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Incarcerated umbilical hernia in children

P Vrsansky1, D Bourdelat

  • 1Service de Chirurgie Pédiatrique, Hôpital Delafontaine, Saint-Denis, France.

Pediatric Surgery International
|January 1, 1997
PubMed
Summary

Incarcerated umbilical hernias (UH) in children are rarer than believed. A proactive surgical approach is recommended for all UH, not just cosmetic concerns, due to potential complications.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Case Studies

Background:

  • Umbilical hernias (UH) are common in infants.
  • Complicated cases, such as incarceration, are considered rare in pediatric populations.
  • Existing literature provides limited data on the incidence of complicated UH in children.

Observation:

  • Four cases of incarcerated umbilical hernias (one strangulated) were treated over five years in Saint-Denis, France.
  • A literature review identified only 45 reported cases of complicated UH in children globally.
  • This suggests a higher frequency of UH incarceration than commonly perceived.

Findings:

  • Incarceration of umbilical hernias in children, though considered rare, may occur more often than reported.
  • Strangulation represents a severe complication of incarcerated umbilical hernias.
  • The study highlights the need to reconsider the management of pediatric umbilical hernias.

Implications:

  • A more active therapeutic strategy, including surgical intervention, is advised for pediatric umbilical hernias, even smaller ones.
  • Early surgical management can prevent serious complications like incarceration and strangulation.
  • This approach shifts focus beyond purely aesthetic considerations to prioritize patient safety and outcomes.

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