Umbilical Hernia Flashcards
1
Q
Types
A
True umbilical hernias- occur through the umbilical scar(usually se present at birth may close spontaneously up to age 3
Paraumbilical hernia- occur through the peri umbilical tissues (it is always acquired)
2
Q
Clinical presentation
A
Umbilical:
- small, centrally placed within the umbilicus
- often contains preperitoneal fat and rarely contains bowel/ omentum
- may be painful
- rarely strangulates
Paraumbilical:
- variable in size: up to moderate defects
- placed eccentrically and distorts the shape of the umbilicus
- may contain bowel/omentum
- often painful
- occasionally strangulates
3
Q
Treatment
A
Congenital umbilical hernias should only be repaired if they persist after the age of 3
