Adverse ecology, a large number of infections in the expectant mother, severe pregnancy. All this negatively affects the state of the future baby. The bone and muscle systems are especially affected. With weakness of the abdominal muscles, the likelihood of developing an umbilical hernia in a monthly child is significantly increased. At the same time, such a pathology can be detected at an older age. Moreover, treatment tactics will depend on the age of the baby. Therefore, it is important to find out what constitutes an umbilical hernia in infants, why it appears and what to do when it is detected.
In newborns, it is not rare to find an umbilical hernia
- What is a hernia
- Hernia and its causes
- Features of treatment
- Laying on the stomach
- Therapeutic exercise
- Patches and bandage
- Complications of pathology
- Umbilical hernia in newborns
- What is umbilical hernia in newborns
- Looks like
- Signs of a hernia in newborns
- Does umbilical hernia hurt
- Umbilical hernia treatment in newborns
- Special massage
- Special bandage
- Healing patch
- How to seal an umbilical hernia in newborns
- Surgical intervention
- Folk remedies
- Photo umbilical hernia
- Treatment of hernia in infants: surgeon or sorceress?
- Causes of inguinal and umbilical hernia in children. How to treat?
- Manifestations of the disease
- Injured inguinal hernia
- Umbilical hernia
- Umbilical hernia in newborns: causes and treatment
- Causes of
- Umbilical hernia treatment in newborns
What is a hernia
Pathology is determined quite simply. Upon careful examination, it is possible to notice that the navel is deformed, a protrusion is detected in its area, which, when pressed with fingers, is easily adjusted inward with a characteristic sound. An important indicator is that at the time of crying, the umbilical hernia in the baby always increases.
The causes of the formation of pathology are associated with anatomical features. The umbilical cord is cut off immediately after birth. Normally, by the month the ring through which the vessels pass should be tightened. But due to some circumstances it may turn out that even in 2-month-old children the ring remains unchanged. At the same time, the presence of this factor is not an indication for surgery.
If during the examination of the pediatrician during palpation of the abdomen, the finger easily penetrates into the cavity through the umbilical ring, the child is sent for a consultation with the surgeon.
Hernia is easily recognized externally.
Hernia and its causes
Often you can hear the opinion that umbilical hernia in newborns is formed as a result of violations of the technique of bandaging the umbilical cord. Of course, this fact matters, but the reason as such is not. First of all, it is important to note that the probability of a hernia in newborns is hereditary. If one of the parents had a hernia in childhood, then in 70% of cases the child will have a pathology. It should also be noted that if a boy is born, the likelihood of developing the disease is significantly higher than at the birth of a girl.
In addition, the provoking factors of the disease should be distinguished:
- insufficiently formed connective tissue (especially common in premature babies);
- muscle weakness of the ring;
- rickets in early childhood;
Impaired digestion can cause a hernia
- congenital abnormalities of the abdominal wall;
- digestive problems in the newborn;
- angry crying;
- prolonged cough against a background of other provoking factors.
The disease may be congenital or acquired. As for the hernia, it can be small in size or reach a sufficiently large volume. At the same time, the size of the hernia should not cause concern, since the pathology does not affect the condition of the baby.
Features of treatment
Given the causes of pathology, it becomes clear that treatment should be aimed at increasing muscle tone and their development. Therefore, the operation of an umbilical hernia is performed only if there is evidence or in the absence of the effect of therapeutic treatment after the child reaches three years of age.
Treatment is selected only after a preliminary examination of the child
Before starting treatment, the condition should be assessed. With careful monitoring of the baby, it is determined whether the education of the child is bothering. It is also important to determine the main signs of a hernia, that is, a protrusion that is easily inserted into the cavity.
With palpation of the abdomen, the doctor eliminates the symptoms of pinching, since with this complication, conservative treatment is not used.
If the condition is satisfactory and complicated umbilical hernia in newborns is precisely excluded, conservative treatment is performed. In this case, various techniques are used.
Surgery is only necessary in extreme cases
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Laying on the stomach
Ten days after the birth of the baby, you can begin to strengthen the muscles by laying out. In the early days, the baby should be placed on the stomach for 2-3 minutes. Further, the duration increases. If there are symptoms of a hernia, the time during which the baby should be on his stomach is determined by the doctor.
