Assessment of the effect of size of the umbilical ring on the risk of umbilical hernia complication in children

Authors

  • Kevin Emeka Chukwubuike Pediatric Surgery Unit, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria https://orcid.org/0000-0003-4973-6935
  • Eze Thaddeus Chikaodili Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

DOI:

https://doi.org/10.15584/ejcem.2022.1.11

Keywords:

complications, diameter, risk

Abstract

Introduction and aim. Assessment of risk of complications in umbilical hernia is important. The aim of this study was to evaluate the effect of size of the umbilical ring on the risk of complication occurring in umbilical hernia.

Material and methods. This was a prospective study of children who had umbilical hernia repair for symptomatic umbilical hernia. Using Vernier caliper, the umbilical ring diameter (URD) was measured at surgery and the patients were divided into 2 groups. Group A had URD of less than of 15 millimeter (mm) and group B patients had URD of 15 mm and above. The 2 groups were compared.

Results. Thirty two cases were evaluated. Their mean age was 42 months. All the patients had umbilical pain. Twenty six (81.3%) patients had URD of less than 15 mm (group A) whereas 6 (18.7%) patients had URD of greater or equal to 15 mm (group B). Group A patients had a mean URD of 12.1±3.4 mm whereas group B patients had a mean URD of 30.5±5.0 mm (p=0.001).

Conclusion. Children who have URD of less than 15 mm are at a higher risk of developing umbilical hernia complications.

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References

Meier DE, Olaolorun DA, Omodele RA, et al. Incidence of umbilical hernia in African children: redefinition of normal and reevaluation of indication for repair. World J Surg. 2001;25:645-648.

Uba AF, Igun GO, Kidmas AT, et al. Prevalence of umbilical hernia in a private school admission-seeking Nigerian children. Niger Postgrad Med J. 2004;11:255-257.

Armstrong O. Umbilical hernia. Rev Prat. 2003;53:1671-1676.

Fall I, Sanou A, Ngom G, et al. Strangulated umbilical hernia in children. Pediatr Surg Int. 2006;22:233-235.

Ameh EA, Chirdan LB, Nmadu PT, Yusufu LM. Complicated umbilical hernia in children. Pediatr Surg Int. 2003;19:280-283.

Papagrigoriadis S, Browse DJ, Howard ER. Incarceration of Umbilical Hernias in Children: A Rare but Important Complication. Pediatr Surg Int. 1998;14:231-232.

Sankale AA, Ngom G, Fall I, et al. Umbilical reconstruction in children. Prospective report of 77 cases. Ann Chir Plast Esthet. 2004;49:17-23.

Abanese CT, Rengal S, Bermudez D. A novel laparoscopic technique for the repair of pediatric umbilical and epigastric hernias. J Pediatr Surg. 2006;41:859-862.

Weber TR. Umbilical and other abdominal wall Hernias. In: Holcomb GW, Murphy JP, editors. Ashcraft Pediatric Surgery. 5th edition. Philadelphia: Saunders Elsevier; 2010:637-640.

Chirdan LB, Uba AF, Kidmas AT. Incarcerated Umbilical Hernia in Children. Eur J Pediatr Surg. 2006;16:45-48.

Arslan S, Korkut E. The Intra-umbilical approach in umbilical hernia. Eurasian J Med. 2014;46:32-35.

Sinopidis X, Panagidis A, Alexopoulos V, et al. Omentum in the Pediatric Umbilical hernia: Is It a Potential Alarm for the Appearance of Complications? Case Rep Pediatr. 2012;2012:463628.

Osifo OD, Ovueni EM. The Prevalence, Spontaneous Resolution, and Parent’s Attitudes towards Umbilical Hernia Coexisting in Nigerian Children Presenting with Other Surgical Pathology. Annals of Pediatric Surgery. 2009;5:16-20.

Ezomike UO, Ituen MA, Ekpemo SC, Eke CB. Profile of Paediatric Umbilical Hernias Managed at Federal Medical Centre Umuahia. Niger J Med. 2012,21:350-352.

Zendejas B, Kuchena A, Onkendi EO, et al. Fifty three year experience with pediatric umbilical hernia repairs. J Pediatr Surg. 2011;46:2151-2156.

Brown RA. Complicated umbilical hernia in childhood. S Afr J Surg. 2006;44:136-137.

Bowling K, Hart N, Cox P, Srinivas G. Management of paediatric hernia. BMJ. 2017;359:j4484.

Elebute OA, Ademuyiwa AO, Bode CO, Idiodi-Thomas HOI. Pediatric Day Case Surgical Practice at a Tertiary Hospital in Lagos: How Have We Faired? Ann Med Health Sci Res. 2014;4: 559-561.

Yang XF, Liu JL. Acute incarcerated external abdominal hernia. Ann Transl Med. 2014;2:110.

Ngom G, Gassama F, Mohamed AS, Ndour O, Umbilical hernia in children in developing country: Does the season have an effect on the occurrence of strangulation? SAMJ. 2016;106:744.

Komlatse AN, Anani MA, Azanledji BM, et al. Umbilicoplasty in children with huge umbilical hernia. Afr J Paediatr Surg. 2014;11;256-260.

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Published

2022-03-30

How to Cite

Chukwubuike, K. E., & Chikaodili, E. T. (2022). Assessment of the effect of size of the umbilical ring on the risk of umbilical hernia complication in children. European Journal of Clinical and Experimental Medicine, 20(1), 75–79. https://doi.org/10.15584/ejcem.2022.1.11

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ORIGINAL PAPERS