Paraumbilical hernia in children
Paraumbilical hernia is called a conditionthe human body, in which such internal organs as the intestinal loops, fatty tissue, epiploon, peritoneum extend into the region of the umbilical ring. This disease often occurs in childhood, or in older people. Para-umbilical hernia is rarely diagnosed.
There are a number of factors that are the cause of its appearance. Here are some of them:
- Great physical stress on the human body.
- Such pathological disorders as constipation. Or other diseases of the intestine.
- Cough of a chronic nature.
- Excess weight, obesity.
- Operative intervention in the human body.
- Injuries of the umbilical zone.
If we talk about children, then such an ailment asparaumbulical hernia is an innate feature of the body. This is due to the incorrect formation of aponeurosis. In case the child constantly screams, then there is a risk of parumabolic 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 isknown and studied medicine, no preventive measures have been identified, which, if implemented, 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:
- experiencing physical limitations;
- there are risks of new complications in the body.
The nature of the
There are several manifestations of a hernia in the body:
- Hernia can have a hostile character. At birth, the child has a ball-shaped protrusion. It is localized in the place of the umbilical cord.
- The hernia also has an acquired character. It appears in the body under the influence of external factors that contribute to its occurrence.
Also divided into direct and oblique.
If the parumumbalic hernia is straight, then the patienta transverse fascia is observed. 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 region between the fascia and the white line of the abdomen. Then comes out to the subcutaneous tissue directly through the umbilical ring.
In addition, hernias are subdivided into guidedand uncontrollable. 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?
Paraumbical hernia in children is characterized bya 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 the human body is presenthernia, 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 is also a statistic that a hernia appears in women at the age of thirty. Diagnose the following characteristics:
- The size.
- How much the hernia is expressed.
- Whether there are spikes or not.
- Possible complications.
In the case of complications,inflammatory process, the patient is experiencing an increase in body temperature and pain. For the treatment of a hernia with complications, operative intervention in the human body is used.
If no special measures are taken, necrosis may occur.
Sometimes, if a person has a paraumbilical hernia,the operation is done. You should be aware that the surgical method is not applicable to 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 adult age, treatment throughmassage and gymnastics will not have the desired effect on the body. Complications can 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 adultperson, then, as a rule, he is assigned surgical intervention. Before the patient is admitted to the hospital, where he undergoes a special examination.
- 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.
- With the help of an X-ray, it is determined which inner organ of a person is located in the hernial sac.
- 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, a person must donate blood and urine for laboratory testing. This is necessary in order to exclude the inflammatory processes in the body.
Hernia removal by surgicalinterference is called hernioplasty. The essence of the operation is that the patient is sutured with a hernia gates. This is done using natural body tissues or special nets, which are made of synthetic materials.
In the case when during surgery inan implant is used, then a 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 associated with 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 personthere were suspicions that there was a hernia in his body, then he should, as soon as possible, go to a medical institution. 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:
- The period of bearing a child by a woman.
- The condition of the patient's body, namely, the presence of diseases in which it is impossible to do operations.
- Age restrictions.
- Exacerbations of any pathologies.
In this case, people are assigned to wear a bandage and a restriction on physical exertion. Thus, measures are being taken to avoid pinching.
What is the code for ICD-10 in paraumbilical hernia?
ICD-10 is a normative accounting documentdiseases 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 oftenis diagnosed. In the opinion of the famous doctor Komarovsky, if a child finds it, 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.