Umbilical Hernia Repair

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SAMPLE EXCERPT
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PRE-PROCEDURE
INDICATIONS
  • Age greater than 2 to 5 years
  • Defect size greater than 1.5 to 2 cm
  • Large skin proboscis
  • Incarceration
CONTRAINDICATIONS

Age younger than 2 years, unless there is a history of incarceration (relative contraindication)

EQUIPMENT
  • Anesthetic equipment
  • Operating table
  • Instrument table
  • Electrocautery device
ANATOMY

Proper closure of the umbilical ring occurs as the lateral body wall folds medially around the umbilical vessels, yolk sac, and allantoic remnants.


PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE

Acetaminophen for analgesia

COMPLICATIONS
  • Wound hematoma
  • Wound infection
  • Recurrence
RESULT ANALYSIS

Most umbilical hernias will spontaneously resolve. Children with large hernias without any decrease in the size of the umbilical ring defect over the first 2 years of life generally require surgery, because their hernias will fail to close spontaneously. Complications after elective umbilical hernia repair are rare.

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