How are umbilical remnants managed in in the treatment of abdominal hernias in neonates?

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

Mucosal biopsy provides diagnostic confirmation of the clinical suspicion. A patent omphalomesenteric duct requires prompt excision to prevent intussusception. About 50% of children with external mucosal remnants will have an additional component within the abdomen. Urachal remnants should be excised locally at the umbilicus and followed caudally for a short distance toward the dome of the bladder, where they should be sutured, ligated, and divided.


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