Introduction: Umbilical hernia in adults poses a challenge to the surgeon. Understanding the anatomical and pathological intricacies of the hernia is pivotal in evolving a good repair. A multitude of repairs have been tried for repair of umbilical hernias. However none of them have withstood the test of time. Objective: The study aims at evolving a technique which provides mesh reinforced anato...

The aim of this study is to show our experience with umbilical hernia herniorrhaphy and laparoscopic cholecystectomy, both in the same act. During last 10 years we operated 89 patients with cholecystitis and pre-existing umbilical hernia. In 61 of them we performed standard laparoscopic cholecystectomy and additional sutures of abdominal wall, and in 28 patients we performed in the same act lap...

Umbilical hernias large enough to contain a gravid uterus are rare. We report a case of a woman with prolapse of a gravid uterus through a previously repaired umbilical hernia. Our plans for elective surgery with caesarean section and hernia repair were foiled by poor compliance. The hernia was repaired during an emergency caesarean section. We provide details of her management and briefly revi...

Umbilical endometriosis is a rare condition, usually following laparoscopic and surgical procedures involving the umbilicus.Spontaneous umbilical endometriosis occurring without any previous abdominal or uterine surgery is extremely rare. The maximal depth of penetration of the umbilical endometriosis described is up to fascial level. There have been only two cases of endometriosis reported ari...

INTRODUCTION An umbilical mass can be the first symptom of an intra-abdominal neoplasia, and this condition is also defined as Sister Mary Joseph Syndrome. CASE PRESENTATION An eighty-year-old patient presented with a complicated umbilical hernia. CT scan abdomen revealed a pancreatic neoplasm and an umbilical biopsy confirmed diagnosis of metastasis. Patient started chemotherapy by Oncologis...

Umbilical and Para umbilical hernia are frequently encountered in surgical practice & account for 10-12% of abdominal wall hernias. 1 Obesity & multiparity are the most important pre disposing factors. 1,12 It has known to occur since biblical times. Umbilical hernia repair has been reported by Celeus in the 1 st century, William Cheselden in 1740. William Mayo’s in 1901 described the classical...

Umbilical herniation is common in patients with liver cirrhosis and ascites. Rarely, they suffer from incarceration and strangulation of the umbilical hernia after treatment of ascites. We report 3 cases of umbilical hernia incarceration following removal of massive ascites with different treatment modalities. Physicians managing this group of patients should be aware of this rare and potential...

We present a retrospective study of 40 consecutive patients admitted with umbilical herniae to Mpilo Central Hospital between January 1990 and December 1993. The majority of the patients 95 pc (38/40) were children and only 5 pc (2/40) were adults. The study included 18 males and 22 females giving a M:F ratio of 1:1,2. In children the age range was from 1 month to 13 years with 63 pc (24/38) oc...

OBJECTIVE To investigate the "intra-umbilical incision", a smaller incision compared to classic incisions, in cases of umbilical hernia, and which we believe will contribute to patient satisfaction in aesthetic terms, and also the practicability of such operations. MATERIALS AND METHODS The umbilical margins of eight patients with an umbilical hernia were marked between the levels of 6 and 12...

BACKGROUND The purpose of this study was to determine the rate of surgical site infection for open elective umbilical hernia repairs and to identify the factors related to an increased risk of infection and/or recurrence. METHODS A retrospective analysis of 152 open elective umbilical hernia repairs between 2003 and 2007 was performed. RESULTS Overall, 19% of repairs became infected. Both h...