographic diagnosis of round ligament varicosities mimicking inguinal hernia: report of two cases with literature review. Ultrasonography. 2014;33(3):216.

    PubMed  PubMed Central  Google Scholar 

  23. Smith G, Norgren A, Ulmsten U. The round ligament: a target organ for steroid hormones. Gynecol Endocrinol. 1993;7:97–100.

    CAS  PubMed  Google Scholar 

  24. Jamader JA, Morag Y, et al. Sonography of inguinal region hernias. Am J Radiol. 2006;187:185–90.

    Google Scholar 

  25. Lechner M, Bittner R, Mitterwallner S, Borhanian K, Emmanuel K, Mayer F. Is round ligament varicosity during pregnancy a precursor for the later development of inguinal hernias? The prospective analysis of the long-term outcome in 28 patients over 9 years. Hernia. 2020;24:633–7.

    CAS  PubMed  Google Scholar 

  26. Yonggang H, Jing Y, Ping W, Guodong G, Chenxia M, Xiaojing X, et al. Forty-one cases of round ligament varicosities that are easily misdiagnosed as inguinal hernias. Hernia. 2017;21:901–4.

    CAS  PubMed  Google Scholar 

  27. Mine Y, Eguchi S, Enjouji A, Fukuda M, Yamaguchi J, Inoue Y. Round ligament varicosities diagnosed as inguinal hernia during pregnancy: a case report and series from two regional hospitals in Japan. Int J Surg Case Rep. 2017;36:122–5.

    PubMed  PubMed Central  Google Scholar 

  28. Jung GH, Lee MK, et al. A case of round ligament varicosities during pregnancy. Korean J Obstet Gynecol. 2010;53:180–3.

    Google Scholar 

  29. Tomkinson J, Winterton W. Varicoceles of the round ligament in pregnancy, simulating inguinal herniae. BMJ. 1955;1:889–90.

    CAS  PubMed  PubMed Central  Google Scholar 

  30. Al-Qudah M. Postpartum pain due to thrombosed varicose veins of the round ligament of the uterus. Postgrad Med J. 1993;69:820–1.

    CAS  PubMed  PubMed Central  Google Scholar 

  31. Ng C, Wong GT. Round ligament varicosity thrombosis presenting as an irreducible inguinal mass in a postpartum woman. J Clin Imaging Sci. 2019;9(28):1–4.

    Google Scholar 

  32. Tokue H, Aoki J, Tsushima Y, Endo K. Characteristic of computed tomography and magnetic resonance imaging finding of thrombosed varices of the round ligament of the uterus: a case report. J Comput Assist Tomogr. 2008;32(4):559–61.

    PubMed  Google Scholar 

  33. Morton MS, Metcalfe JMP. Exercise during pregnancy. Med Clin North Am. 1985;69:97–108.

    CAS  PubMed  Google Scholar 

  34. Poskus T, Buzinskiene D, Drasutiene G, Samalavicius NE, Barkus A, Barisauskiene A, et al. Haemorrhoids and anal fissures during pregnancy and after childbirth: a prospective cohort study. BJOG. 2014;121:1666–71.

    CAS  PubMed  Google Scholar 

  35. Frede T. Ultrasonic visualization of varicosities in the female genital tract. J Ultrasound Med. 1984;3:365–9.

    CAS  PubMed  Google Scholar 

  36. Buxton P, Pai KP, et al. Immediate post partum thrombosis of the veins of the round ligament imitating an irreducible inguinal hernia. Acta Obstet Gynecol Scand. 1994;73:514–5.

    CAS  PubMed  Google Scholar 

  37. Lee DK, Bae SW, Moon H, Kim YK. Round ligament varicosities mimicking inguinal hernia in pregnancy. J Korean Surg Soc. 2011;80(6):437–9.

    PubMed  PubMed Central  Google Scholar 

  38. Ijpma F, Boddeus K, de Haan H, Van Geldere D. Bilateral round ligament varicosities mimicking inguinal hernia during pregnancy. Hernia. 2009;13(1):85–8.

    CAS  PubMed  Google Scholar 

  39. https://www.health2mama.com.

  40. Tokue Y, Endo KHT. Magnetic resonance imaging findings of extrapelvic endometriosis of the round ligament. Jpn J Radiol. 2009;27:45–7.

    PubMed  Google Scholar 

  41. Ijpma KM, de Haan HH, van Geldere D. Bilateral round ligament varicosities mimicking inguinal hernia during pregnancy. Hernia. 2009;13:85–8.

    CAS  PubMed  Google Scholar 

  42. Candiani P, Fedele L, et al. Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol. 1991;78:191–4.

    CAS  PubMed  Google Scholar 

  43. Goh V. Inguinal endometriosis. A N Z J Obstet Gynaecol. 1994;34:121.

    CAS  Google Scholar 

  44. Sun L, Lang JH. A rare extrapelvic endometriosis: inguinal endometriosis. J Reprod Med. 2010;55:62–6.

    PubMed  Google Scholar 

  45. Jimenez RM. Inguinal endometriosis. Ann Surg. 1960;151:903–11.

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Freed DS, Tyre LL, et al. Endometriosis of the extraperitoneal portion of the round. ligament: US and CT findings. J Clin Ultrasound. 1996;24:540–2.

    CAS  PubMed  Google Scholar 

  47. Wong WSF, Lim CED, Luo X. Inguinal endometriosis: an uncommon differential diagnosis as an inguinal tumour. ISRN Obstet Gynecol. 2011;2011:272159.

