ArticlePloS one2014
Incidence of incisional hernia after cesarean delivery: a register-based cohort study.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors influencing harmonized health data collection, sharing and linkage in Denmark and Switzerland: A systematic review.PloS one · 2019Pooled it
- Abdominal wall hernia and pregnancy: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2015Pooled it
- Caesarean section surgical techniques: 3 year follow-up of the CORONIS fractional, factorial, unmasked, randomised controlled trial.Lancet (London, England) · 2016Trial
- Why LATI-H must enter the surgical lexicon.Journal of abdominal wall surgery : JAWS · 2026Review
- Modified peritoneal flap hernioplasty and abdominoplasty in large incisional hernia after cesarean section with midline vertical incision: a case report.Journal of surgical case reports · 2023Article
- Observational
- Risk factors for repeat hernia repair in women of childbearing age.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Anterior abdominal wall reconstruction with mesh implants: indications and limitations in a developing tropical economy.The Pan African medical journal · 2020Article
- Laparoscopic management of recurrent ventral hernia: an experience of 222 patients.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Standard of Open Surgical Repair of Suprapubic Incisional Hernias.World journal of surgery · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the incidence of incisional hernias requiring surgical repair after cesarean delivery over a 10-year period.
methodsThis 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.
resultsWe 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%).
conclusionsThe 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.
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