Equis ISSN 2398-2977

Umbilicus: herniorrhaphy

Contributor(s): David Moll, Graham Munroe

Introduction

  • Umbilical hernias are quite common, mostly congenital and possibly hereditary   Umbilicus: hernia  .
  • Many small hernias resolve spontaneously with age   Umbilicus: hernia 01  .
  • In large hernias or where spontaneous resolution does not occur, surgical repair or herniorrhaphy is one treatment option.

Uses

  • Repair of umbilical hernias   Umbilicus: hernia  , preferably carried out between 6-12 months of age.

Advantages

  • Good cosmetic results.
  • Less chance of complications, eg entrapped small intestine, eventration (closed method).
  • Allows inspection of hernial contents (open method).
  • In large defects a prosthetic mesh can be inserted.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Excellent but depends on size of hernia.

Further Reading

Publications

Refereed papers


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