This procedure is not only the prevention of hernia. It also has a positive effect on the state of digestion and the formation of muscles of the whole body.
Gymnastics is necessary for every baby, and especially if he has hernia symptoms. It is thanks to her that she is able to strengthen muscles and get rid of gas in the stomach. In addition, with proper execution, blood circulation improves and tissue elasticity increases.
Performing a special set of exercises will help to cope with a hernia at an early stage.
Gymnastics is performed in the physiotherapist’s office. In this case, prior to manipulation, the navel should be fixed with an adhesive plaster, which eliminates pinching.
Massage for each child is mandatory and should be performed regardless of whether there are signs of an umbilical hernia or not. Until the baby is one month old, you can visit the clinic and perform massage in the specialist’s office. Next, the mother should master the technique and do massage daily at home.
In the presence of umbilical hernia, a special technique is used:
- Clockwise circular motions. Up to ten rotations should be made.
- We repeat circular motions, but in the opposite direction, also in the amount of ten times.
Useful for hernia is a properly performed abdominal massage
- Now, with a soft movement of the fingertip, you should press on the hernia, which will remove it inside. It is enough to do 20 pressures.
- The thumb is located on the hernia, and the rest of the pads are applied to the skin around the navel. At the same time we press on the protrusion and make rotational movements. Repeat ten times.
- Muscles are massaged, both under the navel and above it. To do this, the fingers are located on the edges of the abdomen and converging movements are performed.
Such a massage should be done daily until an improvement is achieved.
Patches and bandage
It is especially important to prevent an increase in umbilical hernia. For this reason, from the first days, doctors recommend performing treatment at home with the use of adhesives or bandage. What exactly to use, the doctor decides. The patch is fixed on the skin, forming a crease. The bandage exerts pressure on the protrusion, not allowing it to increase. A correctly fixed patch will not interfere with the baby, just as the belt does not hamper the child’s movements.
The use of a bandage will prevent the growth and damage of a hernia
If you do not follow all the doctor’s prescriptions, which eliminate the causes of the pathology, the hernia will progress and in the future you will have to remove it with the help of the operation.
Complications of pathology
The main complication of this disease is the infringement of a hernia. The condition is extremely rare, but it should not be ruled out. At the first signs of infringement, a doctor should be called. Often, the pathology is eliminated by conservative methods, followed by fixation of the skin fold, but sometimes emergency surgery is required.
The following symptoms may indicate a complication:
- the seal hurts the baby;
- the hernia is not adjusted;
Lack of treatment or neglect of some rules can lead to a hernia infringement
- protrusion has become more dense;
- skin turns red;
- the condition may be accompanied by vomiting.
If there is an infringement, it should be corrected as soon as possible, and only the doctor does this. If you begin to provide assistance later, the likelihood of tissue necrosis and the development of dangerous complications for the baby increases, which will be especially difficult to cure. After the operation, you should strictly follow a diet and carry out preventive measures aimed at preventing the secondary formation of umbilical hernia. At the same time, as already mentioned, if you fulfill all the doctor’s prescriptions from birth, you can avoid surgery. Therefore, even in the maternity hospital, one should ask how to treat an umbilical hernia and strictly follow the doctor’s prescriptions.
About the umbilical hernia in a child will be discussed in the video:
Umbilical hernia in newborns
If umbilical hernia appears in newborn babies, it is important to recognize it in time, eliminate unpleasant symptoms and treat it. Various methods are offered for therapy – from special massages after the baby is born and wearing bandages to traditional medicine and surgical treatment. The method of treatment depends on the severity of the development of the hernia and the individual characteristics of the small patient.
What is umbilical hernia in newborns
According to medical terminology, a navel hernia in a newborn is a protrusion of the umbilical muscles in the center of the abdomen, the navel. It looks like a hole located in muscle tissue, pathology occurs in a monthly child. The disease is considered to be a common, non-dangerous phenomenon, more often appears in girls than in boys. In the first month, the hernia develops and becomes visible to the naked eye, the protrusion is easily adjusted, there is a chance of a complete cure by the first year of life.
