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Infantile umbilical hernia

N A Blumberg

    Surgery, Gynecology & Obstetrics
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Umbilical hernias typically present as either congenital or acquired types. Congenital hernias often resolve by age three, while acquired hernias usually require surgical intervention.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Umbilical hernias are common in infants and children.
    • Distinguishing between congenital and acquired types is crucial for management.

    Purpose of the Study:

    • To differentiate between congenital and acquired umbilical hernias.
    • To establish appropriate management guidelines based on hernia type and age.

    Main Methods:

    • Clinical examination to assess hernia characteristics.
    • Observation of hernia persistence or resolution over time.
    • Correlation of clinical findings with hernia type.

    Main Results:

    • Congenital umbilical hernias typically resolve spontaneously by age three.
    • Acquired (oblique/indirect) umbilical hernias are unlikely to resolve and often require surgery.

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  • Persistence after age three and downward umbilical displacement suggest an acquired type.

    • Conclusions:

    • Management strategies should be tailored to the specific type of umbilical hernia.
    • Surgical repair is generally indicated for acquired umbilical hernias.
    • Delayed surgical intervention is appropriate for congenital hernias until age three.