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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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Year : 2023  |  Volume : 28  |  Issue : 3  |  Page : 212-217

Management of umbilical hernia in African children: The experience of 2146 cases

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

Correspondence Address:
Florent Tshibwid A. Zeng
52x65 Streets, Gueule Tapee, Dakar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaps.jiaps_115_22

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Aims: Umbilical hernia (UH) is common in African and African-descent children. In high-income countries (HICs), it is considered benign, which is not the case in Sub-Saharan ones. Through this study, we aimed to share our experience. Materials and Methods: A descriptive review was conducted from January 01, 2012 to December 31, 2017 at Albert Royer National Children's Hospital Center. Among the 2499 patients, 2146 cases were included in the review. Results: UH had a frequency of 6.5%, with patients having a mean age of 2.6 years, with a male preponderance of 63%. Emergency consultation occurred in 37.1%. The symptomatic hernia was present in 90.9%. The congenital type was found in 96%, a history of painful episodes was reported in 46%, and medical and surgical comorbidities were found in 30.1% and 16.4%, respectively. Multimodal anesthesia was used in 93.1%. A lower umbilical crease incision was made in 83.2%, the sac was not empty in 16.3%, and additional umbilicoplasty was performed in 16.3%. During a 14-month follow-up, a complication occurred in 6.5% and mortality in 0.05%. Conclusion: In our region, the pediatric UH was predominantly symptomatic, with its natural evolution leading to more complications than in HICs. Its management carried acceptable morbidity.


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