• Users Online: 61
  • Print this page
  • Email this page
CASE REPORT
Year : 2012  |  Volume : 21  |  Issue : 3  |  Page : 350-352

Profile of paediatric umbilical hernias managed at federal medical centre Umuahia


1 Pediatric Surgery Unit Department of Surgery, Federal Medical Centre, Umuahia, Abia State, Nigeria
2 Department of Pediatrics, Federal Medical Centre, Umuahia, Abia State, Nigeria

Correspondence Address:
MBBS, FWACS U O Ezomike
Correspondence: Ezomike UO, Paediatric Surgery Unit Department of Surgery Federal Medical Centre Umuahia ,Abia State
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

BACKGROUND: Umbilical hernias are common in children but many resolve spontaneously within the first five years of life .Most umbilical herniorrhaphies in our environment are due to symptomatic hernias which constitute a small percentage of all umbilical hernias. PATIENTS AND METHODS : Aretrospective review of all pediatric patients with UH treated at Federal Medical Centre Umuahia ,Abia State from February 2001 to February 2011. RESULTS: There were 22 patients but only 20 of the folders were found and analyzed .They were made up of 1 lmales and 9females with a mean age of 6.19±0.83years and median age of 6years.Nine(7 males and 2 females) had acute incarcerations ,nine(3 males and 6 females) had recurrent umbilical pains without incarceration and two(1 male and 1 female) had recurrent incarcerations .Age range for acute incarceration was 2- 8years(mean:4.69years,median :4years);recurrent umbilical pains was 4months-15 years(mean:7.7years,median:8years) and for recurrent incarceration 2-10years(mean:6years).All had standard umbilical hernia repairs except one whose parents declined surgery after reduction of acute incarceration .One patient with acute incarceration had gangrenous bowel with hernia sac abscess and was offered bowel resection with end-to-end anastomosis .On short-term follow-up ,the symptoms resolved in all the patients following surgery .Fivepatients had six complications:! exuberant granulation tissue,2 stitch reactions,2 superficial wound dehiscence and one superficial wound infection .There were no mortalities and no recurrence on short-term follow-up .Only one patient(5%)registered under the National Health Insurance Scheme(NHIS). CONCLUSIONS: Active observation of all umbilical hernias at all ages will ensure early detection of complications and prompt treatment .Elective repair of umbilical hernias in patients above five years with fascia defect greater than 1.5cm is encouraged .Comprehensive NHIS will ensure early presentation and reduced complications.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed68    
    Printed4    
    Emailed0    
    PDF Downloaded18    
    Comments [Add]    

Recommend this journal