News Feed Discussions Hernia surgery prior to pregnancy? Hernia surgery prior to pregnancy?

  • drtowfigh

    July 20, 2014 at 6:57 am

    Hernia surgery prior to pregnancy?

    Very important question.

    My answer to you is not based on any scientific data, because there is none. But it is a very important topic that is a bit difficult to study.

    Short answer: most pregnancies have no problems after hernia surgery nor without hernia surgery.

    – in my practice, I do not recommend any hernia surgery unless you are symptomatic or it is growing larger, unless you have a femoral (low groin) hernia, which should be repaired regardless.

    – for inguinal (groin) hernia, repair prior to pregnancy has generally not caused any problems with pregnancy nor complicated the need for C-section. Pregnancy while still having an inguinal hernia is generally safe, with low risk of complications.

    – for umbilical or abdominal wall hernias, I do not recommend repair until after all pregnancies are done unless you are very symptomatic from the hernia. The chance of a complication during pregnancy (from having a hernia) is generally low. If you do have a very symptomatic hernia and it is a small one (2 cm), I recommend no mesh placement. However, if mesh is placed, there is a risk if localized pain as your belly enlarges.

    – need for immediate surgery while pregnant is generally safe and can be done without general anesthesia.