An umbilical hernia in a baby looks like a slight protrusion in the navel. It can be retracted in a lying position and increase in an upright position, with a cry or cry, difficult to empty. Outwardly, the symptom resembles a small tubercle with a center in the navel. The hernial gates are wide, so the formation appears and disappears, there is no risk of infringement of the contents.
Signs of a hernia in newborns
Parents should know the signs of an umbilical hernia in an infant. These include the following symptoms that worry the baby:
- protrusion of the navel after the umbilical cord falls off, an ailment forms after an attempt;
- over time, the protrusion increases, the muscles make it large;
- swelling of the tummy;
- when pressed into the navel, the finger enters the peritoneum;
- the baby is anxious during massage of the tummy.
Does umbilical hernia hurt
In the first month of life, a newborn hernia is noticeable only when the baby is crying or pushing. The tummy is slightly swollen, and the formation grows and becomes noticeable even in a calm state of the child. There is no pain or discomfort for the baby itself, it does not feel discomfort. Rarely, an umbilical hernia can develop into a complicated formation, almost never can be infringed.
Umbilical hernia in infants occurs due to heredity. The opinion that the cause of the hernia is an incorrect cutting of the umbilical cord in the hospital, is erroneous, because it does not affect the development of the abdominal muscles. The following causes of hernia are distinguished:
- congenital – develops due to the anatomical features of the body, connective tissue dysplasia, weakness of the abdominal wall of the abdomen, in premature babies;
- acquired – arises due to frequent prolonged crying, the abdominal cavity is tensed, internal organs are under pressure, provoke umbilical hernia constipation, flatulence; the umbilical ring is delayed slowly, which leads to the loss of a loop of the intestine or omentum outside the abdominal wall;
- other reasons for the development of pathology are called the early onset of walking, when the muscles of the abdominal cavity receive an unusual load.
Pediatricians or pediatric surgeons know how to determine a hernia in a newborn. During a preventive examination in the first months of a child’s life, the doctor palpates the abdomen and determines the extension of the umbilical ring. If you raise the head and body of the baby, the hernia is clearly visible along with the divergence of the rectus abdominis muscles. After diagnosis, treatment is prescribed, strengthening the abdominal wall.
Umbilical hernia treatment in newborns
Some pediatricians and surgeons, when examining a newborn, do not diagnose an umbilical hernia if there is a small defect (up to 0,7 cm), and the protrusion is absent or can come out, but is easily inserted into the abdominal cavity. Then the diagnosis is made of the expansion of the umbilical ring. You can cure an umbilical hernia in the ways that experts recommend:
- dynamic observation;
- laying out the baby on the hard surface with the stomach down before feeding for a couple of minutes will help to remove the symptoms;
- fixation with a special patch Porofiks for 10-20 days;
- from three months of age, home massage is prescribed;
- medical gymnastics complex;
- with all the recommendations, you can get r >
If the navel of the newborn sticks out strongly, a course of therapeutic massage is prescribed. It helps to strengthen the abdominal muscles, narrowing the ring and closing the hernia without additional treatment and surgical intervention. Before feeding, lay the baby belly down on a hard surface and leave it for a few minutes. This must begin to be done from the time of the healing of the umbilical wound.
For a massage and learning the rules, contact a professional masseur. Independently, you need to warm your baby’s tummy with your palm with your palm clockwise with warm stroking hands. Directions are made in one direction, so as not to lead to painful sensations. Gentle calming movements from the sides to the navel and back will help strengthen the abdominal press. They are done before bedtime or after bathing, but not before meals.
For the prevention and treatment of congenital navel hernia in newborns, a special bandage is used. It is a wide elastic belt of soft tissue with a hernial stop in the form of a seal. Functions: support for the umbilical ring and hernia gate, through which organs protrude under the skin, plus fixation of the abdominal cavity. Contraindications for use are diaper rash or rash.
The advantages of using a special bandage to treat young children include the following factors:
- decrease in abdominal pressure;
- prevention of an increase in hernial protrusion;
- hypoallergenic tissue;
- fixes pathology up to 5 cm in size;
- easy to put on, take off, wash;
- service life is limited to several years;
- of the minuses note a high price, the possibility of crawling (slight fixation), a feeling of discomfort, diaper rash, friction.
