Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Incisional hernia after cesarean section: A systematic review

Publikation: Bidrag til tidsskriftReviewForskningpeer review

  1. Endometrial scratch injury with office hysteroscopy before IVF/ICSI: A randomised controlled trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Predictors of emergency cesarean section in women with preexisting diabetes

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Routine use of antenatal nonstress tests in pregnant women with diabetes-What is the practice?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. High maternal age at first and subsequent child births in Denmark in the mid-1800s-Letter to the editor

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Prevalence and treatment of group B streptococcus colonization based on risk factors versus intrapartum culture screening

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. More than one-third of Cochrane reviews had gift authors, whereas ghost authorship was rare

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Group authorships in Cochrane had low compliance with Cochrane recommendations

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Half of Cochrane reviews were published more than 2 years after the protocol

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Incisional hernia is a well-known complication following abdominal surgery. A frequently performed abdominal operative procedure is cesarean section. In 2015 the median cesarean section rate in Europe was 27 % with rates up to 57 % when looking at individual countries, and the rates of cesarean sections increased with 4 % in Europe from 2010 to 2015. Nonetheless, the occurrence of incisional hernia subsequent to cesarean sections is uncertain. The aim of this study was to investigate the reported occurrence of incisional hernia after cesarean section. We included original studies with women who had given birth at least once through a cesarean section. For studies to be eligible for inclusion, a minimum follow-up period of six months as well as a population of ten or more included patients were required. The primary outcome was occurrence of incisional hernia after cesarean section. The secondary outcomes were frequency of subsequent hernia operations, and if the hernia occurrence differed between midline and lower transverse incision, and between acute and elective cesarean section. Three databases were systematically searched: PubMed, Embase, and the Cochrane Library. The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guideline (PRISMA) and registered with the international prospective register of systematic reviews (PROSPERO) (registration number: CRD42019129998). A total of 2170 potentially relevant studies were identified, and of these 28 studies were identified for full text screening. Five studies met the inclusion criteria comprising 275,878 women with a previous cesarean section. The studies reported an occurrence of incisional hernia subsequent to cesarean section between 0.0–5.6 % with a follow-up time ranging from six months to ten years. Very few known risk factors for incisional hernia development were reported in the included studies. Overall, we found a low risk of incisional hernia subsequent to cesarean sections, even after a long follow-up period. Based on the included studies it was not feasible to estimate the occurrence of incisional hernia in different types of incisions, whether the urgency of the cesarean section affected the incisional hernia development, or to estimate the frequency of subsequent hernia repair. Further well-designed studies are therefore warranted.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Vol/bind244
Sider (fra-til)128-133
Antal sider6
ISSN0301-2115
DOI
StatusUdgivet - 1 jan. 2020

ID: 60645996