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Incarcerated Umbilical Hernia Treated With Adhesive Strapping in a Three-Month-Old Infant
Masazumi Miyahara1, Kyoko Osaki1
1Department of Pediatrics, Okanami General Hospital, Iga, JPN.
Insights
Adhesive strapping (AS) for umbilical hernia (UH) is generally safe but can lead to serious complications like incarceration. Proper guidance is essential to prevent adverse events during UH treatment.
Area of Science:
- Pediatric Surgery
- Neonatal Care
Background:
- Umbilical hernia (UH) is a common congenital condition in infants.
- Most umbilical hernias resolve spontaneously, necessitating minimal active intervention.
- Adhesive strapping (AS) is a minimally invasive technique for early umbilical hernia closure.
Observation:
- A case report details a three-month-old infant experiencing incarcerated umbilical hernia during adhesive strapping therapy.
- The infant also developed associated skin complications, including cellulitis and ulceration with perforation.
- This highlights potential risks beyond expected outcomes of AS treatment.
Findings:
- Adhesive strapping, while effective in observational studies, carries a risk of rare but severe complications.
- Incarcerated umbilical hernia and significant skin issues like cellulitis and perforation are noteworthy adverse events.
- The study underscores the importance of vigilant monitoring during AS therapy.
Implications:
- Comprehensive patient and family education on AS management and prompt recognition of complications is crucial.
- Global application of AS for umbilical hernias requires awareness of potential serious adverse events.
- Further research into optimizing AS techniques and safety protocols is warranted to minimize risks.
Abstract:
An umbilical hernia (UH) is a common condition in early childhood; it is defined as the protrusion of abdominal viscera through a defect in the umbilical ring. Since most UHs close spontaneously, almost no active treatment has been performed. Adhesive strapping (AS) for early UH closure is an easy-to-perform and relatively safe treatment. However, it can present rare but serious complications. Herein, we report a case of a three-month-old infant with incarcerated UH during AS therapy. AS treatment for UH, which has been reported mainly in Japan, has shown excellent results in observational studies and could be widely applied globally. However, our case demonstrated the presence of a noteworthy complication; incarcerated UH, in addition to skin complications, such as cellulitis and skin ulcer-related perforation, was associated with AS. To minimize the occurrence of these complications associated with AS treatment for UH, it is crucial to adequately explain and guide the family members regarding the proper management of AS and seeking medical care promptly when abnormalities occur during AS.