    PubMed  Google Scholar 

  48. Cullen T. Adenomyoma of the round ligament. Johns Hopkins Hosp Bull. 1896;7:112–4.

    Google Scholar 

  49. Crispi CA, Oliveira MA, et al. Endometriosis of the round ligament of the uterus. J Minim Invasive Gynecol. 2012;19:46–51.

    PubMed  Google Scholar 

  50. Park HK, Hong HS, et al. Hydrocele of the canal of Nuck in a girl: ultrasound and MR appearance. Br J Radiol. 2004;77:243–4.

    CAS  PubMed  Google Scholar 

  51. Noguchi D, Matsumoto N, Kamata S, Kaneko K. Ectopic pregnancy developing in a cyst of the canal of Nuck. Obstet Gynecol. 2014;123:472–6.

    PubMed  Google Scholar 

  52. Cervini J, Wu L. Endometriosis in the canal of Nuck: atypical manifestations in an unusual location. Am J Roentgenol. 2005;185:284–5.

    Google Scholar 

  53. Chalouhi CA, Atallah DM, Golfier FR. Extraperitoneal endometriosis as a differential diagnosis of an inguinal lump. Eur J Obstet Gyncol Reprod Biol. 2008;138:121–2.

    Google Scholar 

  54. Yang HC, Ryu JK, et al. Sonographic findings of inguinal endometriosis. J Ultrasound Med. 2010;29:105–10.

    CAS  PubMed  Google Scholar 

  55. Yang HC, Jin W, et al. Inguinal endometriosis presenting as a multicystic mass on sonography. J Ultrasound Med. 2007;26:1449–51.

    PubMed  Google Scholar 

  56. Toprak H, Kiliç E, Kocakoç E, Ozgocmen S, Serter A. Ultrasound and Doppler US in evaluation of superficial soft-tissue lesions. J Clin Imaging Sci. 2014;4(1):12.

    PubMed  PubMed Central  Google Scholar 

  57. Hensen AC, Puylaert JB. Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. Am J Roentgenol. 2006;186:616–20.

    Google Scholar 

  58. Low AO, Houang M, et al. Endometriosis of the inguinal region: magnetic resonance imaging (MRI) findings. Australas Radiol. 2007;51:B272–5.

    PubMed  Google Scholar 

  59. Hagiwara M, Moriya T, et al. Inguinal endometriosis attaching to the round ligament. Australas Radiol. 2007;51:91–4.

    CAS  PubMed  Google Scholar 

  60. Bergamini A, Almirante G, Taccagni G, Mangili G, Viganò P, Candiani M. Endometriosis-associated tumor at the inguinal site: report of a case diagnosed during pregnancy and literature review. J Obstet Gynaecol Res. 2014;40(4):1132–6.

    PubMed  Google Scholar 

  61. Fedele S, Frontino G, et al. Radical excision of inguinal endometriosis. Obstet Gynecol. 2007;110:530–3.

    PubMed  Google Scholar 

  62. Horton KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196:207–12.

    PubMed  Google Scholar 

  63. Scholefield Y, Morgan PR. Cutaneous endometriosis and its association with caesarean section and gynaecological procedures. J Obstet Gynaecol. 2002;22:553–4.

    CAS  PubMed  Google Scholar 

  64. Anderson TA, Mackey JE, Kopecky CB. Hydrocele of the canal of Nuck: ultrasound appearance. Am Surg. 1995;61:959–61.

    CAS  PubMed  Google Scholar 

  65. Schwartz MR. Nuck’s hydrocele. Int Surg. 1975;60:91–2.

    CAS  PubMed  Google Scholar 

  66. Block R. Hydrocele of the canal of Nuck; a report of five cases. Obstet Gynecol. 1975;4:464–6.

    Google Scholar 

  67. Alam C, Uberoi R. The accuracy of ultrasound in the diagnosis of clinically occult groin hernias in adults. Eur Radiol. 2005;15:2457–61.

    PubMed  Google Scholar 

  68. Gaudier. Rev Chir. 1894;14:859.

    Google Scholar 

  69. Berkeley C, Bonney V, Mcleod D, editors. The abnormal in obstetrics. London: Edward Arnold & Co.; 1938.

    Google Scholar 

  70. Baird D. Combined textbook of obstetrics and gynaecology for students and practitioners. Edinburgh: E & S Livingstone Ltd; 1950.

    Google Scholar 

  71. Lechner M, Fortelny R, Öfner D, Mayer F. Suspected inguinal hernias in pregnancy - handle with care! Hernia. 2014;18:375–9.

    CAS  PubMed  Google Scholar 

  72. Robinson S. Hernia complicating pregnancy. CMAJ. 1953;68:592–3.

    CAS  Google Scholar 

  73. Ferguson A. Indications for operation. In: The technic of modern operations for hernia. 2nd ed. Chicago: Cleveland Press; 1908. p. 58–72.

    Google Scholar 

  74. Tagaya K, Suzuki N, et al. Simultaneous laparoscopic treatment for diseases of the gallbladder, stomach, and colon. Surg Laparosc Endosc Percutan Tech. 2005;15:169–71.

    PubMed  Google Scholar 

  75. Othman AF. Combined transurethral prostatectomy and inguinal hernioplasty. Hernia. 2005;14:149–53.

    Google Scholar 

  76. Altchek J. Preperitoneal herniorrhaphy: adjunct to cesarean section. Obstet Gynecol. 1987;70:470–1.

    CAS  PubMed  Google Scholar 

  77. Ghnnam AS, Fawzy M, et al. Paraumbilical hernia repair during cesarean delivery. Ann Saudi Med. 2009;29:115–8.

    PubMed  PubMed Central  Google Scholar 

  78. Simchen Y, Galai N, Israeli A. Differential effect of risk factors on early and late wound infections in patients undergoing herniorrhaphies. Ann Epidemiol. 1992;2:263–72.