According to reviews, the best bandages are wide with Velcro. They are easy to put on and take off, they are fixed in a safe place, slide less. On sale for the treatment of pathology there are belts with an adjustable length, different diameter of the limiter. Instructions for the use of a bandage for inguinal hernia:
- the skin of the lower back and abdomen must be dry and clean before use;
- spread the bandage, lay the baby on top with your back;
- adjust the education, press the limiter;
- tighten the belt tightly, but tighten;
- fasten the fastener;
- you need to wear a bandage with an interval of 20-30 minutes every 3-4 hours.
Reduction of the hernia of newborns can be carried out with the help of medical plasters Porofiks, Chikko, Hartman or ordinary adhesive plaster. It is glued around the abdomen so that a crease appears in the navel. The course lasts 10 days. If an ordinary adhesive plaster needs to be removed during bathing, then a special Porofix is glued on for the whole day. Its tissue is hypoallergenic, does not cause irritation.
How to seal an umbilical hernia in newborns
The patch for repositioning keeps the navel in the correct position, which contributes to the rapid healing of the umbilical ring and resorption of the hernia. The doctor should be the first time to seal the umbilical region, and parents can repeat this process on their own. A special patch consists of two parts, which are tightened by the type of belt. The inner wall includes a layer of adhesive that does not irritate the delicate skin of the newborn.
Instructions for gluing a special patch Porofiks includes the following step-by-step description:
- it is necessary to glue after complete healing of the umbilical ring, with wounds, use is contraindicated;
- if the navel protrudes, correct the formation, tighten the rectus abdominis muscles to form folds on top of the navel;
- a patch is glued to the umbilical opening, covered with folds;
- Porofix is left on the skin of the baby for 10 days, it cannot be removed, even during bathing, after the end of the time of use, the doctor examines the newborn and decides to continue using the product;
- if the patch is glued only to the navel area, you need to change it every 2-3 days yourself.
If the formation increases in size over a couple of years, provokes intestinal obstruction and carries the risk of pinching symptoms, the question arises of removing an umbilical hernia. During it, doctors adjust the prolapse and suture the umbilical ring. A small incision is hidden in the skin fold. The procedure lasts half an hour, the recovery process – a couple of weeks.
Most doctors reassure parents that surgery is performed in extreme cases. Education itself can be corrected if the causes of excess pressure on the abdominal organs are eliminated. The methods of traditional medicine help in this:
- conspiracies are a popular remedy, effective, because the right “grandmother” soothe the baby, he does not cry and does not strain for no reason, which helps to eliminate the defect;
- compress from a decoction of knotweed – take a tablespoon of dry grass, pour a glass of boiling water, leave for 10 minutes;
- sticking with adhesive tape with an application of copper coin;
- nightly compresses of cold vinegar or sour cabbage juice, it takes a month to treat the baby.
Doctors make a favorable prognosis for hernia cure – conservative pathologies are eliminated on their own or with simple treatment methods. Relapse of hernia is unlikely. To prevent the occurrence of an ailment, use the following tips:
- let your child move actively;
- normalize bowel activity;
- treat diseases that increase intra-abdominal pressure;
- get medical examinations on time.
Photo umbilical hernia
Treatment of hernia in infants: surgeon or sorceress?
Causes of inguinal and umbilical hernia in children. How to treat?
Hernia of the anterior abdominal wall is the most common surgical pathology in children. This topic is quite trivial, known to any doctor and most parents. Diagnostic aspects, terms and methods of surgical treatment of hernias have long been developed. On the Internet you can find enough information about the nature of this disease, and about where and how to consult and treat a child. However, the number of late visits to the hospital with strangulated inguinal hernias, the identification of previously not diagnosed various hernias of the anterior abdominal wall in adolescents is still surprising. And of course, outrageously ineffective, but unusually popular recently, unconventional methods of treating hernias with various traditional healers, midwives, etc. Given the listed “but”, we will conduct a small “educational program” among young parents.
A hernia is a pathological protrusion that can occur in various anatomical areas. A hernia consists of a hernia sac, hernia contents, as well as a hernia gate, from which a hernia sac with contents comes out (see Fig. 1).
We will focus on inguinal and umbilical hernias, because they are most common.
