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Umbilical hernia — another frequent type of abdominal hernia. At the same hernial content goes through a natural place of weakness of the abdominal wall — the umbilical ring.
Factors contributing to the development of an umbilical hernia, the same as for inguinal hernia.Umbilical hernia occurs frequently during pregnancy (in the later stages, especially when double).
Manifestations of umbilical hernia is the same as in the groin — this protrusion, which occurs during straining, physical exertion. Sometimes this protrusion can be permanent.
Surgical treatment of umbilical hernia
Surgery for an umbilical hernia is to create a duplication of the folds of the aponeurosis, as in the inguinal hernia.
Usually surgery is performed under local anesthesia, but in some cases may be under general anesthesia.
As with inguinal hernias, umbilical hernia for liquidation may be used synthetic material — the so-called mesh.
Stages of surgery for an umbilical hernia
Stages of surgical treatment of umbilical hernia is the same as in the groin:
* A skin incision
* Select the hernial sac, dissecting it and immersing consist of back into the abdominal cavity, cutting off the hernial sac,
* Plastic hernial by podshivaniya edges umbilical ring with the formation of double folds,
* Closure of the skin incision.
Postoperative period is the same as for inguinal hernia. Physical exercise during the first 1-2 days are limited, and in the subsequent several months to limit heavy exercise (lifting weights, etc.).
Among the complications of umbilical hernias can meet all of those and inguinal hernia. The same problems may be and in the absence of surgical treatment of umbilical hernia.
New methods of surgical treatment of abdominal hernias
Today, in connection with the development of laparoscopic techniques, these methods of operations were made possible and to treat hernias.Laparoscopic intervention is that, instead of the traditional large incisions and long used small incisions through which trocars are introduced, and through them — the appropriate laparoscopic instruments. The entire course of the operation at the same time visible on the screen.
Among the advantages of laparoscopic hernia treatment techniques include:
* Less traumatic for the patient,
* Easier postoperative course and rapid healing of wounds,
* Lower risk of postoperative complications,
It should be said that laparoscopic surgery for inguinal hernia is not suitable for all patients. For example, it is impossible to hold in patients who had already endured surgery on his stomach, including, and over the hernia.Note that laparoscopic surgery for hernia is performed under general anesthesia.
Umbilicus in healthy babies slightly protruding above the belly and resembles a rosebud, a child with a hernia appears noticeably further.With a small amount of holes umbilical ring belly button sticks out over the tummy for about 0.5 cm, and the ring is closed more often for several weeks. With a large diameter umbilical ring navel will rise by 1 cm or more, and the hole will be closed for months.Dimensions umbilical hernia may be from a pea to a pear.
With a diameter of the umbilical ring to 1,5 cm defect closes itself, usually to 3-5 years. According to medical statistics, 99% of patients with infantile umbilical hernia recover on their own.But if after the execution of two years of a child’s umbilical hernia is still growing may become necessary surgery. Also, when a large diameter umbilical ring (more than 2 cm) to rely on self-closing it is unrealistic and should operate, perhapsat age 3 — 4 years.Furthermore, if the umbilical hernia has not closed to 5.7 years, needs an operation.
If the hernia is causing your child discomfort, a concern, there is a risk of complications, surgery can be performed even as early as 3-6 months.If the child is already out of infancy, the operation can be performed at any time when the baby is healthy. Umbilical ring to close prior to sending your child to school.With age, decreased tissue elasticity, and not a closed umbilical ring in childhood can become an adult in a large umbilical hernia.
The absence of prejudice, pain, light vpravlyaemost umbilical hernia in a child is no reason to not treat it.Treachery of the disease is not eradicated in childhood hernia in adulthood can be a serious problem.The longer hernia exists, the greater the odds hernial more of the internal organs are displaced relative to each other and disrupted their work and laxation, and food and stool can not move normally.Typically, adult umbilical hernia fraught with frequent relapses, and infringements. In children, their treatment is much easier than adults, and the whole world is trying to cure a hernia anterior abdominal wall is in childhood, preferably pre-school.
Causes of umbilical hernia in infants
Infant umbilical hernia can be both congenital and acquired. Its appearance depends on the placement of internal organs, pledged in utero (during pregnancy), as well as on how elastic the anterior abdominal wall.
The cause of congenital umbilical hernia are anatomy of the child, which is due to both heredity and exposure during pregnancy on the fetus adverse external factors (chemical, physical, biological, in particular, infectious).Because of these factors on the connective tissue is the overall growth retardation, retarded the development of collagen fibers of the fabric, resulting in the structure of the umbilical ring improperly formed.Umbilical hernia often formed in debilitated children, children with low tone, muscles, subcutaneous fat layer.
Acquired umbilical hernias contribute to diseases such as malnutrition, rickets, which lower the tone of the muscles, resulting in favorable conditions for the development of an umbilical hernia.Also among the reasons may be colic, frequent constipation, bloating due to which the child tuzhitsya straining his abdominal muscles, swollen intestines creates additional pressure in the abdominal cavity, and therefore too slowly closes the fibrous ring, which creates conditions for an umbilical hernia.Cleft umbilical ring could also be due to poorly tied with cord.
Here is a brief and all about the causes and manifestations of umbilical hernia in children. In a separate article we will tell you about the treatment of umbilical hernia in children, we believe that the informationcontained therein will be of interest to many parents.
Health of your child!