Hernia and pregnancy: A symbiosis of two bumps

C. Mugescu, A. Ciobanu, C. Gică, Mihaela Demetrian, B. Cimpoca-Raptis, G. Peltecu, R. Botezatu, N. Gică, A. Panaitescu
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Abstract

One of the most common surgical entities, globally, is hernia. Even though it affects female population less often than men and its occurrence is rather exceptional during pregnancy, it must not be neglected, especially due to the difficulties in diagnosing this entity correctly in the gestation period. We conducted a review article based on data from 13 papers published between 2015 and 2021 which assessed the challenge of hernia diagnosis during pregnancy, available and recommended investigations for a proper diagnosis, potential complications that hernia might cause in pregnant patients, the appropriate treatment during pregnancy and the ideal moment for surgery, if necessary. It appears to be widely acknowledged that it is best to uphold surgical repair of hernia until after delivery. Nevertheless, there is no clinical guideline available on this matter and the existing studies are either case-reports or have used rather small group of patients, therefore future studies are of utmost necessity.
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疝气和怀孕:两个肿块的共生关系
疝是全球最常见的外科疾病之一。尽管它对女性人口的影响比男性少,而且在怀孕期间发生的情况相当罕见,但它不能被忽视,特别是由于在怀孕期间难以正确诊断这一实体。我们根据2015年至2021年期间发表的13篇论文的数据进行了一篇综述文章,评估了妊娠期间疝气诊断的挑战、可用的和推荐的诊断调查、妊娠患者疝气可能导致的潜在并发症、妊娠期间的适当治疗以及必要时手术的理想时机。它似乎被广泛承认,最好坚持手术修补疝,直到分娩后。然而,在这方面没有临床指南,现有的研究要么是病例报告,要么是使用了相当小的患者群体,因此未来的研究是非常必要的。
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