What is inguinal hernia?
Inguinal hernia in children is a protrusion in the inguinal region due to the presence of an open vaginal process containing a loop of the intestine, omentum or ovary.
Such hernias are found in more than 5% of children, but in premature infants they are found 3-5 times more often than among full-term. In children suffering from impaired development of connective tissue on the background of genetically caused diseases, hernias of the anterior abdominal wall can be observed 2-3 times more often. Quite often, inguinal hernias are combined with various congenital orthopedic pathologies (for example, congenital dislocation of the thigh) and malformations of the nervous system (spinal hernias).
The ratio of boys and girls suffering from this disease is, according to various sources, from 3: 1 to 10: 1. Perhaps this is due to the process of omission of testicles (testicles) in boys from the abdominal cavity into the scrotum. According to some authors, in 60% of cases, boys have a right-sided inguinal hernia, and in 10% of cases a bilateral inguinal hernia. In girls, in more than 50% of cases, inguinal hernias are diagnosed on both sides.
When studying the hereditary predisposition, it was found that in 11,5% of children with inguinal hernias, one of the parents was previously operated on for the same disease.
Manifestations of the disease
The main symptom of an inguinal hernia in boys and girls is a protrusion in the inguinal region. With inguinal-scrotal hernia, a hernial protrusion extends to the bottom of the scrotum. The protrusion becomes especially noticeable after physical exertion, with crying, crying of the child, which is associated with an increase in intra-abdominal pressure. An uncomplicated inguinal hernia has a soft elastic consistency, when pressed, it easily, easily sets into the abdominal cavity, sometimes with rumbling, if the contents are a loop of the intestine. Palpation and reduction of an uncomplicated inguinal hernia does not cause any discomfort to the child.
Dropsy of the testicles is quite common in newborn boys. In this case, swelling is visually determined in the scrotum, then disappearing, then increasing, especially when screaming, crying.
Typically, dropsy of testicular membranes in young children pass spontaneously during the first year of life. If dropsy persists at an older age (after 2 years), surgical treatment is required.
The appearance of a hernial protrusion in the inguinal or inguinal-scrotal area should alert parents and become an occasion to contact a pediatric surgeon. Currently, planned surgical treatment of inguinal hernias in children is usually carried out immediately after a diagnosis is established. However, in children under 6 months of life, especially with any concomitant pathology, in the presence of free reduction of hernial contents, surgical treatment can be delayed until the second half of the first year of life. It should be remembered that this child should be under the supervision of a pediatric surgeon, and parents should be informed about the symptoms of pinching hernia. Even one episode of infringement is an indication for a planned operation.
Injured inguinal hernia
Infringement is a compression of the contents of the hernial sac with the development of circulatory disorders in the restrained organs up to necrosis (tissue necrosis).
Pinched inguinal hernias are often observed in children under 1 year old, usually in premature infants. In boys, the bowel loop or omentum is most often infringed; in girls, the ovary; less commonly, the fallopian tube or loop of the intestine. The contents of the hernial sac through the inner inguinal ring penetrates the inguinal canal. Infringement is associated with the development of gradual edema of the contents of the hernial sac, impaired venous and lymphatic drainage, increased edema, which leads to compression. Arterial blood flow is impaired and necrosis of the restrained organ develops. At the same time, you can visually identify signs of compression (strangulation) of the contents of the hernial sac: the hernial protrusion is dense, severely painful, swelling and redness appear in the inguinal region.
The ovarian tissue in girls is most sensitive to the cessation of blood supply. Even a short duration of infringement can lead to organ necrosis. Injury to the ovary also causes the death of eggs, which in the future can affect reproductive abilities. Given these circumstances, when infringement of inguinal hernias in girls, it is customary to carry out emergency surgery.
Upon admission to the hospital, a boy with a small prescription of infringement of an inguinal hernia and the absence of symptoms of compression (strangulation) of the contents of the hernial sac is usually used to carry out a set of conservative measures aimed at relaxing the muscles, reducing swelling and reducing the hernial contents. The child is prescribed antispasmodics, sedatives.
