Mawera G, Muguti G I
Department of Surgery, Mpilo Central Hospital, Bulawayo, Zimbabwe.
Cent Afr J Med. 1994 Nov;40(11):319-23.
We present a retrospective study of 40 consecutive patients admitted with umbilical herniae to Mpilo Central Hospital between January 1990 and December 1993. The majority of the patients 95 pc (38/40) were children and only 5 pc (2/40) were adults. The study included 18 males and 22 females giving a M:F ratio of 1:1,2. In children the age range was from 1 month to 13 years with 63 pc (24/38) occurring in the zero to five year age group. The commonest indication for admission was obstruction of the umbilical hernia in 37.5 pc (15/40) of cases. Other indications included: large umbilical hernia 30 pc (12/40), recurrent discomfort and peri-umbilical pain 20 pc (8/40), incidental finding in patients admitted for some other problem 7.5 pc (3/40), one case of recurrent hernia and one case of accidental injury. Spontaneous reduction of obstructed umbilical herniae occurred in 86 pc (13/15) of cases and operative reduction was carried out in 14 pc (2/15) of cases. There was no mortality recorded in this series. It is clear from our findings in this study that obstruction of the umbilical hernia in children in our practice although relatively uncommon, is a well recognised surgical emergency. On the basis of our findings we would recommend that prophylactic umbilical hernia repair should be performed in all girls over two years of age and in all children over four years of age.
我们对1990年1月至1993年12月期间连续收治于姆皮洛中心医院的40例脐疝患者进行了一项回顾性研究。大多数患者95%（38/40）为儿童，只有5%（2/40）为成人。该研究包括18名男性和22名女性，男女比例为1:1.2。儿童的年龄范围为1个月至13岁，其中63%（24/38）发生在0至5岁年龄组。最常见的入院指征是脐疝梗阻，占37.5%（15/40）的病例。其他指征包括：巨大脐疝30%（12/40）、反复不适和脐周疼痛20%（8/40）、因其他问题入院患者的偶然发现7.5%（3/40）、1例复发性疝和1例意外伤害。86%（13/15）的脐疝梗阻病例发生了自行复位，14%（2/15）的病例进行了手术复位。该系列中无死亡记录。从我们在本研究中的发现可以清楚地看出，在我们的实践中，儿童脐疝梗阻虽然相对少见，但却是一种公认的外科急症。根据我们的发现，我们建议对所有两岁以上的女孩和所有四岁以上的儿童进行预防性脐疝修补术。
