title: Combined procedure of cesarean delivery and preperitoneal mesh repair for inguinal hernia: An initial experience.
abstract: BACKGROUND
  Combined surgery for cesarean delivery and preperitoneal mesh repair for inguinal hernia has not been previously reported.
  
  
  OBJECTIVE
  Our aim was to describe the method and to present the results of this simultaneous surgery through a single incision.
  
  
  METHODS
  From 2012 to 2014, 15 patients underwent cesarean delivery combined with preperitoneal mesh repair for inguinal hernia. All patient characteristics and perioperative findings were recorded.
  
  
  RESULTS
  Among 15 patients, 13 had unilateral inguinal hernias and two had bilateral hernias. The mean times spent for unilateral and bilateral hernias were 35.8 minutes (range, 30-45 minutes) and 67.5 minutes (range, 65-70 minutes), respectively. Direct and indirect hernias were present in one and 15 patients, respectively. One patient had mixed hernia. No significant complication was observed perioperatively. Hospital stay ranged from 1 day to 3 days (mean, 1.87 days), and all patients were discharged without any problem. No recurrence was found during the follow-up periods.
  
  
  CONCLUSIONS
  Single anesthesia, single incisional scar, and single hospitalization are the major advantages of this simultaneous approach of cesarean delivery and preperitoneal mesh repair for inguinal hernia. Our analysis suggests that this combined procedure can be performed safely in selected cases.
authors.affiliation: Department of General Surgery, Turgut Ozal University School of Medicine, Ankara, Turkey.
authors.forename: Onder
authors.initials: O
authors.lastname: Surgit
authors.affiliation: Department of Obstetrics and Gynecology, Turgut Ozal University School of Medicine, Ankara, Turkey.
authors.forename: İlknur İnegöl
authors.initials: İİ
authors.lastname: Gumus
authors.affiliation: Department of General Surgery, Turgut Ozal University School of Medicine, Ankara, Turkey. Electronic address: murat05ozgur@hotmail.com.
authors.forename: Murat Ozgur
authors.initials: MO
authors.lastname: Kılıç
authors.affiliation: Department of Obstetrics and Gynecology, Turgut Ozal University School of Medicine, Ankara, Turkey.
authors.forename: Ikbal
authors.initials: I
authors.lastname: Kaygusuz
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: cesarean delivery; herniorrhaphy; inguinal hernia; preperitoneal mesh repair