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Incidence of incisional hernia after cesarean delivery: a register-based cohort study

PloS one, 2014-09, Vol.9 (9), p.e108829 [Peer Reviewed Journal]

COPYRIGHT 2014 Public Library of Science ;COPYRIGHT 2014 Public Library of Science ;2014 Aabakke et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2014 Aabakke et al 2014 Aabakke et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0108829 ;PMID: 25268746

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  • Title:
    Incidence of incisional hernia after cesarean delivery: a register-based cohort study
  • Author: Aabakke, Anna J M ; Krebs, Lone ; Ladelund, Steen ; Secher, Niels J
  • Laine, Katariina
  • Subjects: Adult ; Analysis ; Cesarean Section ; Cohort analysis ; Cohort Studies ; Data processing ; Emigration ; Female ; Follow-Up Studies ; Health risk assessment ; Hernia ; Hernia, Abdominal - epidemiology ; Hernia, Abdominal - surgery ; Hernias ; Herniorrhaphy ; Humans ; Identification methods ; Incidence ; Medical records ; Medicine and Health Sciences ; Postoperative Complications ; Pregnancy ; Registries ; Risk analysis ; Studies ; Surgery ; Womens health
  • Is Part Of: PloS one, 2014-09, Vol.9 (9), p.e108829
  • Description: To estimate the incidence of incisional hernias requiring surgical repair after cesarean delivery over a 10-year period. This population- and register-based cohort study identified all women in Denmark with no history of previous abdominal surgery who had a cesarean delivery between 1991 and 2000. The cohort was followed from their first until 10 years after their last cesarean delivery within the inclusion period or until the first of the following events: hernia repair, death, emigration, abdominal surgery, or cesarean delivery after the inclusion period. For women who had a hernia repair, hospital records regarding the surgery and previous cesarean deliveries were tracked and manually analyzed to validate the relationship between hernia repair and cesarean delivery. Data were analyzed with a competing risk analysis that included each cesarean delivery. We identified 57,564 women who had had 68,271 cesarean deliveries during the inclusion period. During follow-up, 134 of these women had a hernia requiring repair. Of these 68 (51% [95% CI 42-60%]) were in a midline incision although the transverse incision was the primary approach at cesarean delivery during the inclusion period. The cumulated incidence of a hernia repair within 10 years after a cesarean delivery was 0.197% (95% CI 0.164-0.234%). The risk of a hernia repair was higher during the first 3 years after a cesarean delivery, with an incidence after 3 years of 0.157% (95% CI 0.127-0.187%). The overall risk of an incisional hernia requiring surgical repair within 10 years after a cesarean delivery was 2 per 1000 deliveries in a population in which the transverse incision was the primary approach at cesarean delivery.
  • Publisher: United States: Public Library of Science
  • Language: English
  • Identifier: ISSN: 1932-6203
    EISSN: 1932-6203
    DOI: 10.1371/journal.pone.0108829
    PMID: 25268746
  • Source: Public Library of Science (PLoS) Journals Open Access
    Geneva Foundation Free Medical Journals at publisher websites
    MEDLINE
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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