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[Strangulated umbilical hernia in children (Burkina Faso): differences with developed countries]
E Bandré1, R A F Kaboré, A Sanou
1Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, 01 BP 1198, Ouagadougou 01, Burkina Faso. brice52001@yahoo.fr
Bulletin De La Societe De Pathologie Exotique (1990)
|February 26, 2010
Summary
Complicated umbilical hernias in children, though rare, require prompt surgical intervention, especially when incarcerated. Early surgery is recommended for hernias suspicious of incarceration or with a defect diameter of 1.5 cm or less.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Context:
- Umbilical hernias are common in pediatric populations.
- Complications associated with pediatric umbilical hernias are infrequently documented.
- This study investigates complicated umbilical hernias in a specific patient cohort.
Purpose:
- To determine the incidence of complicated umbilical hernias in the study's patient population.
- To identify potential risk factors associated with these complications.
- To compare findings with those reported in developed countries.
Summary:
- Over three years, 162 children underwent surgery for umbilical hernias, with 30 (18.5%) experiencing complications.
- The complicated group, averaging 3.5 years old, frequently presented with irreducible masses (29 cases) and bowel obstruction (24 cases).
- Five patients required intestinal resection due to ischemia, and one mortality was recorded. Hernia diameter ranged from 1-1.5 cm.
Impact:
- Highlights the significant incidence of complications in pediatric umbilical hernias in the studied region.
- Suggests surgical intervention for umbilical hernias when incarceration is suspected or defect size is ≤1.5 cm, especially if follow-up is challenging.
- Provides data that may inform clinical guidelines and management strategies for pediatric umbilical hernias globally.
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