Usefulness of adhesive strapping for umbilical hernias of infants

Abstract

Background: Using a controlled trial, this study aimed to evaluate the effectiveness of adhesive strapping to improve the natural healing rate of umbilical hernia. Methods: This prospective, observational study included 128 patients from Kumamoto, Japan (97 in the adhesive strapping group, and 31 in observation group), from 2012-2015. The duration from first hospital visit to the hernia orifice closure was compared between the two groups. Result: Kaplan-Meier curves showed that the probability of umbilical hernia in the adhesive strapping group was lower until approximately 200 days, but it was not statistically significant in the log rank test. According to multivariate Cox proportional hazard models, the hazard risk of umbilical hernia in the adhesive strapping group was significantly higher within 0-60 days after adjusting for confounding factors such as hernial cavity and hernia orifice area (P < 0.0001). Conclusion: Adhesive strapping of umbilical hernia was significantly associated with earlier closure of the hernia orifice from baseline until at least 60 days.

Cellulitis due to adhesive strapping for umbilical hernias

“…However, the adhesive strapping of the umbilicus is reportedly effective in treating early stage umbilical hernia and preventing umbilical skin protrusion 2–4 . Nevertheless, there are also reports of complications associated with adhesive strapping, many of which are mild skin disorders that occur in up to 41.2% of patients 4 . To our knowledge, this is the first report of two patients wherein severe skin complication (cellulitis due to compression gangrene) developed following adhesive strapping.…”

“…Surgical treatment is recommended if hernias do not heal. However, the adhesive strapping of the umbilicus is reportedly effective in treating early stage umbilical hernia and preventing umbilical skin protrusion 2–4 . Nevertheless, there are also reports of complications associated with adhesive strapping, many of which are mild skin disorders that occur in up to 41.2% of patients 4 .…”

Infantile umbilical hernia tape fixation method without compression materials

“…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 …”

“…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…”

Incarcerated Umbilical Hernia Treated With Adhesive Strapping in a Three-Month-Old Infant

“…Since the early 2000s, AS for UH has been positively recommended for earlier UH closure and a reduction in redundant skin of UH [ 3 ]. Additionally, a few observational studies have shown its excellent efficacy [ 4 , 5 ]. Moreover, AS for UH has been approved by the Japanese health insurance system since 2014; therefore, the number of facilities performing AS for UH has been increasing in Japan [ 3 ].…”