Incarcerated umbilical hernia in children

Diana Noemi Diaz

Abstract


59

Introduction: Umbilical hernia is common in infants and children. The true incidence is unknown because many umbilical hernias resolve spontaneously. Historically, incarceration is considered rare (1-2); however, it seems to occur more frequently than it is generally believed. Most of the literature related to incarceration comes from African countries, where the black community predominates. It should be noted that umbilical hernias tend to occur more commonly in the African population; nearly 10 times more, than in whites. It seems that this trend is increasing in France and England as well, where most of the population is white. The same change appears to be happening in Iran.

Materials and Methods: A retrospective analysis of umbilical hernias at our institution was performed. Patients presented to our institution over a period of eight months, from March 21st to October 20th 2006.

Results: Of the fifteen cases of umbilical hernias during the 8 month 4 had incarceration (26%). There were 3 girls (75%) and 1 boy (25%). In all the 4 cases of incarceration hernias had a diameter of more than 1.5 cm. Two patients underwent manual reduction and the hernia was repaired the following morning and two patients underwent operation the same day the symptoms began, since the hernia was irreducible. Intestinal resection was not indicated in any of our patients; however omental resection was done in one of them. All patients had an uneventful postoperative course and there was no mortality.

Conclusion: Incarcerated umbilical hernia is not as uncommon as it was thought to be. Therefore, a more active therapeutic approach is recommended even in smaller hernias.


Keywords


children; umbilical hernia; complications; hernia ring

Full Text:

PDF

35

References


Victor F, Garcia MD. Umbilical and Other Abdominal Wall Hernias, in: Ashcraft K, Holcomb GW, Murphy JP: Pediatric Surgery. Elsevier Saunders. Philadelphia, Pennsylvania, 2005, pp 670-1.

Papagrigoriadis S, Browse DJ, Howard ER: Incarceration of umbilical hernias in children: a rare but important complication. Pediart Surg Int 1999; 15(7):527.

Ireland A, Gollow I, Gera P: Low risk, but not no risk, of umbilical hernia complications requiring acute surgery in childhood. J Paediatr Child Health 2014;50(4):291-3.

Fall I, Sanou A, Ngom G, et al: Strangulated umbilical hernias in children. Eur J Pediatr Surg 2003;13(1): 40-3.

Okada T, Yoshida H, Iwai J, et al: Strangulated Umbilical Hernia in a Child: Report of a Case. Surgery Today 2001;31(6):546-549.

Keshtgar AS, Griffiths M: Incarceration of umbilical hernia in children: is the trend increasing? Pediatr Surg Int 2003;19(4):280-2.

Golladay ES: Abdominal hernias. www.emedicine.com/MED/topic 2703.htm.

Chirdan LB, Uba AF, Kidmas AT: Incarcerated umbilical hernia in children. Eur J Pediatr Surg 2006;16(1):45-8

Ameh EA, Chirdan LB, Nmadu PT, et al: Complicated umbilical hernias in children. East Afr Med J 1999 Sep;76(9):499-501.

Vrsansky P, Bourdelat D: Incarcerated umbilical hernia in children. Pediatr Surg Int 2006;22(3):233-5.




DOI: https://doi.org/10.22037/irjps.v4i1.19040

Refbacks

  • There are currently no refbacks.


pISSN: 2423-5067

eISSN: 2423-7612

Creative Commons License
This journal and its contents are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.