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10175

Surgical Repair of umbilical hernia in children

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Last updated: 24 Dec 2024

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Abstract

Background: Elective repair of an umbilical hernia is one of the most common surgical operations performed by pediatric surgeons, although most of them resolve spontaneously during the first 3 years of life. The exact technique and steps involved in the repair differ widely among pediatric surgeons. Many pediatric surgeons prefer the transverse interrupted suture technique in rectus sheath closure than the purse string or continuous technique as it isolates the tension to each individual stitch, ensures correct suture placement and precise coaptation of edges. It is less likely to devascularize the incision margin. Interrupted sutures also have the advantage that they can be removed individually if infection or haematoma formed, while the purse string suture or the continuous closure has the disadvantage of being a single suture line holding the fascia together and most of wound dehiscence occurs because sutures cut through the fascia. In this study we give a chance to assess the efficacy of the purse string technique. Objective: The aim of our study is to compare between umbilical hernia repair of rectus sheath with closure by interrupted sutures and purse string technique regarding operative time, intra operative complications (bleeding, intestinal injury), and post-operative complications (edema, hematoma formation, seroma formation, cosmetic appearance & recurrence). Materials & Methods: A total of 30 umbilical hernias in children (17 females and 13 males) were operated in Ain Shams University hospital and El Galaa teaching hospital from September 2017 till May 2018. Results: In this prospective study, 30 cases of umbilical hernia in children aging from two years till the age of ten years including 17 female and 13 male with a ratio of 1.3: 1 were randomly selected from the outpatient clinic of Ain Shams University hospital and Al Galaa teaching hospital were divided into two equal groups, group A underwent the repair of the rectal sheath with purse string suture technique while group B underwent the repair with transverse interrupted suture technique. Conclusion: Conclusively, there are no significant differences between both techniques regarding the intra operative complications and post-operative complications in short term follow up; however, transverse interrupted suture technique appears to consume more time than the purse string technique.

DOI

10.21608/ejhm.2018.10175

Keywords

Umbilical granuloma, Umbilical hernia – Hemoglobin, Congenital hernia of umbilical cord

Authors

First Name

Taha Mohamed Talaat

Last Name

El Diehy

MiddleName

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Affiliation

Department of general Surgery, Ain Shams University, Faculty of Medicine

Email

taha.el_diehy14@yahoo.com

City

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Orcid

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First Name

Hosam El Den

Last Name

El Azazy

MiddleName

-

Affiliation

Department of general Surgery, Ain Shams University, Faculty of Medicine

Email

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City

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Orcid

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First Name

Ahmed Nabil

Last Name

El Hofy

MiddleName

-

Affiliation

Department of general Surgery, Ain Shams University, Faculty of Medicine

Email

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City

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Orcid

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First Name

Mohammed Hesham

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Pediatric Surgery, Ain Shams University, Faculty of Medicine

Email

-

City

-

Orcid

-

Volume

72

Article Issue

7

Related Issue

1986

Issue Date

2018-07-01

Receive Date

2018-08-05

Publish Date

2018-07-01

Page Start

4,927

Page End

4,931

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_10175.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=10175

Order

25

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Surgical Repair of umbilical hernia in children

Details

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Article

Created At

22 Jan 2023