When restoring an inguinal hernia and improving the condition of the child, it is recommended to perform a planned surgical intervention. With a satisfactory condition of the child and the absence of any serious concomitant diseases, surgical treatment should not be postponed for a long time, since there is always a threat of re-infringement, which can occur less successfully. In addition, repeated infringements of inguinal hernias complicate surgical intervention in connection with the formation of tight adhesions between the hernial sac and elements of the spermatic cord.
In the absence of the effect of conservative measures for restrained inguinal hernias, surgical treatment is carried out urgently. With a long prescription of the infringement and the presence of symptoms of compression of the contents of the hernial sac, surgery is started immediately without attempted conservative treatment.
Due to the anatomical features, the operation technique for girls is somewhat simpler than for boys. With strangulated inguinal hernias during the operation, the condition of the strangulated organ (loop of the intestine, omentum, ovary) is assessed. In case of circulatory disorders in a restrained organ, a set of conservative measures is carried out aimed at restoring the viability of the latter. In the absence of effect, the necrotic organ is removed. Fortunately, this happens quite rarely: according to foreign authors, when a bowel loop is infringed, resection of a non-viable area (removal of part of an organ) is required in 1,5% of cases.
Another complication of infringement of an inguinal hernia in boys is a violation of the blood circulation of the testicle. This complication occurs in 5% of children with restrained inguinal hernias and, in cases of late diagnosis, can lead to atrophy (decrease in size and cessation of work) of the testicle.
Relapses of inguinal hernias, according to the world medical literature, account for less than 1% and most often occur in premature babies and in children with connective tissue diseases. Some authors argue that quite often recurrence of inguinal hernias occurs after emergency surgery. Thus, timely diagnosis of inguinal hernias with subsequent planned treatment can reduce the number of complications and the risk that is always present during emergency operations.
According to our observations, non-traditional methods of treating inguinal hernias (including conspiracies) not only do not lead to recovery, but also complicate subsequent surgical treatment due to the development of adhesions. The inclusion of the vas deferens in the adhesion process may lead to its closure with the development of reproductive dysfunctions. Often, the great faith of parents in the power of conspiracies and the dulling of their vigilance lead to late visits to the hospital when the hernia is injured, which is fraught with the development of these complications.
An umbilical hernia is one of the most common surgical pathologies of childhood and is found in every fifth child, and among every third in premature babies. At birth, a minimal umbilical ring defect is detected in almost every newborn. When screaming, crying, a hernial protrusion appears, which usually alarms parents. Often, parents associate a child’s anxiety with the presence of an umbilical hernia. However, cases of infringement of the umbilical hernia are extremely rare.
Umbilical hernias are prone to spontaneous closure. In this case, the size of the umbilical ring defect is important: with its diameter less than 1,5 cm, as a rule, by 3-5 years of life, the defect closes. If umbilical hernia persists after 5 years, then surgical treatment is necessary.
In the presence of a defect in the umbilical ring of large diameter, self-closing is almost impossible, which also requires surgery – possibly at an earlier age (3-4 years). Thus, umbilical hernia requires observation of the child by a pediatric surgeon to determine treatment tactics.
Practice has shown that sticking the navel, applying coins to the navel area does not give any effect and quite often cause irritation of the skin of the umbilical region.
Conservative measures aimed at closing the umbilical ring defect in children up to a year include general massage, massage of the anterior abdominal wall, laying on the stomach, and physiotherapy exercises. General massage and physiotherapy exercises are carried out by masseurs and exercise therapy doctors. Massage of the anterior abdominal wall – stroking the abdomen in a clockwise direction – can be done by any parents before each feeding, after which it is recommended that the child be laid out on the stomach for 5-10 minutes. However, with large hernias, one should not rely on these methods.
The purpose of surgery for umbilical hernia is to suture a defect in the umbilical ring. A small incision is made over the navel in the skin fold, which, along with cosmetic sutures, makes the postoperative scar almost invisible. With age, the elasticity of tissues decreases, and a small umbilical ring defect, not eliminated in childhood, turns into a large umbilical hernia in adults. Often, umbilical hernia begins to increase after childbirth in women. Umbilical hernias in adults are prone to pinching and frequent relapses. Therefore, all over the world it is customary to treat hernias of the anterior abdominal wall in childhood, preferably before school.
