Les plasties cutanées ombilicales chez l’enfant. Étude prospective chez 77 patients

Presentation and Management Outcome of Umbilical Hernia in Children at the University Teaching Hospital of Brazzaville.

“…The male predominance can be explained in part by the anatomical features of the umbilical region in boys 3 . These results corroborate with those of some studies 4,5,8 .The diagnosis of hernia is mainly clinical 4 . In general, the UH is not a painful condition 4 .…”

“…The 8.5%frequency found in our study is close to that of several African, European, and US authors 2,5,6 . The average age of our patients is similar to that reported by other authors 3,7,8 .…”

“…In our series, the diameter of the neck did not influence significantly the occurred complications (strangulation). Our results are contrary to some authors report that the diameter of the ring's neck is inversely proportional to the risk of complications in the UH 4,6,7 .The repeated obstruction is serious and can lead to a constriction with a risk of intestinal lesions 3,5,7,10 .Treatment of UH is strictly surgical and should be systematic upon discovery of the disease 10,11 .…”

Giant umbilical hernia: “Lazy-M Omega” flap, a case report

“…The aim of the surgeon in the surgical correction of umbilical hernia, is to create an umbilicus of natural appearance, which consists of a ring, a tubular wall, a sulcus and a bottom without any excess skin to preserve the aesthetic aspect of the umbilicus [ 7 ]. Several techniques have been described on the surgical correction of it [ 1 , 2 , 4 , 8 ], but none adapted to the magnitude of excess skin that our patient had, except for the technique proposed by Tamir et al . [ 3 ].…”

“…Umbilical hernia, one of the most frequent pathologies in pediatric surgical practice, is usually corrected with a relatively simple procedure, except in cases where there is a major defect, or also called proboscoid hernia [ 1 ]. Several techniques have been proposed in order to address this problem [ 1 , 2 ]. In our case, the technique we opted for was the “Lazy M-Omega” flap, published in 2004 by Tamir et al .…”