Keywords:
Navel
Palpation
Umbilical hernia
The umbilicus is the remnant of the connection between the foetus and the dam. During the first few days of life, the umbilicus is the major portal of entry of micro-organisms into the neonate. Contamination of the umbilicus and failure of passive transfer of immunoglobulins are the factors most likely responsible for the development of umbilical infections. Infection can be limited to the extra-abdominal umbilicus or can include the liver or bladder following spread of the infection via the umbilical remnants into the abdominal cavity. Infection of the extra-abdominal umbilicus can be treated conservatively with local disinfectants and parenteral antimicrobial treatment, but hernias and infections of the umbilical remnants should be treated surgically.
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Umbilical hernia
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Introduction: Umbilicus construction is usually needed post umbilical or Para umbilical hernia repair and in some techniques the umbilicus needs reconstruction after exploratory laparotomy. There are many techniques for umbilical reconstruction and the common objective of all these techniques is to mention umbilicus that looks natural in terms of location, size and depth. And avoid ischemic necrosis of the edges of the umbilicus flap. The author in this study described a new and simple technique for umbilical reconstruction. Patients and methods: The present study included 50 cases who were subjected to anterior abdominal wall incision (umbilical, Para umbilical or midline incision) Crimean Medical Academy named after S.I. Georgievsky Crimean Federal University named after V.I. Vernadsk Russia in department of general and gastrointestinal surgery. The study started from January 2012 to may 2015. End points: The primary end point of the study was the aesthetic appearance of the new umbilicus and the second end point was patient satisfaction of the operative outcome. Results: Over 50 cases of midline abdominal incision we performed reconstruction of the umbilicus with a new and simple technique. There were 40 females and 10 males with age ranging from 28 to 52 years with the mean value as 40 ± 7.35 years. Conclusion: The technique for reconstruction of the umbilicus presented in the present study is a simple technique without complications, with long term success and good aesthetic appearance. The new constructed umbilicus exhibits appropriate features of both depth and size and avoids the appearance of scarring and secondary stenosis or necrosis.
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Umbilical hernia
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Umbilical Hernias are those ventral type hernias, and can be located within the umbilicus or in its surroundings, according to “The European Hernia Society “classifications, a hernia can be defined as an umbilical hernia when is located 3 cm above and 3cm below the umbilicus. In order to classify hernias, they have to be divided into 3 types: Omphalocele and gastroschisis, infant umbilical hernias and acquired umbilical hernias. The diagnosis of the patients with umbilical hernias must be correlated with the clinic, although these patients generally are asymptomatic and do not display any other complications besides from an esthetic defect. If the clinical diagnosis is very complicated, image studies may be required as an abdominal ultrasound, tomography or a magnetic resonance. The umbilical hernia treatment can be expectant, open surgery or laparoscopic surgery, depending on the characteristics of the affected patient or the umbilical hernia.
Umbilical hernia
Gastroschisis
Omphalocele
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Since the umbilicus is located on the surface of the body, many patients visit plastic surgeons for concerns regarding umbilical disorders. We performed a retrospective review of our clinical cases to characterize the types of umbilical lesions treated by plastic surgeons. The majority of lesions that we treated were common in the field of plastic surgery, such as umbilical hernia, skin tumors, and omphalitis with urachal remnants. However, there was a peculiar case of a patient who presented with rectal cancer with umbilical metastases. Metastasis of a visceral malignancy to the umbilicus is known as Sister Mary Joseph's nodule, and it is associated with a poor prognosis. The patient presented with gastrointestinal perforation at the time of initial examination, indicating that some patients who visit plastic surgeons for umbilical lesions may require immediate medical treatment. While urachal remnants are common cystic lesions of the umbilicus, there are some rare cases of patients who present with remnants of the umbilical artery. We also examined the incidence of umbilical artery remnants. Here, we report cases of patients with umbilical lesions in order to identify rare lesions that may otherwise be missed during regular clinical examinations.
Umbilical hernia
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Umbilical artery
Nodule (geology)
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Umbilical hernia
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Poster: ECR 2019 / C-2848 / Umbilicus—a Navel place- common and uncommon lesions at the umbilicus in adults by: N. El Saeity 1, J. E. Stepien2, N. Ramesh3; 1Cheshire/UK, 2Garbatka/PL, 3Portlaoise/IE
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We present a case of adult umbilical hernia with vertical dislocation along the abdominal wall. The hernial sac arose from the internal ring and connected to the umbilicus 20 mm below the internal ring. The postoperative course was uneventful. Two years and four months after the operation there was no evidence of recurrent hernia even when abdominal pressure was increased, and the umbilicus looked acceptable. An umbilical hernia is usually within the umbilicus. The hernial sac arose from the internal ring so should be called an umbilical hernia not an epigastric hernia. It is unusual that the umbilical hernia dislocates vertically along the abdominal wall, while the umbilicus stays depressed. This atypical form of umbilical hernia has not been described previously as far as we know.
Umbilical hernia
Abdominal wall defect
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Palpation
Umbilical hernia
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True congenital umbilical hernia, described by other authors under the names exomphalos, omphalocele or hernia funiculi umbilicalis, is a relatively rare condition. It has been described as occurring about once in every 5,000 to 6,000 births, and it is apparently more common in the male than in the female. As a type, it is differentiated from the true postnatal umbilical hernia and from the rare and more extensive defects of the abdominal wall that result in ectopy of the abdominal viscera. The latter class, which has also been described under the classification of fissurae abdominales, is not a true hernia, as there is no true umbilical ring but rather an extensive hiatus in the abdominal wall resulting in varying grades of malformation and eventration. The postnatal umbilical hernia so commonly seen differs from true congenital hernia in that it is more eccentrically situated about the umbilicus and in that it
Umbilical hernia
Omphalocele
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