Резюме
Определение
Umbilical hernia is a defect of the anterior abdominal wall fascia that occurs when the umbilical ring fails to close. The defect allows protrusion of a peritoneal sac that is covered by skin and may contain intra-abdominal contents, such as omentum or bowel.[Figure caption and citation for the preceding image starts]: Large umbilical herniaPersonal collection of Charles L. Snyder, MD; used with permission [Citation ends].
Анамнез и осмотр
Ключевые диагностические факторы
- present since birth
- bulge at the umbilicus
- change in size/tension during movement
- skin changes
- easily reducible hernia sac
- well-defined rim of fascia with central defect
- variable diameter of defect
- symptoms of small bowel obstruction
Другие диагностические факторы
- intermittent discomfort
Факторы риска
- low birth weight
- African ancestry
- Beckwith-Wiedemann syndrome (BWS)
- trisomy 21, 18, 13
- congenital hypothyroidism
- mucopolysaccharidoses
Диагностические исследования
Исследования, которые показаны в первую очередь
- diagnosis is clinical
Алгоритм лечения
incarcerated hernia
large or symptomatic hernia
small and asymptomatic hernia
Составители
Авторы
Charles L. Snyder, MD
Professor of Surgery
Chief, Section of Surgery
University of Missouri-Kansas City
Children's Mercy Hospital
Kansas City
MO
Раскрытие информации
CLS declares that he has no competing interests.
Выражение благодарностей
Dr Charles L. Snyder wishes to gratefully acknowledge Dr Charles M. Leys, a previous contributor to this topic.
Раскрытие информации
CML declares that he has no competing interests.
Рецензенты
Michael A. Skinner, MD
Professor and Vice Chairman
Pediatric Surgery
University of Texas Southwestern Medical Center
Dallas
TX
Раскрытие информации
MAS declares that he has no competing interests.
Bangalore S. Ramanand, MS, DNB, FRCS, MSC
Locum Consultant Surgeon
Glan Clwyd Hospital
Rhyl
UK
Раскрытие информации
BSR declares that he has no competing interests.
LS Wong, MB ChB
Consultant Surgeon
Honorary Associate
Professor of Surgery
University Hospitals Coventry
UK
Раскрытие информации
LSW declares that he has no competing interests.
Emmanuel Atta Agaba, MD, FRCS, FACS
Fellow in Minimally Invasive Surgery
Montefiore Medical Center at Albert Einstein College of Medicine
Bronx, New York City
NY
Раскрытие информации
EAA declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Vohr BR, Rosenfield AG, Oh W. Umbilical hernia in the low-birth-weight infant (less than 1,500 gm). J Pediatr. 1977 May;90(5):807-8. Аннотация
Bowling K, Hart N, Cox P, et al. Management of paediatric hernia. BMJ. 2017 Oct 19;359:j4484. Аннотация
Halpern LJ. Spontaneous healing of umbilical hernias. JAMA. 1962 Nov 24;182(8):851-2. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Epigastric hernia
- Hernia of the umbilical cord
- Omphalocele
Больше Отличия
Войдите в учетную запись или оформите подписку, чтобы получить полноценный доступ к BMJ Best Practice
Использование этого контента попадает под действие нашего заявления об отказе от ответственности