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Updated: Aug 23, 2026
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
[Surgical treatment of umbilical hernia in children. Our experience]
M F Burattini1, C Bussotti, V Scalercio
1Sezione di Chirurgia Generale e Oncologica, Dipartimento di Scienze Chirurgiche e Medico legali, Università degli Studi di Perugia, Perugia. bsensi@unipg.it
Insights
Surgical repair for pediatric umbilical hernia is indicated in select cases after evaluating key parameters like age and hernia characteristics. This approach ensures safe, effective treatment with excellent outcomes and minimal complications.
Area of Science:
- Pediatric Surgery
- Abdominal Wall Reconstruction
Context:
- Umbilical hernia is a common condition in children.
- Surgical intervention is not always necessary.
- Careful patient selection is crucial for successful outcomes.
Purpose:
- To identify key parameters guiding surgical repair decisions for pediatric umbilical hernias.
- To evaluate the safety and efficacy of surgical correction in children.
- To determine optimal timing and technique for umbilical hernia repair.
Summary:
- A study of 319 children with umbilical hernias identified specific parameters for surgical intervention.
- 72 children underwent surgical correction using a described technique, all as day surgery.
- No early, middle, or long-term complications were observed, with excellent functional recovery.
Impact:
- Establishes criteria for selective surgical repair of pediatric umbilical hernias.
- Demonstrates the safety and effectiveness of day surgery for this procedure.
- Highlights the importance of considering hernia characteristics and patient age for optimal surgical outcomes.
Aim:
To identify the main parameters which, differently correlated, indicate in which case, age and modality umbilical hernia in children should be surgically repaired.
Methods:
The authors report personal experience on 319 children with umbilical hernia observed in the last 7 years. In 72 cases, on the basis of the evaluation of some parameters, a surgical correction was performed with the technique described.
Results:
All the procedures were performed in "day surgery". There were no early complications, neither anesthetic nor surgical. All children showed a good recovery of all functions (feeding, intestinal canalization, walking about) and activities. No middle and long-term complications were observed.
Conclusions:
Umbilical hernia needs a surgical repair only in a few cases and after a careful evaluation of some parameters (age, sex, kind of hernia, size and consistency of the hernial porta, protrusion and expansion). The surgical procedure should guarantee either the safe and prompt repair or the cosmetic result; the use of some devices (anesthetic and surgical) allow to obtain excellent results.