    CAS  PubMed  Google Scholar 

  79. Jensen K, Henriksen N, Jorgensen L. Abdominal wall hernia and pregnancy: a systematic review. Hernia. 2015;19:689–96.

    CAS  PubMed  Google Scholar 

  80. Gabriele M, Izzo L, Basso L. Cesarean section and hernia repair: simultaneous approach. J Obstet Gynaecol Res. 2010;36:944–9.

    PubMed  Google Scholar 

  81. Surgit O, Gumus İİ, Kılıç MO, Kaygusuz I. Combined procedure of cesarean delivery and preperitoneal mesh repair for inguinal hernia: an initial experience. Asian J Surg. 2017;40:357–61.

    PubMed  Google Scholar 

  82. Janu KD, Mangiante EC. Recurrent inguinal hernia: preferred operative approach. Am Surg. 1998;64:569–74.

    CAS  PubMed  Google Scholar 

  83. Gilbert LL. Infection in inguinal hernia repair considering biomaterials and antibiotics. Surg Gynecol Obstet. 1993;177:126–30.

    CAS  PubMed  Google Scholar 

  84. http://kuhistory.com/articles/present-at-the-creation/.

  85. Robinson E. Ventral hernia during pregnancy. JAMA. 1907;48:226.

    Google Scholar 

  86. Coley JP. Operative treatment of hernia: a consideration of 8589 cases of hernia treated by radical operation from 1891 to 1918, with special reference to methods of operating and end results. Ann Surg. 1918;68:255–68.

    CAS  PubMed  PubMed Central  Google Scholar 

  87. Earle DB, McLellan JA. Repair of umbilical and epigastric hernias. Surg Clin N Am. 2013;93:1057–89.

    PubMed  Google Scholar 

  88. Jackson LH. Umbilical hernia. A retrospective study. Calif Med. 1970;113:8–11.

    CAS  PubMed  PubMed Central  Google Scholar 

  89. Meier DA, Omodele RA, et al. Incidence of umbilical hernia in African children: redefinition of “normal” and reevaluation of indications for repair. World J Surg. 2001;25:645–8.

    CAS  PubMed  Google Scholar 

  90. Thomson S. Two unusual complications of umbilical hernia in pregnancy. BMJ. 1962;2:1586.

    CAS  PubMed  PubMed Central  Google Scholar 

  91. Boissonnault MJ. Incidence of diastasis recti abdominis during the childbearing year. Phys Ther. 1988;68:1082–6.

    CAS  PubMed  Google Scholar 

  92. Beischer NA, Wein P. Linea alba pigmentation and umbilical deviation in nulliparous pregnancy the ligamentum teres sign. Obstet Gynecol. 1996;87:254–6.

    CAS  PubMed  Google Scholar 

  93. Rao HS. A case of herniated gravid uterus through a laparotomy scar. Indian J Med Sci. 2006;60:154–7.

    PubMed  Google Scholar 

  94. Bajekal TC. Fibroids, infertility and pregnancy wastage. Hum Reprod Update. 2000;6:614–20.

    CAS  PubMed  Google Scholar 

  95. Hassim KM. Gravid uterus in an umbilical hernia. Cent Afr J Med. 1967;13:260–1.

    CAS  PubMed  Google Scholar 

  96. Punguyire D, Iserson KV, Apanga S. Full-term pregnancy in umbilical hernia. Pan Afr Med J. 2011;8:6.

    PubMed  PubMed Central  Google Scholar 

  97. Van Rooyen DC, van der Walt A. Pressure necrosis of a caesarean section scar with exteriorization of the gravid uterus. S Afr Med J. 1977;51:666–8.

    PubMed  Google Scholar 

  98. Ahmed A, Stephen G, Ukwenya Y. Spontaneous rupture of umbilical hernia in pregnancy: a case report. Oman Med J. 2011;26(4):285–7.

    PubMed  PubMed Central  Google Scholar 

  99. Douglas O. Extragenital endometriosis – a clinicopathological review of Glasgow hospital experience with case illustrations. J Obstet Gynaecol. 2004;24:804–8.

    CAS  PubMed  Google Scholar 

  100. Fernández-Aceñero S. Cutaneous endometriosis: review of 15 cases diagnosed at a single institution. Arch Gynecol Obstet. 2011;283:1041–4.

    PubMed  Google Scholar 

  101. Agarwal YF. Cutaneous endometriosis. Singap Med J. 2008;49:704–9.

    CAS  Google Scholar 

  102. Wiegratz I, Kissler S, Engels K, Strey C, Kaufmann M. Umbilical endometriosis in pregnancy without previous surgery. Fertil Steril. 2008;90(1):199.

    Google Scholar 

  103. Razzi S, Rubegni P, Sartini A, De Simone S, Fava A, Cobellis L, et al. Umbilical endometriosis in pregnancy: a case report. Gynecol Endocrinol. 2004;18(2):114–6.

    CAS  PubMed  Google Scholar 

  104. Fedele G, Biachi S, et al. Umbilical endometriosis: a radical excision with laparoscopic assistance. Int J Surg. 2010;8:109–11.

    PubMed  Google Scholar 

  105. Kyamidis K, Lora V, Kanitakis J. Spontaneous cutaneous umbilical endometriosis: report of a new case with immunohistochemical study and literature review. Dermatol Online J. 2011;17(7):5.

    PubMed  Google Scholar 

  106. Weller C. Endometriosis of the umbilicus. Am J Pathol. 1935;11:281–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  107. Hartigan BJ. MR imaging features of endometriosis at the umbilicus. Br J Radiol. 2005;78:755–7.

