Gupta Umesh Kumar, Kumar Shesh, Ray Saugata, Gupta Nand Kishor, Maurya Geeta
Department of Pediatric Surgery, Uttar Pradesh University of Medical Sciences, Etawah, India.
Department of Surgery, Uttar Pradesh University of Medical Sciences, Etawah, India.
Acta Med Philipp. 2024 Aug 15;58(14):94-98. doi: 10.47895/amp.vi0.7723. eCollection 2024.
Congenital hernia of the umbilical cord (CHUC) is the rarest type of anterior abdominal wall defect, in which an intact umbilical ring is always present and viscera pass through the base of normal-looking umbilicus.
This study was conducted to document the intraoperative findings and postoperative outcomes of patients with congenital hernia of the umbilical cord up to discharge from a tertiary care center.
This study was a retrospective observational study conducted for two years (August 2020 to July 2022) in the Department of Pediatric Surgery, at the tertiary health care center of UP, India.
During this two-year duration, a total of 10 cases with CHUC were seen in our department and were surgically managed. In this study, out of these 10 patients (male 7 and female 3), eight had normal gastrointestinal tract, one had accessory liver tissue on thin pedicle, and one had features of gangrenous bowel. Of these 10 cases, three patients developed postsurgical complications in which two patients developed superficial wound infection while one developed wound dehiscence. No mortality was noted.
Congenital hernia of the umbilical cord induces stress on parents and relatives. In this study, we conclude that the majority of cases had normal gastrointestinal tract and had no serious postoperative complications up to discharge.
先天性脐带疝（CHUC）是前腹壁缺损最罕见的类型，其中脐环完整，内脏通过外观正常的脐基部突出。
本研究旨在记录三级医疗中心先天性脐带疝患者直至出院的术中发现和术后结果。
本研究是在印度北方邦三级医疗中心的小儿外科进行的一项为期两年（2020年8月至2022年7月）的回顾性观察研究。
在这两年期间，我们科室共诊治了10例先天性脐带疝患者并进行了手术治疗。在本研究中，这10名患者（7名男性和3名女性）中，8名胃肠道正常，1名有细蒂附属肝组织，1名有坏疽性肠的特征。在这10例病例中，3例患者出现术后并发症，其中2例患者发生浅表伤口感染，1例发生伤口裂开。未观察到死亡病例。
先天性脐带疝给父母和亲属带来压力。在本研究中，我们得出结论，大多数病例胃肠道正常，直至出院时无严重术后并发症。
