umbilical Hernia

Umbilical hernia

Umbilical hernias in the adult usually are acquired by structural and biomechanical changes of the abdominal wall, or they persist since the childhood being able to associate to inguinal or crustal hernias, also with familiar character. Recently, as a consequence of the development of laparoscopic surgery, one more cause is reported, an incisional hernia in the navel, and it is reported in up to 12% of cases with the introduction of the umbilical trocar. In fact, the use of smaller caliber trocars, the suture of the aponeurosis or the introduction of the trocar at a site outside the navel bottom have decreased their incidence to 0.77%. The most common surgical repair technique has been through longitudinal or semilunar incisions, surrounding the umbilicus both infra and supraumbilical, dissecting the hernia sac from the bottom of the navel from "away" to later carry out the correction of the aponeurotic defect, facing the fatty tissue with an absorbable suture.The bottom of the navel is then fixed to the aponeurotic plane and, finally, the skin is treated with separate stitches or intradermal continuous suture, which may well be absorbable.

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