DEFINITION

The bellybutton is this rudimentary part of the body that was supporting several vital connections between the fetus and the afterbirth of the mother during the course of the pregnancy.

When we are born all these connections close, and the function of the bellybutton ends. But sometimes the bellybutton can be a source of medical problems in newborn babies and children: masses or cysts, infections, and ruptures of the bellybutton.

The umbilical ruptures (a mass or bundle that stands out for the bellybutton) are quite common. They take place for mistakes in the muscles of the abdomen, which allow a portion of the peritoneum (revetment of the abdominal cavity) to stand out and to push the bellybutton towards out.

They can be appreciated from the birth. They are 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 ruptures that still have not closed at the age of five must be repaired surgically. For it, general anesthesia is used.

INDICATIONS

• Strangulated umbilical rupture.
• Moderate ruptures that do not close spontaneously to 4 ó 5 years of age.
• Children younger than 2 years with very big, unacceptable ruptures for the parents for esthetic reasons.

PROCEDURE

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

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.

PROGNOSIS

It is possible to wait for a fantastic result. One hopes to recover the normal activity in 2 ó 3 weeks. The long-term prognosis is ideal. In very rare cases it appeals the rupture.

RISKS AND COMPLICATIONS

• The risks of any intervention under general anesthesia (adverse reactions to the medication, respiratory problems, etc.)

• Hemorrhages.

• Infections.

COSTS

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

The costs can be ordained for groups:

• Surgeon: 240,00 to 420,00 euros.

• Anesthetist: 120,00 300,00 euros.

• Hospital expenses, including taken care of infirmary and operating theater: 240,00 to 600,00 euros.

• Medicines: 30,00 to 60,00 euros.

• Other additional expenses, if complications exist (transfusions, etc...) or analysis or Rx are realized: 60,00 to 600,00 euros.

The changeability of every case is a fact being able to be considering to be a basic cost for 600,00 euros by intervention without complications.

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