Mar 18, 2012

Umbilical hernia in children


   Introduction: Umbilical hernias in children result from a weakness in the abdominal wall that is present at birth. 


Clinical Presentation: Generally, Parents notice a bulge at the umbilicus,which increases in size as the child cries, strains, coughs.It reduces spontaneously when the child goes to sleep or clam down.

Investigations: Its clinical diagnosis & does not require any further test if there are no other signs.


Treatment: 1. Reassurance- If the child is less than 2 years, small defect & no h/o irreducibility then just reassurance is needed (90% of umbilical hernia resolute spontaneously)
2. Indications for surgical repair-1. Age is more than 2 years 2. The defect is more than 1.5 cm.3.If there is h/o irreducibility or obstruction.

1 comments:

James Bostrom said...

http://www.youtube.com/watch?v=ysFiW26MHfQ&feature=player_embedded#t=0s
http://www.youtube.com/watch?v=BfSOmij8tfk&feature=youtu.be
Over the past year, CCSVI Clinic and its researchers and specialists have been studying the Combination venoplasty/autologous stem cell infusion protocol developed by Regenetek Cellular Technologies with the collaboration of outside labs and bioproducts manufacturers. As laboratory techniques gain ever-increasing sophistication based on new scientific methodologies for enhancing somatic cells into preferred lineages in vitro, the therapeutic outcomes for patients with neurological disorders have also been improving. Deb O’Connell who was treated at the Clinic in mid-September, 2012 recovered so quickly from her serious long-term degenerative disease condition that she experienced a wave of improvements while still in the hospital.
It’s a matter of medical record that Deb had been wheelchair bound for 10 years (completely non-ambulatory) with multiple co-morbidities when she entered the program on September 9; she was 9.5 on the EDSS scale as assessed by a neurologist, was down to 80 lbs in body weight, could not breathe effectively, speak, or take in food by mouth due to dysphagia. Her pain was chronic and significant. When she left the Clinic on September 24th , she walked out of the doors and into a waiting van to go to the airport. At the time of her discharge from the Clinic, she could breathe normally, effectively speak once again, eat any types of food she desired and her pain had all but disappeared. At the time of this writing she is back home in Canada and reports that she continues to recover (especially her contractured hands), shows no signs of new disease symptoms, and has gained 18 lbs since her therapies, less than 3 weeks ago. She has now begun a regular physiotherapy program and is gaining walking strength and balance. The recapitulation of the course of her disease (MS) within days, provides evidence that the in vitro requirement of cell pluripotency has correctly been identified with respect to adult cell source origin, time, and manipulation in culture. http://www.ccsviclinic.ca/?p=1084
http://www.youtube.com/watch?v=ysFiW26MHfQ&feature=player_embedded#t=0s
http://www.youtube.com/watch?v=BfSOmij8tfk&feature=youtu.be