Lesions About the Umbilicus in Infants and Children

Cresson, Samuel L.; Pilling, George P.

doi:10.1016/s0031-3955(16)30875-6

Cited by 19 publications

(5 citation statements)

References 48 publications

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“…Male predominance has been reported in omphalocele by Bay-Nielsen (51, Colombani (9) and Cressons (21). This was not verified by McKeown ( 3 ) , Gierup (13) and Hutchin (20).…”

Section: Discussionmentioning

confidence: 90%

OMPHALOCELE and GASTROSCHISIS IN SWEDEN 1965–1976

Lindham

1981

Acta Paediatrica

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The present investigation supports the view that omphalocele and gastroschisis are two different congenital malformations. They differ not only anatomically but also regarding the incidence of concomitant malformations, sex ratio and maternal age. There has been a significant increase in the incidence of gastroschisis in Sweden during the period 1965--1976 but no corresponding increase in the incidence of omphalocele. The incidence of abdominal wall defects in stillborn is twenty times higher than in liveborn children.

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“…Male predominance has been reported in omphalocele by Bay-Nielsen (51, Colombani (9) and Cressons (21). This was not verified by McKeown ( 3 ) , Gierup (13) and Hutchin (20).…”

Section: Discussionmentioning

confidence: 90%

OMPHALOCELE and GASTROSCHISIS IN SWEDEN 1965–1976

Lindham

1981

Acta Paediatrica

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“…As Cresson and Pilling 26 described, there was already some agreement in the 1950s that AS has no advantage after the age of 6 months. While Cresson and Pilling also noted from their experience that AS rarely hastened UH healing, 26 our result corresponded to a previous study that revealed that the treatment duration was shorter in the AS group than in the observation group. 27 Once AS is applied at an earlier age, it accelerates the healing of UH and the duration of UH existence is expected to be shortened.…”

Section: Discussionmentioning

confidence: 93%

Efficacy of adhesive strapping on umbilical hernia in children: a systematic review and meta-analysis of cohort studies

Sugimoto,

Tahara,

Uchida

et al. 2023

World Jnl Ped Surgery

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BackgroundAlthough adhesive strapping (AS) for pediatric umbilical hernia (UH), which was once obsolete, has been reconsidered as a common practice in Japan, its efficacy is still unclear. This study aimed to evaluate its efficacy by reviewing related articles.MethodsA comprehensive literature search of PubMed, Cochrane, Google Scholar, and Igaku Chuo Zasshi via Ichushi-Web was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Cohort studies reporting on the UH closure rate after AS compared with observation-only management were included.ResultsA total of 10 cohort studies were included, and the overall UH closure rate was not statistically significant (p=0.31, risk ratio (RR)=0.76, 95% confidence interval (CI) 0.45 to 1.28). However, there were significant differences in the UH closure rate at the age of 6 months (p<0.01, RR=0.55, 95% CI 0.41 to 0.75) and the efficacy of preventing protruding umbilici with redundant skin (p=0.049, RR=0.16, 95% CI 0.03 to 0.99).ConclusionsAlthough the efficacy of AS on UH compared with observation-only management did not differ in terms of the UH closure rate, the application of AS may be effective for faster UH closure and the prevention of protruding umbilici. However, due to the high heterogeneity of the study, further large-scale studies, particularly randomized controlled trials, are warranted to reach a conclusion.PROSPERO registration numberCRD42022314417.

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“…The operative treatment as well as the intraoperative findings (expect in one case) were not given. In our literature search we found additional twelve cases which also reported this complication in neonates (Table 2) (4,8,(17)(18)(19)(20)(21)(22)(23)(24). The first case of this injury was described by Gruss in 1927, where a hernial sac was ligated when trying to ligate the cord with a thread and which eventually cut through the mesentery and the transverse colon (8).…”

Section: Discussionmentioning

confidence: 99%

Not Everything Is Cordless Today—Case Report of Acute Intestinal Obstruction in a Neonate Due to Cord Clamping

et al. 2022

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We report a case of a 2-day-old neonate with bilious vomiting and abdominal distension. A small bowel obstruction with ileal perforation due to a misplaced clamping of the umbilical cord was apparent before laparotomy. This complication was a sequala after clamping the cord too close to the abdominal wall in a case where there was a hernia into the cord with intestinal content. A herniation of abdominal contents due to an omphalocele minor or a hernia must be taken into consideration during the inspection of the umbilical cord before clamping.

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Lesions About the Umbilicus in Infants and Children

Cited by 19 publications

References 48 publications

OMPHALOCELE and GASTROSCHISIS IN SWEDEN 1965–1976

OMPHALOCELE and GASTROSCHISIS IN SWEDEN 1965–1976

Efficacy of adhesive strapping on umbilical hernia in children: a systematic review and meta-analysis of cohort studies

Not Everything Is Cordless Today—Case Report of Acute Intestinal Obstruction in a Neonate Due to Cord Clamping

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