Tiwari Pooja, Shukla Ram Mohan, Joleya Maneesh Kumar, Jain Sarvagya, Ladda Ashok Kumar, Sharma Shashi Shankar, Raj Vinod, Lahoti Brijesh Kumar, Joshi Manoj
Department of Pediatric Surgery, SSH and MGMMC, Indore, Madhya Pradesh, India.
Department of General Surgery, SSH and MGMMC, Indore, Madhya Pradesh, India.
J Indian Assoc Pediatr Surg. 2023 Jan-Feb;28(1):14-17. doi: 10.4103/jiaps.jiaps_89_22. Epub 2023 Jan 10.
Hernia of the umbilical cord (HUC) is an uncommon problem which is often misdiagnosed, leading to inadequate treatment and various complications which cause increased morbidity and mortality in neonates. To address this issue, we took up this study.
Patients diagnosed with HUC from January 1, 2017, to December 31, 2021, were retrospectively analyzed. The following data of all these patients were collected and retrospectively analyzed: demography, radiological investigations, echocardiography, contents of hernia, type of surgery performed, and outcome.
Eighteen out of 19 patients included in the study were taken up for surgery after baseline investigations and echocardiography. Out of 19 patients, 15 were discharged successfully and are on regular follow-up. Of the remaining four patients, an anastomotic leak occurred in two and they went into sepsis and succumbed. One of the patients died before any intervention and one succumbed on 3 postoperative day due to sepsis.
Timely referral and intervention can save precious lives. We need to educate doctors and health-care providers so that proper diagnosis and timely management can be done for this anomaly which is associated with less morbidity and a lower rate of associated anomalies.
脐带疝（HUC）是一个不常见的问题，常被误诊，导致治疗不充分及各种并发症，从而增加新生儿的发病率和死亡率。为解决这一问题，我们开展了本研究。
对2017年1月1日至2021年12月31日期间诊断为脐带疝的患者进行回顾性分析。收集并回顾性分析所有这些患者的以下数据：人口统计学资料、影像学检查、超声心动图、疝内容物、所施行的手术类型及结局。
纳入研究的19例患者中，18例在进行基线检查和超声心动图检查后接受了手术。19例患者中，15例成功出院并接受定期随访。其余4例患者中，2例发生吻合口漏，继而发生脓毒症并死亡。1例患者在任何干预措施实施前死亡，1例患者在术后第3天因脓毒症死亡。
及时转诊和干预可挽救宝贵生命。我们需要对医生和医疗保健人员进行培训，以便对这种发病率较低且相关畸形发生率较低的异常情况进行正确诊断和及时处理。
