| ORIGINAL ARTICLE
|Year : 2023 | Volume
| Issue : 1 | Page : 14-17
Hernia of umbilical cord: An enigma
Pooja Tiwari1, Ram Mohan Shukla1, Maneesh Kumar Joleya1, Sarvagya Jain2, Ashok Kumar Ladda1, Shashi Shankar Sharma1, Vinod Raj1, Brijesh Kumar Lahoti1, Manoj Joshi1
1 Department of Pediatric Surgery, SSH and MGMMC, Indore, Madhya Pradesh, India
2 Department of General Surgery, SSH and MGMMC, Indore, Madhya Pradesh, India
Introduction: Hernia of the umbilical cord (HUC) is an uncommon problem which is often misdiagnosed, leading to inadequate treatment and various complications which cause increased morbidity and mortality in neonates. To address this issue, we took up this study.
Materials and Methods: Patients diagnosed with HUC from January 1, 2017, to December 31, 2021, were retrospectively analyzed. The following data of all these patients were collected and retrospectively analyzed: demography, radiological investigations, echocardiography, contents of hernia, type of surgery performed, and outcome.
Results: Eighteen out of 19 patients included in the study were taken up for surgery after baseline investigations and echocardiography. Out of 19 patients, 15 were discharged successfully and are on regular follow-up. Of the remaining four patients, an anastomotic leak occurred in two and they went into sepsis and succumbed. One of the patients died before any intervention and one succumbed on 3rd postoperative day due to sepsis.
Conclusion: Timely referral and intervention can save precious lives. We need to educate doctors and health-care providers so that proper diagnosis and timely management can be done for this anomaly which is associated with less morbidity and a lower rate of associated anomalies.
Maneesh Kumar Joleya
Department of Pediatric Surgery, SSH and MGMMC, Indore, Madhya Pradesh
Source of Support: None, Conflict of Interest: None
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