Umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh . An infra-umbilical scar was noticed. It was diagnosed as a case of strangulated of incisional hernia. There was evident necrosed skin at the middle of the. Umbilical hernias (UH) comprise 10% of abdominal wall hernias. Conditions that lead to increased intra-abdominal pressure and weakened.

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Strangulated Incisional Hernia

Here are the symptoms and treatment options. An operation for the radical cure of umbilical hernia. In selected circumstances, it may be acceptable to use a simple mesh if this can be completely excluded from bowel by interposition of omentum; however, a composite mesh should be considered as the current standard of care. This needs to be shown to a pediatric surgeon.

Current concepts on adult umbilical hernia.

Deysine 14 recommended topical gentamicin in addition to preoperative intravenous prophylaxis to lower the infection rates after hernia repairs. They comprised one sublay and one overlay patch with a connector to eliminate migration. It is therefore not surprising that incisional hernia was more prevalent in this group. Therefore, an elective repair after diagnosis is advised.


Laparoscopic repair of Incisional: Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter. However, recent reports for elective repair are more promising, and there is tendency knfraumbilical perform elective repair to avoid emergency surgery for complications associated with very high mortality and morbidity rates jernia Chromic catgut should not have a place in repair of fascia of midline incisions.

The method used did not affect the recurrence rate. Nationwide prospective study on readmission after umbilical or epigastric hernia repair. The sizes of our patients’ hernial defects allowed re-apposition without significant tension. Guidelines Upcoming Special Issues.

Therefore, the surgical site infection can be more frequent following umbilical hernia repairs than that following inguinal hernia repairs. These accounted for 0. The major predisposing factors included midline incision 44, Umbilical hernia is a rather common surgical problem.

Polloak R, Nylus LM. Recent Advances in Surgery II. Today the hefnia of laparoscopy for umbilical hernia repair remains relatively low in the world.

However, few studies presented an independent factor after multivariate analysis. It occurs when part of the intestine protrudes through the umbilical opening in the abdominal muscles.


Emergency surgery is typically required to treat these complications. The condition affects boys and girls equally. Hence, obesity as a causative factor was prominent in 12 In general, the child needs to stay in the hospital for 1 day [11] and the healing is complete within 8 days. J Minim Access Surg. This difference was primarily driven by the reduced wound complication rate ibfraumbilical laparoscopy group.

A recent comparative study by Colon et al. Moreover, smoking may create a risk for recurrence.

Umbilical hernia – Symptoms and causes – Mayo Clinic

Incisional postoperative ventral hernia is an iatrogenic abdominal wall defect that occurs at the site of previous incision following breakdown in the continuity of the fascia closure [ 1 ]. Table 4 Factors associated with incisional hernia in 44 patients. Local anesthesia often provides maximum comfort for patients when it is accurately performed in open repairs.

Last modified: January 23, 2020