Incidence of Umbilical Hernia in African Children: Redefinition of “Normal” and Reevaluation of Indications for Repair

@article{Meier2001IncidenceOU,
  title={Incidence of Umbilical Hernia in African Children: Redefinition of “Normal” and Reevaluation of Indications for Repair},
  author={Donald E. Meier and David Akintayo Olaolorun and Rachael A. Omodele and Sunday K. Nkor and John L. Tarpley},
  journal={World Journal of Surgery},
  year={2001},
  volume={25},
  pages={645-648}
}
Abstract. This study was undertaken to assess the degree of ubiquity of umbilical hernias (UHs) in Nigerians and to determine if a laissez faire approach to the presence of UHs is justified. A prospective evaluation was conducted of the umbilical area of 4052 Nigerians living in the vicinity of the Baptist Medical Centre (BMCO) in Ogbomoso, Nigeria. The diameter of the fascial defect was measured with the subject supine and the protrusion of the umbilical skin with the subject erect. Subjects… 
Umbilical Hernia in Childhood : Indications and Mode of Repair
TLDR
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Fifty-three-year experience with pediatric umbilical hernia repairs.
Complicated umbilical hernia in childhood.
TLDR
Patients who present with localised abdominal pain or an irreducible umbilical mass should be operated on promptly, and patients with para-umbilical and other ventral wall hernias are excluded.
Strangulated umbilical hernias in children
TLDR
Western reports which recommend conservative therapy for umbilical hernia in children are questioned to question western reports which recommendations are based on literature data.
Umbilical Hernia (UH)
TLDR
Considering the high prevalence of umbilical hernia in paediatric population, surgical intervention is only required in cases where hernia is persistent or has progressively enlarged after 2 years, and in cases associated with inguinal hernia.
Incarceration of umbilical hernia in infants
Omentum in the Pediatric Umbilical Hernia: Is It a Potential Alarm for the Appearance of Complications?
TLDR
It is hypothesized that this may occur more often than it is believed, especially in those cases that are described as recurrent symptomatic herniations, and there should be increased alert for the possibility of complications during the period of the conservative expectation for resolution.
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References

SHOWING 1-10 OF 16 REFERENCES
Incarceration of umbilical hernias in children: a rare but important complication
TLDR
It is concluded that the present policy of expectant management is safe for the vast majority of children, but parents and general practitioners should be aware of the small risk and early symptoms of incarceration.
Umbilical hernia: what happens after age 5 years?
Infantile umbilical hernia.
TLDR
It is postulated that the wide variations in reported incidence, as compared with the figures in this study, may be ascribed to methods of patient selection.
Some Observations on Umbililcal Hernia in Infants
The common condition of infantile umbilical hernia may cause considerable concern among mothers, and there still seems to be some diversity of opinion concerning appropriate treatment. It is probable
Pediatric umbilical problems.
Some observations on umbilical hernia in infants.
  • G. Woods
  • Medicine
    Archives of disease in childhood
  • 1953
The common condition of infantile umbilical hernia may cause considerable concern among mothers, and there still seems to be some diversity of opinion concerning appropriate treatment. It is probable
Perforated typhoid enteritis: operative experience with 108 cases.
The Natural History of Umbilical Hernia
* From the Department of Pediatrics, Mercy Hospital, 301 St. Paul Place, Baltimore, Maryland 21202. t Associate Professor of Pediatrics, University of Maryland School of Medicine. n hernia is a
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