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[Umbilical reconstruction in children. Prospective report of 77 cases]
1Unité de chirurgie pédiatrique, clinique chirurgicale, hôpital Aristide-Le-Dantec, BP 3001, Dakar, Sénégal. aasankale@yahoo.fr
Insights
Umbilical hernia repair in children can be complicated by excess skin. This study evaluated three surgical techniques for umbilical plasty, finding them to be simple and safe solutions for this common pediatric condition.
Area of Science:
- Pediatric Surgery
- Abdominal Wall Reconstruction
Context:
- Umbilical hernia is a frequent pathology in children.
- Excess skin following umbilical hernia repair presents an aesthetic challenge for surgeons.
Purpose:
- To evaluate the efficacy and safety of three surgical techniques for umbilical plasty in pediatric patients with umbilical hernias.
- To address the issue of excess skin in umbilical hernia cases.
Summary:
- A total of 77 children with umbilical hernias were operated on between 1999 and 2000.
- Fifty-five patients underwent umbilical plasty using one of three techniques: lateral left plasty, "horseshoe" plasty, or umbilical graft.
- Results were categorized as good (40), moderate (7), or poor (3), with 27 patients lost to follow-up.
Impact:
- The study demonstrates that lateral left plasty, "horseshoe" plasty, and umbilical graft are simple and safe surgical solutions for managing excess skin associated with pediatric umbilical hernias.
- These techniques offer a viable approach to improving aesthetic outcomes in pediatric umbilical hernia repair.
Abstract:
Umbilical hernia is as frequent pathology in our country. The skin excess is a real problem for the surgeon because it is inesthetical. We report 77 cases of children with umbilical hernia who we operated between 1999 and 2000. Fifty-five of them have a umbilical plasty. For this, we used three surgical techniques: lateral left plasty, "horseshoe" plasty and umbilical graft. We classed our results into three groups: 40 good results, seven middle results and three bad results. Twenty-seven patients are lost. These three surgical techniques are a simple and safe solution to this problem of skin excess in the umbilical hernia.