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Poorly understood and often miscategorized congenital umbilical cord hernia: an alternative repair method
1Çocuk Cerrahisi Kliniği, Adana Uygulama ve Araştırma Hastanesi, Başkent Üniversitesi Tıp Fakültesi, Seyhan Hastanesi Baraj Yolu, 1. Durak, Seyhan, Adana, Turkey. inceemine@yahoo.com.
Purpose:
Umbilical cord hernia is poorly understood and often miscategorized as "omphalocele minor". Careless clamping of the cord leads to iatrogenic gut injury in the situation of umbilical cord hernia. This study aimed to determine the characteristics and outcomes of umbilical cord hernias. We also highlight an alternative repair method for umbilical cord hernias.
Methods:
We recorded 15 cases of umbilical cord hernias over 10 years. The patients' data were retrospectively reviewed, and preoperative preparation of the newborn, gestational age, birth weight, other associated malformations, surgical technique used, enteral nutrition, and length of hospitalization were recorded.
Results:
This study included 15 neonates with umbilical cord hernias. The mean gestational age at the time of referral was 38.2 ± 2.1
Conclusions:
In an umbilical cord hernia, the body folds develop normally and form the umbilical ring. The double purse-string technique is easy to apply and produces satisfactory cosmetic results in neonates with umbilical cord hernias.
