TPT 5.05 Ventral Hernia in Pregnancy: When Practice Varies, Do Outcomes Suffer?
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ID: 324103
2026
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Abstract
Abstract Background Ventral hernias in pregnancy are uncommon and are generally managed conservatively, with operative intervention reserved for complications. Despite existing guidance, variation persists in timing of surgery, operative approach, mesh use, and multidisciplinary involvement. Methods We conducted a multicentre retrospective cohort study of pregnant patients managed for umbilical or ventral hernias between January 2016 and December 2024 across five UK hospitals. Demographic, clinical, imaging, management and outcome data were extracted from electronic health records. Primary outcomes were readmission during pregnancy and early post-repair recurrence; secondary outcomes included surgical approach, mesh use, and obstetric involvement. Results Sixty-six patients were included (median age 32 years), with most presenting in the third trimester (66.7%). Initial management was conservative in 48 patients; of these, 36 underwent post-partum repair, while 12 were managed without operative intervention during the study period. Eighteen patients required antenatal surgery, most commonly for incarceration or strangulation. Early recurrence within one year of repair occurred in 5 patients (7.6%), all following open repair; no recurrences were observed after laparoscopic or robotic repair. Readmission during pregnancy occurred in 10.6% and was more frequent following open repair. Obstetric involvement during surgery was documented in 22% of operative cases. Conclusion Most ventral hernias in pregnancy present late and can be managed conservatively, with surgery reserved for urgent indications. This study demonstrates ongoing deviation from guidance, including frequent antenatal repair, mesh use, and limited obstetric involvement. Given late gestational presentation, deferral to post-partum repair and avoidance of surgery during pregnancy should be considered where feasible, alongside improved multidisciplinary engagement.
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| Authors | Georgios Karagiannidis, Jie Ying Tee, Charles Barry, Sadia Zaman, Adam Peckham-Cooper, Martin Sinclair |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.220
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| URL | |
| Keywords | Keywords not found |
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