A substantial knowledge gap exists in understanding sex as a biological variable for abdominal wall hernia repair, specifically regarding female patients of childbearing age.1-3 While data suggest repairs should ideally occur following completion of all pregnancies, adherence to these guidelines varies considerably among surgeons.4-6 Moreover, wide variation in operative timing, technique, and mesh use exists. Surgeon motivation and behavior contributing to this variability is unknown. Whether and how a potential pregnancy influences surgeon decision-making in regards to operative timing and approach remains inadequately characterized. In this context, we sought to understand surgeon consideration of childbearing age and intent when managing abdominal wall hernias in women and girls.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Jafri SM, Vitous CA, Dossett LA, et al. Surgeon Attitudes and Beliefs Toward Abdominal Wall Hernia Repair in Female Patients of Childbearing Age. JAMA Surg. Published online March 25, 2020. doi:10.1001/jamasurg.2020.0099
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: