Incidence of umbilical hernia in African children: Redefinition of "normal" and reevaluation of indications for repair
Incidence of umbilical hernia in African children: Redefinition of "normal" and reevaluation of indications for repair
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DOI：
10.1007/s002680020072
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发表时间：
2001-05-01
影响因子：
2.6
通讯作者：
Tarpley, JL
中科院分区：
文献类型：
--
作者：
Meier, DE;OlaOlorun, DA;Tarpley, JL
本研究是为了评估尼日利亚人脐疝（UHs）的普遍程度，并确定对脐疝存在的放任方法是否合理，对尼日利亚Ogbomoso浸信会医疗中心（BMCO）附近的4052名尼日利亚人的脐区进行了前瞻性评估。在受试者仰卧时测量筋膜缺损的直径，在受试者直立时测量脐部皮肤的突出。受试者分为三组：第一组（1个月~ 18岁）；第2组（年龄大于18岁）；第三组（产前诊所的孕妇）。“突出”（定义为脐尖超过脐周皮肤的任何突出）出现在92%的组1、49%的组2和90%的组3受试者中。UHs（定义为至少5毫米和直径至少10毫米的突出物）在组1中占23%，组2中占8%，组3中占15%。UHs自发关闭似乎发生在14岁之前。一项回顾性分析确定了过去15年中因th相关问题接受紧急手术的11例患者。由于这些紧急情况的发生率低，死亡率为0%，因此在BMCO采取预防性修复政策是不合理的。由于我们检查的大多数孩子都有外阴，因此很少要求因美观原因进行修复。BMCO修复UHs的唯一合乎逻辑的指征是嵌顿，但这种情况很少发生。
This study was undertaken to assess the degree of ubiquity of umbilical hernias (UHs) in Nigerians and to determine if a laissez faire approach to the presence of UHs is justified, ii prospective evaluation was conducted of the umbilical area of 4052 Nigerians living in the vicinity of the Baptist Medical Centre (BMCO) in Ogbomoso, Nigeria. The diameter of the fascial defect was measured with the subject supine and the protrusion of the umbilical skin with the subject erect. Subjects were divided into three groups: group 1 (1 month to 18 gears old); group 2 (older than IS years); and group 3 (pregnant women in an antenatal clinic). "Outies" (defined as any protrusion of the umbilical tip past the periumbilical skin) were present in 92% of group 1, 49% of group 2, and 90% of group 3 subjects. UHs (defined as protrusion of at least 5 mm and diameter of at least 10 mm) were present in 23% of group 1, 8% of group 2, and 15% of group 3 subjects. Spontaneous closure of UHs seems to occur until age 14, A retrospective analysis identified 11 patients undergoing emergency operations for ZTH-related problems during the past 15 years. With a low incidence and 0% mortality rate associated with management of these emergencies, a policy of prophylactic repair is not justified at BMCO. Because most of the children we examined had outies, repair for cosmetic reasons is rarely requested. The only logical indication for repair of UHs at BMCO is incarceration, and this rarely occurs.