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SURGERY OF THE UMBILICAL RUPTURE
DEFINITION DESCRIPTION INDICATIONS EXPECTATIONS CONVALESCENCE RISKS I FOUND IT HARD TO SEE TO CONSULT

DEFINITION

It is the surgery that is used to repair an umbilical rupture, which is a mass or bundle that stands out for the bellybutton.

DESCRIPTION

General anesthesia is used. By means of a curved incision that is done under the bellybutton it is explored and identifies the mass. Later it is dissected (separates) of the underlying textiles and is cut or gets towards his normal position into the abdomen.

On having ended, the textiles close with not absorbable, very strong sutures. The rims of the skin sometimes close with adhesive strips.

From this form it is possible to conceal the scar in the umbilical depression.

INDICATIONS

The umbilical ruptures are quite common.

They can be appreciated from the birth and take place for mistakes in the abdominal muscles that allow a portion of the peritoneum (revetment of the abdominal cavity) to stand out and to push the bellybutton towards out.

This is more obvious when the baby cries since, on having increased the pressure, the bundle is easier to see.

Not always it is necessary to produce this problem.

In most cases, about 3 years the rupture diminishes and it usually close without treatment.

The indications of the intervention are:
  • Strangulated umbilical rupture.
  • Moderate ruptures that do not close spontaneously 4 or 5 years after age.
  • Children younger than 2 years with very big, unacceptable ruptures for the parents for esthetic reasons.

EXPECTATIONS AFTER THE SURGERY

It is possible to wait for a fantastic result. The long-term prognosis is ideal.

In very rare cases it appeals the rupture.

CONVALESCENCE

Most of the interventions of umbilical rupture are done in ambulatory patients.

After the surgery, the vital constants of the child are controlled for some hours and it is discharged by the necessary medication to control the pain.

The parents are educated in the way of taking care of the incision in his house, being careful of not wetting or dampening the stitches for 1 week (care with the baths), must wash itself with humid sponge.

One hopes to recover the normal activity in 2 ó 3 weeks.

RISKS

The risks of any intervention under anesthesia:

  • Reactions to the medication.
  • Respiratory problems.
  • Hemorrhages.
  • Infections

COST

The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country.

If the indication happens in small children the care must be more exhaustive.

The costs can be ordained for groups:

  • Surgeon: 450,76 to 1.202,00 euros.
  • Anesthetist: 120,20 to 300,51 euros.
  • Hospital expenses, including taken care of infirmary and operating theater: 300,51 to 1.202,00 euros.
  • Medicines: 30,05 to 180,30 euros.
  • Other additional expenses, if complications exist (transfusions, etc...) or analysis or Rx are realized: 120,20 to 901,52 euros.

The changeability of every case is a fact being able to be considering to be a basic cost for 1.081,82 euros by intervention without complications.

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Writing: Medical equipment   Update: June, 2009
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