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Disorders of the Umbilicus

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Pediatric Surgery

Abstract

A variety of congenital and acquired umbilical disorders present to the pediatric surgeon, including umbilical hernia, granulomas, polyps, omphalomesenteric duct, and urachal remnants. The burden of some of these conditions on children in Africa is significant. This chapter discusses the pathology, clinical presentation, and the management of selected such umbilical conditions.

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References

  1. Snyder CL. Current management of umbilical abnormalities and related anomalies. Semin Pediatr Surg. 2007;16:41–9.

    Article  Google Scholar 

  2. O’Donnel KA, Glick PL, Caty MG. Pediatric umbilical problems. Pediatr Clin North Am. 1998;45:791–9.

    Article  Google Scholar 

  3. Friedman JM. Umbilical dysmorphology. The importance of contemplating the belly button. Clin Genet. 1985;28:343–7.

    Article  CAS  Google Scholar 

  4. Zupan J, Garner P, Omari AA. Topical umbilical cord care at birth. Cochrane Database Syst Rev. 2004;(3):CD001075.

    Google Scholar 

  5. Mullany LC, Darmstadt GL, Khatry SK, et al. Topical applications of chlorhexidine to the umbilical cord for prevention of omphalitis and neonatal mortality in southern Nepal: a community-based, cluster-randomised trial. Lancet. 2006;365:910–8.

    Article  Google Scholar 

  6. Pezzati M, Biagioli E, Martelli E, et al. Umbilical cord care: the effect of eight different cord care regimens on cord separation time and other outcomes. Biol Neonate. 2002;81:38–44.

    Article  CAS  Google Scholar 

  7. Palazzi DL, Brandt, ML. Care of the umbilicus and management of umbilical disorders. Available at: www.uptodate.com (updated 13 Aug 2008).

  8. Minkes RK. Disorders of the umbilicus. EMedicine specialties. Available at: emedicine.medscape.com/article/935618-overview (updated 27 Oct 2008).

    Google Scholar 

  9. Razvi S, Murphy R, Shalsko E, Cunningham-Rundles C. Delayed separation of the umbilical cord attributable to urachal anomalies. Pediatrics. 2001;108:493–4.

    Article  CAS  Google Scholar 

  10. Pomeranz A. Anomalies, abnormalities, and care of the umbilicus. Pediatr Clin North Am. 2004;51:819–27.

    Article  Google Scholar 

  11. Soofi S, Cousens S, Imdad A, Bhutto N, Ali N, Bhutta ZA. Topical application of chlorhexidine to neonatal umbilical cords for prevention of omphalitis and neonatal mortality in a rural district of Pakistan: a community-based, cluster-randomised trial. Lancet. 2012;379(9820):1029–36. https://doi.org/10.1016/S0140-6736(11)61877-1. Epub 2012 Feb 8.

    Article  CAS  PubMed  Google Scholar 

  12. Meegan ME, Conroy RM, Lengeny SO, et al. Effect on neonatal tetanus mortality after a culturally-based health promotion programme. Lancet. 2001;358:640–1.

    Article  CAS  Google Scholar 

  13. Gallagher PG, Shah SS. Omphalitis. eMedicine specialties. Available at: emedicine.medscape.com/article/975422 (updated 16 Jan 2009).

    Google Scholar 

  14. Daniels J, Craig F, Wajed R, Meates M. Umbilical granulomas: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2003;88:F257.

    Article  CAS  Google Scholar 

  15. Kutin ND, Allen JE, Jewett TC. The umbilical polyp. J Pediatr Surg. 1979;14:741–4.

    Article  CAS  Google Scholar 

  16. Naiditch JA, Radhakrishnan J, Chin AC. Current diagnosis and management of urachal remnants. J Pediatr Surg. 2013;48:2148–52.

    Article  Google Scholar 

  17. Meier DE, OlaOlorun DA, Omodele RA, et al. Incidence of umbilical hernia in African Children: redefinition of “normal” and reevaluation of indications for repair. World J Surg. 2001;25:645–8.

