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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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LETTERS TO THE EDITOR
Year : 2020  |  Volume : 25  |  Issue : 1  |  Page : 63-64
 

Umbilical hernia and comorbidities in children


1 Department of Pediatric Surgery, Albert Royer Children's Hospital, Cheikh Anta Diop University, Dakar, Senegal
2 Department of Pediatric Surgery, Aristide Le Dantec Hospital, Cheikh Anta Diop University, Dakar, Senegal

Date of Submission06-Mar-2019
Date of Decision12-Mar-2019
Date of Acceptance30-May-2019
Date of Web Publication27-Nov-2019

Correspondence Address:
Dr. Salsabil Mohamed Sabounji
Department of Pediatric Surgery, Albert Royer Children's Hospital, Cheikh Anta Diop University, Dakar
Senegal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_49_19

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How to cite this article:
Ngom G, Sabounji SM, Fall M, Seck NF, Welle IB, Ndour O. Umbilical hernia and comorbidities in children. J Indian Assoc Pediatr Surg 2020;25:63-4

How to cite this URL:
Ngom G, Sabounji SM, Fall M, Seck NF, Welle IB, Ndour O. Umbilical hernia and comorbidities in children. J Indian Assoc Pediatr Surg [serial online] 2020 [cited 2019 Dec 10];25:63-4. Available from: http://www.jiaps.com/text.asp?2020/25/1/63/271798




Sir,

An umbilical hernia is a common pathology in children, especially in Africa. It arouses interest in this continent because of the complications that are widely reported.[1],[2],[3] Some African authors even systematically recommend surgery as soon as the diagnosis is made.[1],[4] This attitude is adopted in our department. However, a complete clinical examination must be performed before surgery. In fact, umbilical hernia is sometimes associated with other pathologies.

In Dakar, 450 children with umbilical hernia were operated between January 1, 2012, and December 31, 2016, at the Department of Pediatric Surgery of Aristide Le Dantec Hospital. Among this children, 120 had a comorbidity corresponding to 26.7%. There were 94 cases of inguinal hernia, 11 cases of hydrocele, 15 cases of white line hernia, and 10 cases of cryptorchidism. There was a predominance of pathologies of the peritoneal-vaginal canal. The search for these comorbidities is important because it allows the concomitant treatment of these pathologies. Furthermore, all our patients who had an associated pathology benefited from concomitant treatment of this comorbidity.

This concomitant treatment prevents a child from having a second surgery and therefore a second anesthesia which can be delicate, especially for infants.

In conclusion, the finding of an umbilical hernia in a child must seek comorbidity which allows the concomitant treatment of umbilical hernia and comorbidity to avoid a second anesthesia for the child.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Bandré E, Kaboré RA, Sanou A, Ouédraogo I, Soré O, Tapsoba T, et al. Strangulated umbilical hernia in children (Burkina Faso): Differences with developed countries. Bull Soc Pathol Exot 2010;103:100-3.  Back to cited text no. 1
    
2.
Fall I, Sanou A, Ngom G, Dieng M, Sankalé AA, Ndoye M, et al. Strangulated umbilical hernias in children. Pediatr Surg Int 2006;22:233-5.  Back to cited text no. 2
    
3.
Ameh EA, Chirdan LB, Nmadu PT, Yusufu LM. Complicated umbilical hernias in children. Pediatr Surg Int 2003;19:280-2.  Back to cited text no. 3
    
4.
Ngom G. Umbilical hernia in African children: Same attitude than that of inguinal hernia. J Indian Assoc Pediatr Surg 2009;11:255.  Back to cited text no. 4
    




 

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