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

Insights

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.

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).
  • 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.
Abstract

Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...