    Article  CAS  Google Scholar 

  18. Jelliffe DB. The origin, fate and significance of the umbilical hernia in Nigerian children (a review of 1,300 cases). Trans Royal Soc Trop Med Hyg. 1952;46:428–34.

    Article  CAS  Google Scholar 

  19. Uba AF, Igun GO, Kidmas AT, Chirdan LB. Prevalence of umbilical hernia in a private school admission-seeking Nigerian children. Niger Postgrad Med J. 2004;11:255–7.

    CAS  PubMed  Google Scholar 

  20. Mestel AL, Burns H. Incarcerated and strangulated umbilical hernias in infants and children. Clin Pediatr. 1963;2:368–70.

    Article  CAS  Google Scholar 

  21. Ameh EA, Chirdan LB, Nmadu PT, Yusufu L. Complicated umbilical hernias in children. Pediatr Surg Int. 2003;19:280–2.

    Article  Google Scholar 

  22. Weik J, Moores D. An unusual case of umbilical hernia rupture with evisceration. J Pediatr Surg. 2005;40:E33–5.

    Article  Google Scholar 

  23. Fall I, Sanou A, Ngom G, et al. Stangulated umbilical hernias in children. Pediatr Surg Int. 2006;22:233–5.

    Article  CAS  Google Scholar 

  24. Chirdan LB, Uba AF, Kidmas AT. Incarcerated umbilical hernia in children. Eur J Pediatr Surg. 2006;16:45–8.

    Article  CAS  Google Scholar 

  25. Mawera G, Muguti GI. Umbilical hernia in Bulawayo: some observations from a hospital based study. Cent Afr J Med. 1994;40:319–23.

    CAS  PubMed  Google Scholar 

  26. Nmadu PT. Pediatric external abdominal hernias in Zaria, Nigeria. Ann Trop Paediatr. 1995;15:85–8.

    Article  CAS  Google Scholar 

  27. Okada T, Yoshida H, Iwai J, et al. Strangulated umbilical hernia in a child: report of a case. Surg Today. 2001;31:546–9.

    Article  CAS  Google Scholar 

  28. Papagrigoriadis S, Browse DJ, Howard ER. Incarceration of umbilical hernias in children: a rare but important complication. Pediatr Surg Int. 1998;14:231–2.

    Article  CAS  Google Scholar 

  29. Salamon D, Cooper D editors, https://www.healthguideinfo.com/digestive-disorders/p118752/ 2011. Accessed 4 Apr 2018.

  30. Minkes RK, Megison SM. Disorders of the umbilicus treatment & management. https://emedicine.medscape.com/article/935618-overview. Updated: Sept 27, 2017. Accessed 4 Apr 2018.

  31. Abhyankar SV, Rajguru AG, Patil PA. Anatomical localization of the umbilicus: an Indian study. Plast Reconstr Surg. 2006;117:1153–7.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Manambaro Lutheran Hospital, Manambaro, Madagascar

    Jean Heuric Rakotomalala

  2. Montreal University Health Centre, Montreal, QC, Canada

    Dan Poenaru

Authors
  1. Jean Heuric Rakotomalala
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  2. Dan Poenaru
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Editor information

Editors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria

    Emmanuel A. Ameh

  2. Professor of Surgery & Pediatrics, Rady Children’s Hospital, University of California San Diego, San Diego, CA, USA

    Stephen W. Bickler

  3. Department of Pediatric Surgery, University of Oxford, Oxford, UK

    Kokila Lakhoo

  4. Department of Pediatric Surgery, Nationwide Children’s Hospital, and Department of Surgery, Ohio State University, Colombus, OH, USA

    Benedict C. Nwomeh

  5. Department of Pediatric Surgery, Montreal Children’s Hospital, Montreal, QC, Canada

    Dan Poenaru

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Rakotomalala, J.H., Poenaru, D. (2020). Disorders of the Umbilicus. In: Ameh, E.A., Bickler, S.W., Lakhoo, K., Nwomeh, B.C., Poenaru, D. (eds) Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-41724-6_57

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  • DOI: https://doi.org/10.1007/978-3-030-41724-6_57

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-41723-9

  • Online ISBN: 978-3-030-41724-6

  • eBook Packages: MedicineMedicine (R0)

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