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

Umbilical hernia and comorbidities in children


Gabriel Ngom1, Salsabil Mohamed Sabounji1, Mbaye Fall2, Ndeye Fatou Seck1, Ibrahima Bocar Welle1, Oumar Ndour2,  
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

Correspondence Address:
Dr. Salsabil Mohamed Sabounji
Department of Pediatric Surgery, Albert Royer Children's Hospital, Cheikh Anta Diop University, Dakar
Senegal




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;25:63-64


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 2022 Jul 6 ];25:63-64
Available from: https://www.jiaps.com/text.asp?2020/25/1/63/271798


Full Text



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

1Bandré 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.
2Fall 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.
3Ameh EA, Chirdan LB, Nmadu PT, Yusufu LM. Complicated umbilical hernias in children. Pediatr Surg Int 2003;19:280-2.
4Ngom G. Umbilical hernia in African children: Same attitude than that of inguinal hernia. J Indian Assoc Pediatr Surg 2009;11:255.