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Umbilical hernia: Influence of adhesive strapping on outcome
Author(s) -
Hayashida Makoto,
Shimozono Takashi,
Meiri Satoru,
Kurogi Jun,
Yamashita Naoto,
Ifuku Toshinobu,
Yamamura Yoshiko,
Tanaka Etsuko,
Ishii Shigeki,
Shimonodan Hidemi,
Mihara Yuka,
Kono Keiichiro,
Nakatani Keigo,
Nishiguchi Toshihiro
Publication year - 2017
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13406
Subject(s) - strapping , medicine , umbilical hernia , adhesive , hernia , surgery , mechanical engineering , chemistry , organic chemistry , layer (electronics) , engineering
Abstract Background Adhesive strapping for umbilical hernia has been re‐evaluated as a promising treatment. We evaluated the influence of adhesive strapping on the outcome of umbilical hernia. Methods We retrospectively evaluated patients with umbilical hernia referred to the present institution from April 2011 to December 2015. Patients who were treated with adhesive strapping were compared with an observation alone group. The adhesive strapping group was also subdivided into two groups: the cure group and the treatment failure group. Results A total of 212 patients with umbilical hernia were referred to the present institution. Eighty‐nine patients were treated with adhesive strapping, while 27 had observation only. The cure rate in the adhesive strapping group was significantly higher than that in the observation group. The duration of treatment of the adhesive strapping group was significantly shorter than that of the observation group. In the adhesive strapping group, the patients in the cure group were treated significantly earlier than those in the treatment failure group ( P < 0.001). Furthermore, even in cases of umbilical hernia non‐closure, surgical repair was easier after adhesive strapping. Conclusion Adhesive strapping represents a promising treatment for umbilical hernia. To achieve the best results, adhesive strapping should be initiated as early as possible.