A Case of Obstructed Hernia Associated with Hirschsprung's Disease in a Child.

Infantile umbilical hernia tape fixation method without compression materials

“…In previous reports, 79.8%-100% of cases were found to be closed using compression therapy, and the duration of treatment was about 2 to 6 months. 2,4,5,[8][9][10][11] In this study, hernia orifice closure was achieved in 94.8% of patients, and the average treatment time was 23.6 days. The duration of treatment was considerably shorter compared with the findings of previous studies.…”

“…Infantile umbilical hernia is a common condition that occurs in 10%–20% of all infants, 1 and previous studies reported that spontaneous observation shows a cure rate of 80% by 2 years of age 2 and 85% by 6 years of age 3 . Spontaneous observation has the advantage of not requiring any treatment; however, it also has a disadvantage, such as in cases when the hernia orifice does not close or the umbilical protrusion remains after closure.…”

“…Spontaneous observation has the advantage of not requiring any treatment; however, it also has a disadvantage, such as in cases when the hernia orifice does not close or the umbilical protrusion remains after closure. Therefore, compression therapy has been proposed as a conservative treatment and is reported in several studies 2,4–8 …”

“…Compression therapy has the advantages of early closure compared with spontaneous observation 4,7,9,10 and a high rate of hernia closure 2,4,5,8–10 ; however, it has its disadvantages, such as increasing the burden of care on the guardian, including outpatient visits and bathing, and the possibility of skin damage due to compression fixation. Many facilities and reports have used cotton balls or other compression materials in addition to tape during compression therapy 2,5,6,10,11 . The compression material is spherical and may cause widening of the umbilical caliber during compression and of the umbilical caliber and fossa after closure.…”

“…Therefore, compression therapy has been proposed as a conservative treatment and is reported in several studies. 2,[4][5][6][7][8] Compression therapy has the advantages of early closure compared with spontaneous observation 4,7,9,10 and a high rate of hernia…”