    CAS  PubMed  Google Scholar 

  108. Victory MP, Johns DA. Villar’s nodule: a case report and systematic literature review of endometriosis externa of the umbilicus. J Minim Invasive Gynecol. 2007;14:23–32.

    PubMed  Google Scholar 

  109. Mintz W. Das Nabeladenom. Arch F Klin Chir. 1909;89:385–8.

    Google Scholar 

  110. Ramsanahie SK, Velusamy S, Nessim GT. Endometriosis in a scarless abdominal wall with underlying umbilical hernia. Ir J Med Sci. 2000;169:67.

    CAS  PubMed  Google Scholar 

  111. Di Giorgi D, Mannone F, et al. Cutaneous endometriosis: non-invasive analysis by epiluminescence microscopy. Clin Exp Dermatol. 2003;28:315–7.

    PubMed  Google Scholar 

  112. Bagade MM. Menstruating from the umbilicus as a rare case of primary umbilical endometriosis: a case report. J Med Case Rep. 2009;3:9326.

    PubMed  PubMed Central  Google Scholar 

  113. Giudice LC. Endometriosis. Lancet. 2004;364:1789–99.

    PubMed  Google Scholar 

  114. Chatzikokkinou J, Angelidis IK, et al. Spontaneous endometriosis in an umbilical skin lesion. Acta Dermatovenerol Alp Panonica Adriat. 2009;18:126–30.

    Google Scholar 

  115. Hirata T, Koga K, Kai K, Katabuchi H, Kitade M, Kitawaki J, et al. Clinical practice guidelines for the treatment of extragenital endometriosis in Japan, 2018. J Obstet Gynaecol Res. 2020;46(12):2474.

    PubMed  PubMed Central  Google Scholar 

  116. Heaps RK, Berek JS. Malignant neoplasms arising in endometriosis. Obstet Gynecol. 1990;75:1023–8.

    CAS  PubMed  Google Scholar 

  117. Sampson J. Postsalpingectomy endometriosis (endosalpingiosis). Am J Obstet Gynecol. 1930;20:443–80.

    Google Scholar 

  118. Sinkre MP, Albores-Saavedra J. Mullerianosis of inguinal lymph nodes: report of a case. Int J Gynecol Pathol. 2002;21:60–4.

    PubMed  Google Scholar 

  119. Redondo M, Corella C. Cutaneous umbilical endosalpingiosis with severe abdominal pain. J Eur Acad Dermatol Venereol. 2001;15:179–80.

    CAS  PubMed  Google Scholar 

  120. Papavramidis K, Michalopoulos N, et al. Umbilical endosalpingiosis: a case report. J Med Case Rep. 2010;4:287.

    PubMed  PubMed Central  Google Scholar 

  121. Uludag G, Demirel M, et al. Incarceration of umbilical hernia during pregnancy due to a sessile fibroid. Hernia. 2006;10:357–9.

    CAS  PubMed  Google Scholar 

  122. Oma E, Jensen KK, Bisgaard T, Jorgensen LN. Association of primary ventral hernia and pregnancy. Ann Surg. 2020;272:170–6.

    PubMed  Google Scholar 

  123. Lappen JR, Sheyn D, Hackney DN. Does pregnancy increase the risk of abdominal hernia recurrence after prepregnancy surgical repair? Am J Obstet Gynecol. 2016;215:390.

    Google Scholar 

  124. Oma E, Jensen KK, Jorgensen LN. Increased risk of ventral hernia recurrence after pregnancy: a nationwide register-based study. Am J Surg. 2017;214:474–8.

    PubMed  Google Scholar 

  125. Spitznagle FC, Van Dillen LR. Prevalence of diastasis recti abdominis in a urogynecological patient population. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:321–8.

    PubMed  Google Scholar 

  126. Kulacoglu H. Umbilical hernia repair and pregnancy: before, during, after…. Front Surg. 2018;5:1.

    PubMed  PubMed Central  Google Scholar 

  127. Debrah AM. Epigastric hernia in pregnancy: a management plan based on a systematic review of literature and a case history. Indian J Surg. 2013;75(Suppl 1):212–3.

    PubMed  Google Scholar 

  128. Sherman SC, Lee L. Strangulated umbilical hernia. J Emerg Med. 2004;26:209–11.

    PubMed  Google Scholar 

  129. http://nyulangone.org/doctors/1548321375/bruce-k-young.

  130. Henriksen N, Montgomery A, Kaufmann R, Berrevoet F, East B, Fischer J, et al. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg. 2020;107(3):171–90.

    CAS  PubMed  Google Scholar 

  131. Junge U, Prescher A, et al. Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia. 2001;5:113–8.

    CAS  PubMed  Google Scholar 

  132. Schoenmaeckers V, Raymakers J, Rakic S. Pregnancy following laparoscopic mesh repair of ventral abdominal wall hernia. JSLS. 2012;16:85–8.

    PubMed  PubMed Central  Google Scholar 

  133. Haskins IN, Rosen MJ, Prabhu AS, Amdur RL, Rosenblatt S, Brody F, et al. Umbilical hernia repair in pregnant patients: review of the American College of Surgeons National Surgical Quality Improvement Program. Hernia. 2017;21:767–70.

    CAS  PubMed  Google Scholar 

  134. Henriksen NA, Kaufmann R, Simons MP, Berrevoet F, East B, Fischer J, et al. EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances. BJS Open. 2020;4:342–53.

