AIM: In this study, we identify the main parameters which, differently correlated, indicate in which case, age and modality umbilical hernia in children should be surgically repaired. METHODS: The authors report personal experience on 319 children with umbilical hernia observed in the last 7 years. In the majority of patients hernias spontaneously resolved during first years of life. In 72 cases, on the basis of the evaluation of some parameters, a surgical correction was performed with the technique described. RESULTS: All the procedures were performed in "day surgery". There were no early complications, neither anesthetic nor surgical. All children showed a good recovery of all functions (feeding, intestinal canalization, walking about) and activities. No middle and long-term complications were observed. CONCLUSIONS: Umbilical hernia needs a surgical repair only in a few cases and after a careful evaluation of some parameters such as age, sex, kind of hernia, size and consistency of the hernial porta, protrusion and expansion. The surgical procedure should guarantee either the safe and prompt repair or the cosmetic result; the use of some devices (anesthetic and surgical) allow to obtain excellent results. Authors recommend day surgery regimen in these cases for minimal psychological stress for children related with short separation from home.
Surgical treatment of umbilical hernia in children.Our experience.
BURATTINI, Maria Federica;BUSSOTTI, Claudia;SCALERCIO, Vittorio;MORICONI, Emanuela;RICCI, Enrica;AVENIA, Nicola;CRISTOFANI, Roberto
2004
Abstract
AIM: In this study, we identify the main parameters which, differently correlated, indicate in which case, age and modality umbilical hernia in children should be surgically repaired. METHODS: The authors report personal experience on 319 children with umbilical hernia observed in the last 7 years. In the majority of patients hernias spontaneously resolved during first years of life. In 72 cases, on the basis of the evaluation of some parameters, a surgical correction was performed with the technique described. RESULTS: All the procedures were performed in "day surgery". There were no early complications, neither anesthetic nor surgical. All children showed a good recovery of all functions (feeding, intestinal canalization, walking about) and activities. No middle and long-term complications were observed. CONCLUSIONS: Umbilical hernia needs a surgical repair only in a few cases and after a careful evaluation of some parameters such as age, sex, kind of hernia, size and consistency of the hernial porta, protrusion and expansion. The surgical procedure should guarantee either the safe and prompt repair or the cosmetic result; the use of some devices (anesthetic and surgical) allow to obtain excellent results. Authors recommend day surgery regimen in these cases for minimal psychological stress for children related with short separation from home.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
