Symptomatic Umbilical or Epigastric Hernia in Women of Childbearing Age

Clinical Scenario

Ventral hernia repair is commonly performed in women of childbearing age. Physiological changes of the abdominal wall during pregnancy may increase the risk of recurrence, making the timing of repair a central clinical decision in this population.

Treatment Approach

The evidence-based approach for this scenario centres on careful timing of elective repair relative to pregnancy, with watchful waiting recognised as a safe strategy in appropriate cases. The full protocol specifies when and how repair is indicated, including the choice of technique based on circumstances.

Complete timing algorithm, repair strategy, and technique selection available in the full protocol below.