Umbilicus: herniorrhaphy
Introduction
- Umbilical hernias are quite common, mostly congenital and possibly hereditary Umbilicus: hernia.
- Many small hernias resolve spontaneously with age .
- In large hernias or where spontaneous resolution does not occur, surgical repair or herniorrhaphy is one treatment option.
Uses
- Repair of umbilical hernias Umbilicus: hernia, preferably carried out between 6-12 months of age.
Advantages
- Good cosmetic results.
- Less chance of complications, eg entrapped small intestine, eventration (closed method).
- Allows inspection of hernial contents (open method).
- In large defects a prosthetic mesh can be inserted.
Disadvantages
- Requires general anesthetic Anesthesia: general - overview.
- More expensive.
Technical problems
- Failure of the repair.
Alternative techniques
- See Umbilicus: hernia.
- Counter-irritation.
- Clamping.
- Transfixation sutures.
- Rubber bands.
Time required
Preparation
- General anesthetic induction and maintenance: 20 min.
- Aseptic preparation: 10-15 min.
- In male - temporary ligation of prepucial orifice: 5 min, optional based on expected time to perform the procedure.
Procedure
- Dependent upon size, method of repair and whether there are additional complications: 15-45 min.
Decision taking
Criteria for choosing test
- See Umbilicus: hernia.
- Large, non-resolving or strangulated hernias.
Risk assessment
- Standard general anesthetic and dorsal recumbency Anesthesia: general - overview.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Smith M (2006) Management of umbilical disorders in the foal. In Pract 28 (5), 280-287 VetMedResource.