The incidence of occult paraumbilical hernias in patients undergoing primary umbilical hernia repair

Netto, Fernando Antônio Campelo Spencer; Mainprize, Marguerite; Galant, G; Szasz, Peter

doi:10.1007/s10029-021-02392-x

Cited by 2 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Spencer Netto et al . demonstrated that at least 5% of patients undergoing umbilical hernia repair have a second defect within 3 cm of the umbilicus which may be clinically occult 10 . Sabre et al .…”

Section: Discussionmentioning

confidence: 99%

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Lam

Smith

Slater

2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: A considerable proportion of incisional hernias presenting to this unit evolve following simple umbilical hernia repair. Our aim was to review our series of complex ventral hernia repairs and identify the frequency of this problem. Our secondary aim was to encourage surgeons to evaluate whether any of the factors that increase the risk of recurrent hernia may be present, prior to undertaking an umbilical hernia repair. Methods: Observational retrospective review of a prospectively maintained single-surgeon database of consecutive patients undergoing surgery for recurrent ventral hernia. Patients presenting with recurrence at the site of a previous umbilical hernia repair were identified and their demographic data collected and analysed. A review of the published literature was performed. Patient and surgeon factors contributing to recurrence were identified and discussed. Results: Of 386 patients undergoing surgery for a recurrent ventral hernial, 102 (26.4%) were initially managed as 'simple' umbilical hernias repaired with a mesh patch or primary suture repair. 71 (69.6%) patients had undergone one or more subsequent hernia repairs prior to referral to our unit with 16 (15.6%) having had three or more repairs prior to referral. Conclusion: Recurrence rates after umbilical hernia repair are likely to be much higher than surgeons and patients appreciate. There are many aspects to consider in the repair of a 'simple' umbilical hernia and we seek promote a discussion amongst surgeons that umbilical hernias be assessed as a major abdominal wall condition and not relegated to minor surgery status.

show abstract

Section: Discussionmentioning

confidence: 99%

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Lam

Smith

Slater

2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Supraumbilical hernias 7 8 were those epigastric hernias that were located up to 3 cm rostral to the umbilicus because anatomical studies have shown that the linea alba may have different properties there compared with more rostral parts 9 10 and are clinically thought to be different from umbilical hernias. 11 12 All more rostrally located epigastric hernias were considered true epigastric hernias. Ultrasound examinations were ordered at the discretion of the treating surgeon in both centers.…”

Section: Methodsmentioning

confidence: 99%

“…As there are no clear distinctions in the literature of what accounts for a periumbilical, supraumbilical and an epigastric hernia,6 we used the following definitions: periumbilical hernias were those immediately adjacent to the umbilical ring but were excluded from the analysis because they frequently occur in association with umbilical hernias. Supraumbilical hernias7 8 were those epigastric hernias that were located up to 3 cm rostral to the umbilicus because anatomical studies have shown that the linea alba may have different properties there compared with more rostral parts9 10 and are clinically thought to be different from umbilical hernias 11 12. All more rostrally located epigastric hernias were considered true epigastric hernias.…”

Section: Methodsmentioning

confidence: 99%

Epigastric hernias in children and the use of ultrasound in its diagnosis

König

Oerters

Spiller

et al. 2023

World Jnl Ped Surgery

View full text Add to dashboard Cite

IntroductionThere is a paucity of clinical data on pediatric epigastric hernias despite them accounting for up to 6% of all hernia repairs in children. We aimed to provide additional data to supplement those 117 cases of a recent systematic review and to further clarify the role of ultrasound in diagnosing pediatric epigastric hernia.MethodsWe retrospectively included all 60 patients treated for epigastric hernias in children in two tertiary pediatric surgical departments within 12 years. Associations were tested via point-biserial correlation analyses.ResultsEpigastric hernias primarily affected preschool children with a median age of 39 months. The vast majority of patients (88%) presented with swelling that was occasionally (30%) accompanied by pain. Fascial defects could be found during clinical examination in 45% of patients with a median size of 5 mm (95% CI 3 to 10). Smaller defects were less likely to be palpable (r=−0.44, 95% CI −0.08 to −0.7, p=0.021). Likewise, ultrasound was used more frequently with smaller fascial defect sizes (r=−0.51, 95% CI −0.16 to −0.74, p=0.007). Laparoscopic repair was used in 11 patients (19%) and more often (4/11) in combination with another simultaneous procedure than open repair (11/48).ConclusionsEpigastric hernias are primarily a condition of the preschool child. Ultrasound can be beneficial if the diagnosis cannot be made clinically; otherwise, it is abdicable if it does not change the management of the patient’s epigastric hernia. Laparoscopic repairs might be beneficial for children with multiple defects or simultaneous procedures.

show abstract

The incidence of occult paraumbilical hernias in patients undergoing primary umbilical hernia repair

Cited by 2 publications

References 12 publications

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Epigastric hernias in children and the use of ultrasound in its diagnosis

Contact Info

Product

Resources

About