Umbilical Hernia

Vibhor Borkar, Dr Kirti Naranje
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Management
Management:
Use of pressure dressing or other devices to keep the hernia in a reduced state do not help in early closure of the umbilical hernia. It may result in skin irritation and not advisable.

Surgical repair:
Most of the umbilical hernias are repaired by direct closure of the defect. Unlike in adults, prosthetic placement is not required.
Most common method for surgical repair is as follows:
1) A small transverse infra-umbilical incision is made
2) The hernia sac is identified and dissected free from the dermis
3) Excision of the hernia sac
4) Closure of the fascial defect in a transverse fashion using non-absorbable sutures.
Umbilical defects more than 3 cm are called as Huge Umbilical hernias.4
Complicated hernias are more common with smaller defects.

Common complications after surgeries:
Postoperative morbidities are seen in 2% of patients, which consist of superficial wound infection, hematoma, and seroma. Recurrence may be seen in upto 2% of the patients which is treated with reoperation.5


References
Umbilical Hernia Umbilical Hernia 05/11/2016
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