    CAS  PubMed  PubMed Central  Google Scholar 

  135. Oma E, Henriksen NA, Jensen KK. Ventral hernia and pregnancy: a systematic review. Am J Surg. 2019;217:163–8.

    PubMed  Google Scholar 

  136. Nouh T, Ali FS, Krause KJ, Zaimi I. Ventral hernia recurrence in women of childbearing age: a systematic review and meta-analysis. Hernia. 2018;22:1067–75.

    CAS  PubMed  Google Scholar 

  137. Steinemann DC, Limani P, Ochsenbein N, Krähenmann F, Clavien PA, Zimmermann R, et al. Suture repair of umbilical hernia during caesarean section: a case-control study. Hernia. 2013;17:521–6.

    CAS  PubMed  Google Scholar 

  138. Eltokhy EA, Harera IS, Gertallah LM, Abdou AM, Mahdy ER, et al. Simultaneous repair of para-umbilical hernia during Cesarean section (CS): a novel approach. Surg Sci. 2018;9:233–42.

    Google Scholar 

  139. Meen A. Rare cause of an inguinal mass in pregnancy. Can J Surg. 2008;51:E124.

    PubMed  PubMed Central  Google Scholar 

  140. Manley T. Hernia in pregnancy and pregnancy in herniae, with note on umbilical hernia. Med Newsl. 1900;76:130–3.

    Google Scholar 

  141. Typyakov V. Med Obozr. 1895;44:409.

    Google Scholar 

  142. Aimakhu VE. Gravid uterus in anterior abdominal wall hernias. Int J Gynecol Obstet. 1975;13(4):177–80.

    Google Scholar 

  143. Hassim A, Khurana K. Gravid uterus in an umbilical hernia. Cent Afr J Med. 1967;13:260–1.

    CAS  PubMed  Google Scholar 

  144. Adetoro O, Komolafe F. Gravid uterus in an umbilical hernia. A report of two cases. Cent Afr J Med. 1987;32(10):248–51.

    Google Scholar 

  145. Singla U, Singh B, et al. Ruptured incisional hernia. Trop Doctor. 1997;27:112–3.

    CAS  Google Scholar 

  146. Hendrickse J. Personal communication. 1969.

    Google Scholar 

  147. Boys CE. Strangulated hernia containing pregnant uterus at term. Am J Obstet Gynecol. 1945;50:450–2.

    Google Scholar 

  148. Wai JA, Davis KA, et al. Laparoscopic ventral hernia repair during pregnancy. Hernia. 2009;13:559–63.

    CAS  PubMed  Google Scholar 

  149. Bardeleben V. Z Geburtsh Gynecol. 1912;70:709.

    Google Scholar 

  150. Oma E, Jensen K, Jorgensen L, Bisgaard T. Incisional hernia repair in women of childbearing age: a nationwide propensity-score matched study. Scand J Surg. 2019;109(4):295–300.

    PubMed  Google Scholar 

  151. Oma E, Bisgaard T, Jorgensen LN, Jensen KK. Nationwide propensity-score matched study of mesh versus suture repair of primary ventral hernias in women with a subsequent pregnancy. World J Surg. 2019;43(6):1497–504.

    PubMed  Google Scholar 

  152. Banerjee D, Sinha A, et al. Gravid uterus in an incisional hernia. J Obstet Gynaecol Res. 2001;27:77–9.

    CAS  PubMed  Google Scholar 

  153. Holmes A. Case of hernia of the gravid uterus. Trans R Acad Med Ireland. 1906;24:312–4.

    Google Scholar 

  154. Cartaya FR. Rev Med Cubana. 1936;47:343.

    Google Scholar 

  155. Makama VI, Yusufu L, Ameh N. Herniated gravid uterus: clinical course and result of treatment. Ann Afr Med. 2007;6:197–9.

    CAS  PubMed  Google Scholar 

  156. Sahu L, Bupathy A. Evisceration of pregnant uterus through incisional hernia site. J Obstet Gynaecol Res. 2006;32(3):338–40.

    PubMed  Google Scholar 

  157. Ray S, Banerjee K, et al. Gravid uterus in an incisional hernia leading to burst abdomen. Int J Gynecol Obstet. 2005;5:2–5.

    Google Scholar 

  158. Nagpal S. Herniated pregnant uterus with bleeding from previous abdominal scar. J Obstet Gynaecol India. 2003;53:283.

    Google Scholar 

  159. Rathi A. Term uterus in complicated ventral hernia. J Postgrad Gynecol Obstet. 2014;1:3.

    Google Scholar 

  160. Malhotra JB, Wadhwa L, et al. Successful pregnancy outcome after cesarean section in a case of gravid uterus growing in an incisional hernia of the anterior abdominal wall. Indian J Med Sci. 2003;57:501–3.

    CAS  PubMed  Google Scholar 

  161. Deka N, Takkar D. Incarcerated pregnant uterus in an incisional hernia. Int J Gynecol Obstet. 2000;70:377–9.

    CAS  Google Scholar 

  162. Wolfe CC, Saad EJ, Cusack T. Prefascial marsupialization of the pregnant uterus. Obstet Gynecol. 1988;71:1021–3.

    CAS  PubMed  Google Scholar 

  163. Saha M, Prasad GR, et al. Herniation of gravid uterus: report of 2 cases and review of literature. Medscape Gen Med. 2006;8:14.

    Google Scholar 

  164. Dare OO, Lawal OO. Gravid uterus in an anterior abdominal wall hernia of a Nigerian woman. Int J Gynaecol Obstet. 1999;32:377–9.

    Google Scholar 

  165. Fullman P. An incisional hernia containing an incarcerated twin pregnant uterus. Am J Obstet Gynecol. 1971;111:308–9.

