Umbilical hernia

PRESENT SINCE BIRTH. DUE TO FAILURE OF THE MIDGUT TO RETURN TO THE COELUM IN FETAL LIFE DUE TO FAILURE OF THE 2ND STAGE OF ROTATION _1.EXOMPHALOS MINOR:_SMALL DEFECT PERSISTING AT THE UMBILICUS THROUGH WHICH A PERITONEAL SAC PROT إقراء المزيد

AN ELLIPTICAL SKIN INCISION OVER THE DOME OF THE HERNIA, SKIN FLAPS ARE DISSECTED UP & DOWN THE SAC IS IDENTIFIED AND DISSECTED TILL THE NECK WHICH IS KNOWN BY THE GLISTENING WHITE FIBERS OF THE LINEA ALBA THE SAC IS OPENED AT T إقراء المزيد

STRAPPING: INDICATED IF THE CHILD IS LESS THAN 2 YEARS THE DEFECT IS LESS THAN 2 FINGERS, AND THE HERNIA IS REDUCIBLE THE CONTENTS ARE REDUCED; THE SKIN IS RAISED IN A VERTICAL FOLD ON EITHER SIDE OF THE MIDDLE LINE AND ADHESIVE إقراء المزيد

:INDICATIONS CHILD OVER 2 YEARS DEFECT OVER 2 FINGERS FAILED STRAPPING HERNIA COMPLICATED :TECHNIQUE CRESCENTERICSUBUMBILICAL INCISION, DISSECTING THE HERNIAL SAC WHICH IS EXCISED AT THE PROPER NECK THE DEFECT IN THE LINEA إقراء المزيد