Clinical Outcomes of Simultaneous Ventral Hernial Repair and Gynecological Surgery: A Multidisciplinary Approach – A Retrospective Study

Background: Simultaneous surgical management of ventral hernias and gynecological pathologies has gained increasing acceptance due to advances in surgical techniques, anesthesia, and perioperative care. Performing both procedures during a single operative session may reduce hospitalization, anesthesia exposure, healthcare costs, and recovery time. However, concerns remain regarding postoperative complications, wound infections, mesh-related issues, and prolonged operative duration. The present study evaluates the clinical outcomes of combined ventral hernia repair and gynecological surgery performed through a multidisciplinary approach. The aim is to assess the safety, feasibility, and postoperative outcomes of simultaneous ventral hernia repair and gynecological surgery. Material and Methods: A retrospective observational study was conducted among 200 women who underwent concurrent ventral hernia repair and gynecological surgery between January 2019 and December 2024 at a tertiary care teaching hospital. Demographic characteristics, clinical profiles, operative details, postoperative complications, duration of hospital stay, recurrence rates, and follow-up outcomes were analyzed. Statistical analysis was performed using SPSS version 25.0. Continuous variables were expressed as mean ± standard deviation and categorical variables as frequencies and percentages. Statistical significance was considered at p<0.05. Results: The mean age of patients was 49.8 ± 10.6 years. Incisional hernia was the most common hernia type (48%), followed by paraumbilical hernia (32%). Total abdominal hysterectomy with bilateral salpingo-oophorectomy was the most frequently performed gynecological procedure (55%). Postoperative complications occurred in 12% of patients, with surgical site infection being the most common complication (5%). Mean operative duration was 132.5 ± 28.4 minutes and mean hospital stay was 6.8 ± 2.1 days. Hernia recurrence was observed in 3% of patients during follow-up. Patients without complications had significantly shorter hospital stays than those with complications (p<0.001). Conclusion: Simultaneous ventral hernia repair and gynecological surgery is a safe and effective approach with acceptable complication and recurrence rates. A multidisciplinary surgical strategy facilitates comprehensive management while minimizing overall healthcare burden and recovery time.

Keywords: Ventral hernia, hysterectomy, multidisciplinary surgery, combined procedures, postoperative complications, hernia repair, gynecological surgery.