    CAS  PubMed  Google Scholar 

  166. Abasiattai AJ, Utuk NM, Udo IA. Gravid uterus in an anterior abdominal wall hernia: report of two cases and review of literature. Anatol J Obstet Gynecol. 2012;1:3.

    Google Scholar 

  167. Dare F, Lawal O. Experience with 29 cases of female ventral incisional hernia in Ile Ife, Nigeria. Int J Gynaecol Obstet. 1991;36:29–32.

    CAS  PubMed  Google Scholar 

  168. Cahalane ME, Silen W. Abdominal incision: decision or indecision? Lancet. 1989;1:146–8.

    CAS  PubMed  Google Scholar 

  169. Singh AM, Adam DJ, et al. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 1995;82:1349–51.

    CAS  PubMed  Google Scholar 

  170. Dwivedi SN, Silva YJ. Abdominal wall endometriomas. Dig Dis Sci. 2002;47:456–61.

    PubMed  Google Scholar 

  171. Wolf KB. Cesarean scar endometriosis: a review. Obstet Gynecol Surv. 1989;44:89–95.

    CAS  PubMed  Google Scholar 

  172. Chatterjee S. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol. 1980;56:81–4.

    CAS  PubMed  Google Scholar 

  173. Rani S, Rajaram P. Endometriosis in abdominal scars - review of 27 cases. Int J Gynaecol Obstet. 1991;36:215–8.

    CAS  PubMed  Google Scholar 

  174. Uchenna OB, Ejike ES, et al. Herniated near-term pregnancy through an incisional hernia treated with polypropylene mesh: a case report. Niger Med J. 2014;55:271–3.

    PubMed  PubMed Central  Google Scholar 

  175. Misra SK, Khatri GD, Gupta R. Gravid uterus in post caesarean incisional hernia: a rare occurrence. Int J Reprod Contracept Obstet Gynecol. 2015;4:286–8.

    Google Scholar 

  176. Dubey C, Gupta N, Gupta C, Arora R, Sachdeva P. Successful pregnancy outcome in a case of gravid uterus in an incisional hernia leading to burst abdomen. Int J Gynecol Obstet. 2010;13:1.

    Google Scholar 

  177. Achuri A, Achanta V, Arikarevula S. A rare case of herniation of gravid uterus. Ann Woman Child Health. 2015;1:C6–8.

    Google Scholar 

  178. Shirol SS, Kamat V, Sanu N, Nayak S, Shaikh H. Gravid uterus in neglected incisional hernia with skin defect - a clinical challenge. Indian J Surg. 2015;77:172–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  179. Blanco VS, Shah AK, et al. Abdominal wall endometriomas. Am J Surg. 2003;185:596–8.

    PubMed  Google Scholar 

  180. Patterson GB. Abdominal wall endometriomas: report of eight cases. Am Surg. 1999;65:36–9.

    CAS  PubMed  Google Scholar 

  181. Steck EB. Cutaneous endometriosis. Clin Obstet Gynecol. 1966;9:373–83.

    CAS  PubMed  Google Scholar 

  182. Nirula GC. Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg. 2000;190:404–7.

    CAS  PubMed  Google Scholar 

  183. Quraishi A, Umare G, Peshattiwar A, Bannerji A. Herniation of gravid uterus through an incisional hernia with skin defect and uterine scar dehiscence. Hernia. 2019;24(2):421–4.

    PubMed  Google Scholar 

  184. Bektaş Y, Sari YS, et al. Abdominal wall endometrioma; a 10-year experience and brief review of the literature. J Surg Res. 2010;164:e77–81.

    PubMed  Google Scholar 

  185. Coley G. Incisional endometrioma involving the rectus abdominis muscle and subcutaneous tissues: CT appearance. Am J Roentgenol. 1993;160:549–50.

    CAS  Google Scholar 

  186. Busard V, van Kuijk C, et al. Appearance of abdominal wall endometriosis on MR imaging. Eur Radiol. 2010;20:1267–76.

    PubMed  Google Scholar 

  187. Balleyguier C, Chopin N, et al. Abdominal wall and surgical scar endometriosis: results of magnetic resonance imaging. Gynecol Obstet Investig. 2003;55:220–4.

    CAS  Google Scholar 

  188. Danawar NA, Mekaiel A, Raut S, Reddy I, Malik BH. How to treat hernias in pregnant women? Cureus. 2020;12:7.

    Google Scholar 

  189. Dorion H, Hileman B. Abdominal wall reconstruction following strangulated recurrent incisional hernia during pregnancy. J Med Cases. 2013;4:796–8.

    Google Scholar 

  190. Young BC, Fugelso D, Takoudes T. Incisional hernia with bowel incarceration and obstruction at 34 weeks gestational age. Arch Gynecol Obstet. 2009;279:905–7.

    PubMed  Google Scholar 

  191. Diouf A, Ndong A, Thiam O, Guèye M, Guèye MD, Sow DB. An incarcerated hernia complicated by intestinal obstruction during pregnancy - a case report. Med Case Rep. 2020;6:141.

    Google Scholar 

  192. Agrawal S, Madan M, Kumari R, Gaikwad H, Raghunandan C, Leekha N, et al. Gravid uterus as a content of anterior abdominal wall incisional hernia. J Obstet Gynaecol. 2010;30:518–9.

    CAS  PubMed  Google Scholar 

  193. Chaudhuri S, Mitra SN, Daga A, Bandopadhyay D. Gravid uterus in an anterior abdominal wall hernia and successful repair at the time of caesarean section. BJMP. 2009;2:57–8.

