POSTPARTUM HERNIA AFTER A C-SECTION
SEPT 10, 2019 @ 11.49AM
Postpartum hernia is common after any surgery but it is usually more common after a caesarean.
Dr Patricia Lim Su Lyn (pix), Obstetrician and Gynaecologist at KPJ Tawakkal Specialist Hospital disclosed that postpartum hernia is very rare in a transverse incision but is more common in a midline.
“It may happen as the patient inherently has weak collagen, weak tissues so she may be more prone or it is caused by the patient herself who may have resumed vigorous activities too quickly.
“Generally, the advice is not to do any strenuous activities which means no exercise, carrying heavy weights for at least six weeks.
“During the first six weeks, even if they feel a bit weak at their tummy, a girdle is encouraged to be worn. The tissue in our tummy is like a mesh and when you have a midline incision – the healing is poorer and the blood supply is less. When that happens – we worry that it will be an area of deficiency and when the patient coughs, there would be a protrusion of the abdominal muscles.
If it is a very small defect, then she may be asked to wear a girdle and return to the gynaecologist who would ensure if the hole has closed. But if it is a very big one, she may require surgery.
However, if the patient ignores it and falls pregnant again, she may be very uncomfortable as she would be having a womb that is growing along with the hernia. So, the risk is there - whether that hole – the bowel comes out and gets strangulated which may be a source of infection.
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