How are abdominal umbilical hernias repaired in children?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

In children, umbilical hernia repair is best performed with general anesthesia, whereas in adults, regional or local anesthesia can be used. A semicircular incision in the infraumbilical skin crease exposes the umbilical sac. A plane that is created to encircle the sac at the level of the fascial ring expedites repair. The defect is closed primarily in a transverse direction with a single layer of interrupted sutures. If the defect is very large, mesh is occasionally required.


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