    Google Scholar 

  194. Agaja S, Ehalaiye B. Full-term pregnancy in an incisional hernia - a case report. Niger J Clin Pract. 2007;10:252–4.

    CAS  PubMed  Google Scholar 

  195. Jenkins T. The burst abdominal wound: a mechanical approach. Br J Surg. 1976;63:873–6.

    CAS  PubMed  Google Scholar 

  196. Bucknall PJ, Ellis H. Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies. BMJ. 1982;284:931–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  197. Abrahamson J. Pregnancy and ventral hernia repair. Hernia. 2000;4:187–91.

    Google Scholar 

  198. Ramirez E, Dellon AL. Components separation method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86:519–26.

    CAS  PubMed  Google Scholar 

  199. Palazzo F, Ragazzi S, Ferrara D, Piazza D. Herniated gravid uterus through an incisional hernia treated with the component separation technique. Hernia. 2010;14(1):101–4.

    CAS  PubMed  Google Scholar 

  200. Kim J, Boo YJ, et al. Successful vaginal delivery following laparoscopic abdominal reconstruction in an adult survivor of an omphalocele without prior surgical repair: report of a case. Hernia. 2009;13:431–4.

    CAS  PubMed  Google Scholar 

  201. Banerjee N, Deka D, Sinha A, Prasrad R, Takkar D. Gravid uterus in an incisional hernia. J Obstet Gynaecol Res. 2001;27(2):77–9.

    CAS  PubMed  Google Scholar 

  202. Singhal SR, Sangwan N, Nanda S, Singhal SK. Successful pregnancy outcome by repeat cesarean section and herniorrhaphy in a case of neglected ruptured incisional hernia. J South Asian Feder Menopause Soc. 2014;2:50–1.

    Google Scholar 

  203. Hcini N, Chelli D, Boudaya F, Amraoui J, Makhlouf M, Sfar E. Herniated gravid uterus growing in an incisional hernia: study of three cases. Hernia. 2014;20(4):633–6.

    PubMed  Google Scholar 

  204. Emegoakor C, Dike E, Emegoakor F. Unusual complications of incisional hernia. Ann Med Health Sci Res. 2014;4(6):971–4.

    PubMed  PubMed Central  Google Scholar 

  205. Saha P, Rohilla M, Prasad G, Dhaliwal L, Gupta I. Herniation of gravid uterus: report of 2 cases and review of literature. Medscape Gen Med. 2006;8:14.

    Google Scholar 

  206. Seydel AS, Sickel JZ, Warner ED, Sax HC. Extrapelvic endometriosis: diagnosis and treatment. Am J Surg. 1996;171(2):239–41.

    CAS  PubMed  Google Scholar 

  207. Collins KT, Gaughan B, et al. Abdominal wall reconstruction for a large caesarean scar endometrioma. Surgeon. 2009;7:252–3.

    CAS  PubMed  Google Scholar 

  208. Kaunitz PA. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol. 1979;54:753–5.

    CAS  PubMed  Google Scholar 

  209. Liang B, Tsai CC, et al. Scar endometriosis. Int Surg. 1998;83:69–71.

    CAS  PubMed  Google Scholar 

  210. Wang CM, Chao HT, et al. Wound endometriosis: risk factor evaluation and treatment. J Chin Med Assoc. 2003;66:113.

    PubMed  Google Scholar 

  211. Jenkins T. Incisional hernia repair: a mechanical approach. Br J Surg. 1980;67:335–6.

    CAS  PubMed  Google Scholar 

  212. Luijendijk WC, van den Tol MP, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343:392–8.

    CAS  PubMed  Google Scholar 

  213. Klinge M, Brücker C, Schumpelick V. Application of three dimensional stereography to assess abdominal wall mobility. Hernia. 1998;2:11–4.

    Google Scholar 

  214. Mulder WL, Roumen FJ. Pregnancy and delivery with an abdominal mesh graft. Eur J Obstet Gynecol Reprod Biol. 2004;116:235–6.

    PubMed  Google Scholar 

  215. Aaen L, Sakala EP, Small ML. Prolonged parenteral meperidine analgesia during pregnancy for pain from an abdominal wall mesh graft. Obstet Gynecol. 1993;82(4):721–2.

    CAS  PubMed  Google Scholar 

  216. Wassenaar E, Raymakers J, et al. Mesh-fixation method and pain and quality of life after laparoscopic ventral or incisional hernia repair: a randomized trial of three fixation techniques. Surg Endosc. 2010;24:1296–302.

    PubMed  Google Scholar 

  217. Pearl R. Parastomal hernias. World J Surg. 1989;13:569–72.

    CAS  PubMed  Google Scholar 

  218. Devlin H. Peristomal hernia. In: Dudley H, editor. Operative surgery volume 1: alimentary tract and abdominal wall. 4th ed. London: Butterworths; 1983. p. 441–3.

    Google Scholar 

  219. Marek F, Hrivnák R, Rovný I, Jabandžiev P, Poredská K, Procházka V, et al. Managing IBD therapy during pregnancy demands a multidisciplinary approach. Gastroenterol Hepatol. 2021;75(2):149–58.

    Google Scholar 

  220. Van Horn P. Pregnancy, delivery, and postpartum experiences of fifty-four women with ostomies. J Wound Ostomy Continence Nurs. 1997;24:151–62.

    PubMed  Google Scholar 

  221. Cunningham KJ, Bloom SL, et al., editors. Williams ostetrics. 24th ed. New York: McGraw Hill; 2014.

    Google Scholar 

  222. Carne GM, Frizelle FA. Parastomal hernia. Br J Surg. 2003;90:784–93.

    CAS  PubMed  Google Scholar 

  223. Jänes Y, Israelsson LA. Preventing parastomal hernia with a prosthetic mesh. Arch Surg. 2004;139:1356–8.

    PubMed  Google Scholar 

  224. Steele SR, Lee P, Martin MJ, Mullenix PS, Sullivan ES. Is parastomal hernia repair with polypropylene mesh safe? Am J Surg. 2003;185(5):436–40.

