Original articleFifty-three–year experience with pediatric umbilical hernia repairs☆,☆☆
Section snippets
Methods
Approval from the Mayo Clinic Institutional Review Board was obtained for this study. We identified all children younger than 18 years who underwent a primary UH repair at Mayo Clinic in Rochester, Minnesota, from October 1956 to April 2009. Children with confirmed or suspicion for omphalocele or gastroschisis were excluded. A total of 491 children met inclusion criteria. To obtain recent follow-up, a survey was mailed to all of these patients. The survey consisted of a short questionnaire that
Results
From 1956 to 2009, a total of 489 children underwent a primary UH repair at our institution. The male-to-female ratio was 1:1 (boys, 251; girls, 238). Mean age at repair was 3.9 years (range, 0.01-17.8 years). History of prematurity was present in 60 patients (12%), and 108 (22%) had at least 1 significant comorbidity (Table 1). The most common operative indication was size of the hernia defect or persistence of the hernia (46%), followed by repair of the UH in the setting of another surgical
Discussion
This study evaluated the long-term outcomes of UH repairs in children. In congruence with what has been reported previously [2], [7], [8], our data demonstrate that UH repairs in children do indeed have low postoperative morbidity (2%) and recurrence rates (2%) even after a long follow-up period.
Historically, preoperative complications emanating from the UH itself such as incarceration, strangulation, or evisceration are considered to be rare events: approximately 1 in every 1500 hernias [12],
References (21)
Umbilical hernia. I. Occurrence of the infantile type in Negro infants and children
J Pediatr
(1952)- et al.
Umbilical hernia in the low-birth-weight infant (less than 1,500 gm)
J Pediatr
(1977) - et al.
Umbilical hernia: what happens after age 5 years?
J Pediatr
(1981) - et al.
Impact of childhood inguinal hernia repair in adulthood: 50 years of follow-up
J Am Coll Surg
(2010) - et al.
Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support
J Biomed Inform
(2009) - et al.
More than 150 consecutive open umbilical hernia repairs in a major Veterans Administration Medical Center
Am J Surg
(2008) - et al.
The management of umbilical hernias in infancy and childhood
J Pediatr Surg
(1975) - et al.
Incidence of umbilical hernia in African children: redefinition of “normal” and reevaluation of indications for repair
World J Surg
(2001) - et al.
Umbilical hernia. A retrospective study
Calif Med
(1970) The natural history of umbilical hernia. A six-year follow up of 314 Negro children with this defect
Clin Pediatr (Phila)
(1967)
Cited by (50)
Provincial Review of Adherence to Age-specific Guidelines for Umbilical Hernia Repair and Trends in Management
2024, Journal of Pediatric SurgeryEvaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure
2022, Journal of Pediatric SurgeryA case of incarcerated umbilical hernia in a 9-year-old child and review article on pediatric umbilical hernia
2022, Journal of Pediatric Surgery Case ReportsFollow-up of children who undergo an uncomplicated surgical procedure: A caregiver survey to determine satisfaction, family impact, and preferences for alternate follow-up
2022, Journal of Pediatric SurgeryCitation Excerpt :We chose these five surgical procedures as they are very common, and complications are rare. The incidence of inguinal hernia and umbilical hernia recurrences are 0.68–4% [7] and 2% [8] respectively. Wound infections after non-perforated appendicitis surgery or laparoscopic cholecystectomy is reported to be approximately 1–2% [9, 10].
Management of Postoperative Complications Following Common Pediatric Operations
2021, Surgical Clinics of North AmericaUmbilical hernia with giant proboscis in a 10-year old
2021, Journal of Pediatric Surgery Case Reports
- ☆
Support and grants: This publication was made possible by grant 1 UL1 RR024150 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and the NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH.
- ☆☆
Presented at the Pacific Association of Pediatric Surgeons Annual Meeting, April 2011, Cancun, Mexico.