Abstract

SYMPTOMATIC EPIGASTRIC HERNIA TREATMENT TO A PREGNANT PATIENT IN THE SECOND TRIMESTER - A NECESSARY RISK?

Gloire à Dieu Byabene*, Sorin Cimpean, David Lipski, Marechal Marie Thérèse, Benjamin Cadiere, Mattia Bez, Ariana Grilli and Guy-Bernard Cadiere

Abstract

Introduction: Advances in laparoscopic surgery have led to the development of methods to perform traditionally major abdominal surgery and reduce morbidity using minimally invasive surgery techniques. Case presentation: We present a case report and a review of literature of a patient pregnant in the second trimester with a symptomatic epigastric hernia that we treated by laparoscopy. Discussion: Often the management of the parietal surgery is postponed to several months after delivery for the maternal-fetal risks associated with surgery in general and for the disappearance of physiological changes associated with pregnancy. Recent literature has shown that pregnant patients may undergo laparoscopic surgery safely during any trimester without any increased risk to the mother or fetus. Conclusion: Pregnancy is no longer considered an absolute contraindication to laparoscopic procedures. In selected cases, the parietal hernia surgical treatment during the pregnancy is justified.

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