Umbilical hernia in newborns: causes and treatment
Umbilical hernia in newborn boys and girls occurs quite often. Often it is small, and goes by itself. But sometimes it increases in size and causes parents a lot of trouble.
This myth is surrounded by many myths; they are often created by excessively fearful parents and, of course, grandmothers. To understand the true reason for this feature of the child’s body, you need to dispel the most persistent myths about it.
Very often, parents believe that a protrusion of the navel can appear due to a cry or strong stress of the newborn. However, it is not. The problem begins to arise in the womb.
At a certain stage in the development of the fetus, its intestines develop very actively, and at some point it does not have enough space in the abdominal cavity. As a result, it goes beyond the abdomen and continues its development there. The intestine then returns back to the abdominal cavity, and the umbilical ring closes. But this does not always happen – it happens that weak abdominal muscles cannot contract, and in the region of the white line of the abdomen there remains a gap through which part of the intestine bulges.
In this case, you can observe a convex navel. So why do inexperienced parents associate the navel bulge with the cry of a baby? There is a simple explanation for this. Indeed, during a scream, cough, or constipation with strong attempts, the intestine is more noticeable, moreover, it is full of food, in contrast to the moment of birth, when the hernia is not yet visible.
Also, this problem cannot be caused by incorrect cutting of the umbilical cord or any postpartum manipulation. Very often, navel protrusion is manifested in premature babies, in which the body has not fully formed, and the abdominal muscles have not fully strengthened. Physiologically, girls have a higher risk of navel bulging than boys.
In a newborn baby, the navel can be slightly protruded. Over time, it becomes normal and does not bother the baby. However, sometimes a convex navel can talk about a hernia.
Even inexperienced parents can determine what an umbilical hernia looks like in newborns, the bulge is visible to the naked eye. As a rule, she does not hurt and does not disturb a newborn baby.
Umbilical hernia treatment in newborns
Up to three years, it is undesirable to operate the kids. Until this age, in 90-95% of cases, it disappears by itself. In Europe, they try not to do operations until six years old. Doctors say that in children at an early age not a single case of intestinal infringement was recorded, and accordingly, not a single complication was recorded. This means that an umbilical hernia in a baby cannot lead to negative consequences. Of course, there is a psychological aspect of the problem when parents see the bulge and worry about the health of the newborn baby.
Although these experiences are not supported by anything, one can understand mom and dad, because outwardly it looks like a pathology. So when do you need to treat or have surgery? Most often this is done between the ages of 5 and 7 years. If by this age the bulge has not disappeared on its own, then most likely it will no longer close. In this case, the doctor prescribes a scheduled operation.
- The operation (hernioplasty) is performed no earlier than six months of age. In childhood, it is done quickly enough and without serious consequences. Gernioplasty can be done in different ways, the surgeon chooses the most suitable method by examination. And depending on the size of the umbilical ring and other signs, the doctor makes the operation the most appropriate way.
Conservative treatment, such as gluing with a patch, does not help in this case. This method has many supporters, but they do not realize that this can harm the health of the newborn. After the patch, wounds form on the soft skin of the newborn baby, sometimes an allergic rash can go, and so on. You must understand that the patch can not affect the contraction and strengthening of the muscles of the abdomen and umbilical ring. Sometimes doctors take this measure if the baby is still undesirable to operate on, and the bulge is large enough and causes inconvenience to parents rather than to a newborn baby.
- An umbilical hernia bandage for newborns is a good way to soothe parents. The bulge of the navel is not visible, and mom and dad can safely play with a newborn baby. But it should be remembered that it is impossible to tighten the bandage too much, because any excess pressure interferes with the full blood supply of the child. Before using a bandage, consult your doctor about this.
Since we found that the convexity of the navel is a congenital defect, prevention cannot help. At an early age, the baby, when the bulge is small, doctors do not diagnose hernia. This defect is called an extension of the umbilical ring, but only if the bulge is small. Then they prescribe a therapeutic massage, which should be done by a professional, and also recommend laying the newborn baby before eating with the tummy down on a hard surface.
To learn how to treat an umbilical hernia in newborns, watch this video. In it, Dr. Komarovsky talks with a pediatric surgeon about the causes and methods of treating navel convexity.