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Paraumbilical hernia in children

Paraumbilical hernia is the condition of the human body, in which such internal organs as the intestinal loops, fatty tissue, omentum, peritoneum extend into the region of the umbilical ring. This disease often occurs in childhood, or in older people. Paraumbilical hernia is rarely diagnosed.

Causes

There are a number of factors that are the cause of its appearance. Here are some of them:

  1. Great physical stress on the human body.
  2. Such pathological disorders as constipation. Or other diseases of the intestine.
  3. Cough of a chronic nature.
  4. Excess weight, obesity.
  5. Operative intervention in the human body.
  6. Injuries of the umbilical zone.

If we talk about children, then such a disease as paraumbilikalnaya hernia is an innate feature of the body. This is due to the incorrect formation of the aponeurosis. In the event that the child constantly screams, then there is a risk of a paraum-bacterial hernia. During the cry of the baby, the muscles of the peritoneum tighten. This promotes the appearance of a hernia. Internal organs protrude into the navel.

Features of the periapical hernia

Despite the fact that this ailment is a well-known and studied medicine, no preventive measures have been identified, which, if carried out, can prevent its occurrence. The presence of a hernia in the human body brings him moral discontent, as well as physical suffering. If hernia, then man:

  1. Experiencing physical limitations;
  2. There are risks of new complications in the body.

The nature of the

There are several manifestations of a hernia in the body:

  1. Hernia can be hostile. At birth, the child has a ball-shaped protrusion. It is localized at the site of the umbilical cord.
  2. The hernia also has an acquired character. It appears in the body under the influence of external factors, which contribute to its occurrence.

Also divided into direct and oblique.

If the paraumbicular hernia is straight, then the patient has a transverse fascia. The cause of its appearance is thinning. With this course of the disease, the hernial discharge goes to the umbilical ring region. In the case when the hernia has an oblique character, the organs protrude above or below it. Thus, the hernial sac forms in the area between the fascia and the white line of the abdomen. Then comes out to the subcutaneous tissue directly through the umbilical ring.

In addition, the hernia is divided into directional and non-controlled. When the hernias are guided, the course of the disease is not subject to such danger as pinching. And unguided people are characterized by the emergence of dangerous complications.

What symptoms in the body indicate the presence of ailment?

Paraumbikalnaya hernia in children is characterized by a defect that is located in the anterior area of the peritoneum. This state is diagnosed quite simply, without any difficulties. Hernia can be seen, it protrudes around the navel, or in close proximity to it. Hernia is visualized when the child is standing, that is, in an upright position. When he lies, the protrusion is not visible.

Also, if there is a hernia in the human body, then the periapical ring is probed. Since it is the so-called gate for a hernia. When there is protrusion, the umbilical ring expands. There are cases when the hernia gates have a narrow state. In such a course of pathology, the child constantly experiences discomfort. Since he feels anxiety, he cries and becomes capricious. This state of the baby can lead to serious complications.

There are also statistics that a hernia appears in women at the age of thirty. Diagnose the following characteristics:

  1. The size.
  2. How much the hernia is expressed.
  3. Whether there are spikes or not.
  4. Possible complications.

In the case of complications, an inflammatory process occurs, the patient experiences an increase in body temperature and pain. For the treatment of a hernia with complications, operative intervention in the human body is used.

If special measures are not taken, necrosis may occur.

Operation

Sometimes, if a person has a paraumbilical hernia, the operation is done. It should be noted that the surgical method is not available for patients under the age of 5 years. The reason for this is the fact that up to 5 years, the hernia can pass by itself, without surgical intervention. In order for this to happen, the child is given a special massage. Its action is aimed at strengthening the anterior wall of the peritoneum. Also the child is assigned a special gymnastics with a curative effect. The action of physical exercises is aimed at improving blood circulation in internal organs. Thus, the risk of stagnation is eliminated.

In a more mature age, treatment through massage and gymnastics will not have the desired effect on the body. Complications may begin. Then a person's body temperature rises, pains appear. Wearing a bandage also does not give the desired results. Still atrophy of muscles can begin.

Treatment of a hernia in a hospital

If we talk about the treatment of a hernia in an adult, then, as a rule, he is assigned surgical intervention. Before the patient is admitted to the hospital, where he undergoes a special examination.

  1. First of all, the patient is assigned a study by means of ultrasound. It allows you to determine the type of protrusion and the area of localization.
  2. With the help of an X-ray, it is determined which inner organ of a person is located in the hernial sac.
  3. Also such an examination of the internal organs as gastroduodenoscopy is carried out. This method allows you to detect or exclude other pathological processes of the internal organs of man.

In addition, without fail, a person surrenders blood and urine for research in the laboratory. This is necessary in order to exclude the inflammatory processes in the body.

Removal of a hernia through surgery is called hernioplasty. The essence of the operation is that the patient is sewn up hernial gates. This is done using natural body tissues or special nets, which are made of synthetic materials.

In the case when an implant is used in a surgical procedure, the re-emergence of a hernia is excluded. In this regard, many doctors recommend using an operation using synthetic material.

Hernioplasty has its drawbacks. They are related to the fact that there is a possibility of removing the navel. Also, this method of surgery involves a long recovery process. The recovery time is one year. During this period, the patient can not lift weights and perform any kind of work.

Recommendations for diagnosing a hernia

It should be said that if a person has a suspicion that there is a hernia in his body, then he should, as soon as possible, go to a medical facility. The fact is that at an early stage of the disease, it is possible to avoid surgery and take conservative methods of treatment.

Contraindications to surgery

For a surgical intervention, there may be contraindications. These include:

  1. The period of bearing a child by a woman.
  2. The state of the patient's body, namely, the presence of diseases in which it is impossible to do operations.
  3. Age restrictions.
  4. Exacerbations of any pathologies.

In this case, people are assigned to wear a bandage and a restriction on physical exertion. Thus, measures are taken to eliminate pinching.

What is the code for ICD-10 in para-umbilical hernia?

ICD-10 is a normative document for the registration of diseases in our country. Each pathology has its own code. What kind of paraumbilical hernia is the ICD-10 code? This information is publicly available. The code for ICD-10 for this disease is K42.0.

What does Komarovsky say?

Paraumbilical hernia in children is often diagnosed. According to the famous doctor Komarovsky, if it is found in the child, you should give her time to go away. In the event that this does not happen, then we will have to resort to prompt intervention.

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