    PubMed  Google Scholar 

  225. Jänes A, Cengiz Y, Israelsson LA. Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. World J Surg. 2009;33(1):118–21.

    PubMed  Google Scholar 

  226. Abcarian H. Peristomal hernias. In: Wexner AM, editor. Clinical decision making in colorectal surgery. New York: Igaku-Shoin; 1995. p. 449–52.

    Google Scholar 

  227. Williams JG, Etherington R, Hayward MWJ, Hughes LE. Paraileostomy hernia: a clinical and radiological study. Br J Surg. 1990;77(12):1355–7.

    CAS  PubMed  Google Scholar 

  228. Barber EA. Hernias in pregnancy. In: Barber EAHG, editor. Surgical disease in pregnancy. Philadelphia: WB Saunders Co; 1974. p. 165–7.

    Google Scholar 

  229. Bay-Nielsen M, Kehlet H. Inguinal herniorrhaphy in women. Hernia. 2006;10(1):30–3.

    PubMed  Google Scholar 

  230. Axer D, Keyserlingk MD, Prescher A. Collagen fibers in linea alba and rectus sheaths. J Surg Res. 2001;96:127–34.

    CAS  PubMed  Google Scholar 

  231. Coldron Stokes MJ, Newham DJ, Cook KY. Postpartum characteristics of rectus abdominis on ultrasound imaging. Man Ther. 2008;13:112–21.

    PubMed  Google Scholar 

  232. Gilleard WL, Brown JM. Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Phys Ther. 1996;76:750–62.

    CAS  PubMed  Google Scholar 

  233. Bani D. Relaxin: a pleiotropic hormone. Gen Pharmacol. 1997;28:13–22.

    CAS  PubMed  Google Scholar 

  234. Naqvi T, Duong TT, Hashem G, Shiga M, Zhang Q, Kapila S. Relaxin’s induction of metalloproteinases is associated with the loss of collagen and glycosaminoglycans in synovial joint fibrocartilaginous explants. Arthritis Res Ther. 2005;7:1–11.

    Google Scholar 

  235. Samuel CS, Lekgabe ED, Mookerjee I. The effects of relaxin on extracellular matrix remodeling in health and fibrotic disease. Adv Exp Med Biol. 2007;612:88–103.

    PubMed  Google Scholar 

  236. Samuel CS, Coghlan JP, Bateman JF. Effects of relaxin, pregnancy and parturition on collagen metabolism in the rat pubic symphysis. J Endocrinol. 1998;159:117–25.

    CAS  PubMed  Google Scholar 

  237. Sperstad JB, Tennfjord MK, Hilde G, Ellström-Engh M, Bø K. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. 2016;50:1092–6.

    PubMed  Google Scholar 

  238. Boissonnault JS, Blaschak MJ. Incidence of diastasis recti abdominis during the childbearing year. Phys Ther. 1988;68:1082–6.

    CAS  PubMed  Google Scholar 

  239. Keramidas E, Rodopoulou S, Gavala MI. A proposed classification and treatment algorithm for rectus diastasis: a prospective study. Aesthet Plast Surg. 2022;46(5):2323–32.

    Google Scholar 

  240. Turan V, Colluoglu C, Turkyilmaz E, Korucuoglu U. Prevalence of diastasis recti abdominis in the population of young multiparous adults in Turkey. Ginekol Pol. 2011;82:817–21.

    PubMed  Google Scholar 

  241. Lee D, editor. The pelvic girdle. 4th ed. London: Churchill Livingstone; 2011.

    Google Scholar 

  242. Hungerford W, Moran M, Emmerson C. Evaluation of the ability of physical therapists to palpate intrapelvic motion with the Stork test on the support side. Phys Ther. 2007;87:879–87.

    PubMed  Google Scholar 

  243. Hungerford W, Lee D. Altered patterns of pelvic bone motion determined in subjects with posterior pelvic pain using skin markers. Clin Biomech. 2004;19:456–64.

    Google Scholar 

  244. Mens Vleeming A, Snijders CJ, et al. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J. 1999;8:468–73.

    PubMed  Google Scholar 

  245. Emanuelsson P, Gunnarsson U, Dahlstrand U, Strigård K, Stark B. Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: a randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures. Surgery. 2016;160:1367–75.

    PubMed  Google Scholar 

  246. Köhler G, Luketina RR, Emmanuel K. Sutured repair of primary small umbilical and epigastric hernias: concomitant rectus diastasis is a significant risk factor for recurrence. World J Surg. 2015;39:121–6.

    PubMed  Google Scholar 

  247. Fortelny RH, Petter-Puchner AH, Glaser KS, Redl H. Use of fibrin sealant (Tisseel/Tissucol) in hernia repair: a systematic review. Surg Endosc. 2012;26:1803–12.

    PubMed  Google Scholar 

  248. Privett BJ, Ghusn M. Proposed technique for open repair of a small umbilical hernia and rectus divarication with self-gripping mesh. Hernia. 2016;20:527–30.

    CAS  PubMed  Google Scholar 

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  1. Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

    Goran Augustin

  2. School of Medicine, University of Zagreb, Zagreb, Croatia

    Goran Augustin

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Augustin, G. (2023). Symptomatic Abdominal Wall Hernia. In: Acute Abdomen During Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-031-26021-6_19

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