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Related Experiment Videos

Incarcerated umbilical hernia in children.

L B Chirdan1, A F Uba, A T Kidmas

  • 1Paediatric Surgery Unit, Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria. lohfab@yahoo.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|March 18, 2006
PubMed
Summary

Incarcerated umbilical hernias in children are more common than previously believed. Early detection and observation are crucial to prevent complications and ensure timely intervention for pediatric umbilical hernias.

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Area of Science:

  • Pediatric Surgery
  • Abdominal Wall Defects
  • Gastrointestinal Surgery

Background:

  • Umbilical hernias are prevalent in pediatric populations.
  • Complications are generally considered rare, with spontaneous closure expected by age five.

Purpose of the Study:

  • To investigate the incidence and characteristics of incarcerated umbilical hernias in children.
  • To evaluate the outcomes of surgical and non-surgical management.

Main Methods:

  • Retrospective analysis of medical records for 23 children with incarcerated umbilical hernias over an 8-year period.
  • Data collected included patient demographics, hernia characteristics, and treatment outcomes.

Main Results:

  • 44.2% of pediatric umbilical hernias presented with incarceration (23 out of 52 cases).

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  • Acute incarceration occurred in 17 children, recurrent in 6. Incarceration was associated with hernias >1.5 cm.
  • Surgical repair was performed in 21 children; one case required bowel resection due to gangrene. No mortality was reported.

    • Conclusions:

    • Incarcerated umbilical hernias are not as rare as previously assumed in pediatric cases.
    • Active surveillance of children with umbilical hernias is essential to identify and manage incarceration, thereby preventing associated morbidity.