7. Umbilical Hernia: Primary
operative management
Umbilicoplasty
• Indication for surgery
• > 1.5 cm in diameter or progression of
mass (usually perform surgery after 2 years
old)
• > 4-5 years old
• Bowel incarceration, gut obstruction
• +- Female (ลด recurrent ตอน pregnant)
Early postoperative complication: Infection,
hematoma
Late postoperative complication: Recur :
peritoneal dialysis, VP shunt, CNT disease,
previous infection
8. Umbilical Cord Hernia
มีอวัยวะในช่องท้องยื่นเข้ามาอยู่ในส่วนต้นของสายสะดือ
Embryology = small omphalocele
Lateral folds defect
Abdominal wall defect , unclosed umbilical ring
Intestine protrudes into the sac
Onset presentation: แรกคลอด
24. A 6-month-old healthy girl presents with a bulge at her umbilicus that her
parents have noticed since birth.
She has no accompanying symptoms and has been growing and developing
normally.
Physical examination of the abdomen reveals a soft, non-tender bulge at the
umbilicus that is easily reduced into the peritoneal cavity with gentle pressure.
Reduction allows palpation of the abdominal fascia, revealing an 8 mm fascial
defect.