What hernia goes away on its own? скачать в хорошем качестве

What hernia goes away on its own?

What is an Umbilical Hernia? An umbilical hernia occurs when a portion of the intestine or fatty tissue protrudes through a weak spot in the abdominal muscles near the navel (umbilicus). Common in infants, this condition often appears as a soft bulge under the skin, especially when the child cries, coughs, or strains. According to the American Academy of Pediatrics, umbilical hernias are prevalent in newborns, affecting about 10-20% of infants, particularly those born prematurely or with low birth weight. Why Do They Resolve Spontaneously? In most cases, umbilical hernias in children close naturally by age five without surgical intervention. The science behind this lies in the development of the abdominal wall. At birth, the umbilical ring (where the umbilical cord passed through) may remain open or weak. As the child grows, the abdominal muscles strengthen, and the fascial ring around the umbilicus gradually closes. This natural closure is driven by the deposition of collagen and the strengthening of connective tissues, reducing the defect size. A study in Pediatrics (2008) by Brandt et al. found that 83-95% of umbilical hernias in infants resolve spontaneously by age 4-5 years, especially if the defect is smaller than 1.5 cm. Factors Influencing Spontaneous Closure • Size of the Defect: Smaller hernias (less than 1 cm) are more likely to close on their own. • Age: The likelihood of spontaneous resolution decreases after age 5, but some cases resolve later. • Health Conditions: Premature infants or those with conditions like Down syndrome may have delayed closure due to weaker connective tissues.Per a 2017 study in Journal of Pediatric Surgery by Hall et al., defects larger than 2 cm or those persisting beyond age 5 often require surgical repair due to lower chances of spontaneous closure. When to Seek Medical Attention? While most umbilical hernias resolve without treatment, parents should monitor for complications like incarceration (trapped intestine) or strangulation (compromised blood supply), though these are rare (less than 1% of cases, per Pediatric Surgery International, 2015). Consult a pediatrician if the hernia becomes painful, discolored, or irreducible.