Post Jobs


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.

Author: Malagal Dalar
Country: Cayman Islands
Language: English (Spanish)
Genre: Technology
Published (Last): 15 August 2015
Pages: 384
PDF File Size: 2.44 Mb
ePub File Size: 3.16 Mb
ISBN: 788-6-85469-392-8
Downloads: 48948
Price: Free* [*Free Regsitration Required]
Uploader: Akiran

Ventral hernia and other complications of midline incisions.

Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is not Readily Available

Infraumbliical umbilical hernias often tend to enlarge faster than primary ones and may behave as incisional hernias.

Hence two main techniques Mayo’s and Keel were employed [ 303132 ].

Naturally, umbilicus is not a clean anatomical part of the body. Controversies in laparoscopic repair of incisional hernia. Factor No of patients Percentage Absorbable sutures 32 This could not be ascertained in many of our patients who had presented from various hospitals, without access to their previous operation records.

An infra-umbilical scar was noticed. If you suspect that your baby has an infraumgilical hernia, talk with the baby’s pediatrician. Hence, tension free repairs are recommended. Early prediction of late Incisional hernia. Umbilical hernias are most common in infants — especially premature babies and those with low birth weights. In babies who have an umbilical hernia, the bulge may be visible only when they cry, cough or strain.


Large seroma and surgical site infection are classical complications that may result in recurrence.

Journal of the Pakistan Medical Association. A recent comparative study by Colon et al. In a retrospective clinical series of patients, the recurrence rates for the suture and mesh repair groups were No conflict of interest was declared by the authors. Table 3 Anatomical location of hernia defect.

Usually hernia has content of bowel, abdominal fat or omentumtissue that normally would reside inside the abdominal cavity if it wasn’t for the hernia. Sponge baths are suggested until three days have passed. The latter is of a stronger hold and is commonly used for larger defects in the abdominal wall.

As noted by previous workers [ 2429 ], herniation through the lower midline scar was more frequent in our series Therefore, the surgical site infection can be more frequent following umbilical hernia repairs than that infraumbilixal inguinal hernia repairs.

All the patients were placed on cephalosporin for prophylaxis. Here’s how to clean it and make sure it doesn’t get infected. Most umbilical hernias in infants and children close spontaneously and rarely have complications of gastrointestinal -content incarcerations.

Laparoscopic versus open elective repair of primary umbilical hernias: Recurrence was seen in the repair of incisional hernia resulting from umbilical hernia and emergency caesarean section. Comparative study of repair of incisional hernia.


The least resistance to stress by intra-abdominal forces is offered by vertical incision, which transversely divides the oriented fascia fibers of the anterior abdominal wall [ 113 ]. This may account for Pfannestiel incisions recording very low incidence of incisional hernia [ 25 ].

Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is not Readily Available

The sizes of our patients’ hernial defects allowed re-apposition without significant tension. Hernias that are symptomatic and disturb daily infraumbilkcal, or hernias that have had episodes of threatening incarceration, preventive surgical treatment can be considered. Journal List Ulus Cerrahi Derg v. Ann Jose ankara escort. Home Publications Conferences Register Contact.

Retrieved from ” https: The bulge can often be pressed back through the hole in the abdominal wall, and may “pop out” when coughing or otherwise acting to increase intra-abdominal pressure.

Herjia intestines are very rarely involved Received Oct 28; Accepted Dec 7. An umbilical hernia creates a soft swelling or bulge near the navel umbilicus. Therefore, an elective repair after diagnosis is advised. Children with umbilical hernias, Sierra Leone West Africa Meshes can be placed via both the open and laparoscopic approaches. infruambilical