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Umbilical hernia with gangrene

MedGen UID:
510189
•Concept ID:
C0156119
•
Disease or Syndrome
Synonym: Gangrenous Umbilical Hernia
SNOMED CT: Umbilical hernia with gangrene (67508005)

Definition

A protrusion of necrotic tissue through the abdominal wall under the skin near the umbilicus. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUmbilical hernia with gangrene

Recent clinical studies

Etiology

Chances of Mortality Are 3.5-Times Greater in Elderly Patients with Umbilical Hernia Than in Adult Patients: An Analysis of 21,242 Patients.
Patel S, Smiley A, Feingold C, Khandehroo B, Kajmolli A, Latifi R
Int J Environ Res Public Health 2022 Aug 21;19(16) doi: 10.3390/ijerph191610402. PMID: 36012037Free PMC Article
It's not just an ileus: disparities associated with ileus following ventral hernia repair.
Lee MJ, Sugiyama G, Alfonso A, Coppa GF, Chung PJ
Hernia 2021 Aug;25(4):1021-1026. Epub 2020 Nov 19 doi: 10.1007/s10029-020-02339-8. PMID: 33211208
Age-Dependent Costs and Complications in Pediatric Umbilical Hernia Repair.
Kohler JE, Cartmill RS, Yang DY, Fernandes-Taylor S, Greenberg CC
J Pediatr 2020 Nov;226:236-239. Epub 2020 Jul 3 doi: 10.1016/j.jpeds.2020.07.008. PMID: 32629008
Delay in emergency hernia surgery is associated with worse outcomes.
Leeds IL, Jones C, DiBrito SR, Sakran JV, Haut ER, Kent AJ
Surg Endosc 2020 Oct;34(10):4562-4573. Epub 2019 Nov 18 doi: 10.1007/s00464-019-07245-4. PMID: 31741158Free PMC Article
Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results.
Pandey H, Thakur DS, Somashekar U, Kothari R, Agarwal P, Sharma D
Hernia 2018 Dec;22(6):1045-1050. Epub 2018 Aug 25 doi: 10.1007/s10029-018-1811-3. PMID: 30145621

Diagnosis

Cellulitis due to adhesive strapping for umbilical hernias.
Sakurai T, Ikeda M, Nakamura M, Watanabe T, Endo N
Pediatr Int 2022 Jan;64(1):e15223. doi: 10.1111/ped.15223. PMID: 35831263
It's not just an ileus: disparities associated with ileus following ventral hernia repair.
Lee MJ, Sugiyama G, Alfonso A, Coppa GF, Chung PJ
Hernia 2021 Aug;25(4):1021-1026. Epub 2020 Nov 19 doi: 10.1007/s10029-020-02339-8. PMID: 33211208
Delay in emergency hernia surgery is associated with worse outcomes.
Leeds IL, Jones C, DiBrito SR, Sakran JV, Haut ER, Kent AJ
Surg Endosc 2020 Oct;34(10):4562-4573. Epub 2019 Nov 18 doi: 10.1007/s00464-019-07245-4. PMID: 31741158Free PMC Article
Rare presentation of granulomatosis with polyangiitis.
Hines A, Bello V, Iftikhar A, Zein H
BMJ Case Rep 2019 Feb 22;12(2) doi: 10.1136/bcr-2018-227218. PMID: 30798274Free PMC Article
Incarcerated hernia.
Hjaltason E
Acta Chir Scand 1981;147(4):263-7. PMID: 7324753

Therapy

It's not just an ileus: disparities associated with ileus following ventral hernia repair.
Lee MJ, Sugiyama G, Alfonso A, Coppa GF, Chung PJ
Hernia 2021 Aug;25(4):1021-1026. Epub 2020 Nov 19 doi: 10.1007/s10029-020-02339-8. PMID: 33211208
Age-Dependent Costs and Complications in Pediatric Umbilical Hernia Repair.
Kohler JE, Cartmill RS, Yang DY, Fernandes-Taylor S, Greenberg CC
J Pediatr 2020 Nov;226:236-239. Epub 2020 Jul 3 doi: 10.1016/j.jpeds.2020.07.008. PMID: 32629008
Delay in emergency hernia surgery is associated with worse outcomes.
Leeds IL, Jones C, DiBrito SR, Sakran JV, Haut ER, Kent AJ
Surg Endosc 2020 Oct;34(10):4562-4573. Epub 2019 Nov 18 doi: 10.1007/s00464-019-07245-4. PMID: 31741158Free PMC Article
Rare presentation of granulomatosis with polyangiitis.
Hines A, Bello V, Iftikhar A, Zein H
BMJ Case Rep 2019 Feb 22;12(2) doi: 10.1136/bcr-2018-227218. PMID: 30798274Free PMC Article
National variation in opioid prescribing after pediatric umbilical hernia repair.
Cartmill RS, Yang DY, Fernandes-Taylor S, Kohler JE
Surgery 2019 Apr;165(4):838-842. Epub 2018 Dec 1 doi: 10.1016/j.surg.2018.10.029. PMID: 30509750

Prognosis

Chances of Mortality Are 3.5-Times Greater in Elderly Patients with Umbilical Hernia Than in Adult Patients: An Analysis of 21,242 Patients.
Patel S, Smiley A, Feingold C, Khandehroo B, Kajmolli A, Latifi R
Int J Environ Res Public Health 2022 Aug 21;19(16) doi: 10.3390/ijerph191610402. PMID: 36012037Free PMC Article
Rare presentation of granulomatosis with polyangiitis.
Hines A, Bello V, Iftikhar A, Zein H
BMJ Case Rep 2019 Feb 22;12(2) doi: 10.1136/bcr-2018-227218. PMID: 30798274Free PMC Article
National variation in opioid prescribing after pediatric umbilical hernia repair.
Cartmill RS, Yang DY, Fernandes-Taylor S, Kohler JE
Surgery 2019 Apr;165(4):838-842. Epub 2018 Dec 1 doi: 10.1016/j.surg.2018.10.029. PMID: 30509750
Lack of Insurance is Associated With Increased Risk for Hernia Complications.
London JA, Utter GH, Sena MJ, Chen SL, Romano PS
Ann Surg 2009 Aug;250(2):331-7. doi: 10.1097/SLA.0b013e3181ae9d27. PMID: 19638917
Incarcerated hernia.
Hjaltason E
Acta Chir Scand 1981;147(4):263-7. PMID: 7324753

Clinical prediction guides

Chances of Mortality Are 3.5-Times Greater in Elderly Patients with Umbilical Hernia Than in Adult Patients: An Analysis of 21,242 Patients.
Patel S, Smiley A, Feingold C, Khandehroo B, Kajmolli A, Latifi R
Int J Environ Res Public Health 2022 Aug 21;19(16) doi: 10.3390/ijerph191610402. PMID: 36012037Free PMC Article
It's not just an ileus: disparities associated with ileus following ventral hernia repair.
Lee MJ, Sugiyama G, Alfonso A, Coppa GF, Chung PJ
Hernia 2021 Aug;25(4):1021-1026. Epub 2020 Nov 19 doi: 10.1007/s10029-020-02339-8. PMID: 33211208
Delay in emergency hernia surgery is associated with worse outcomes.
Leeds IL, Jones C, DiBrito SR, Sakran JV, Haut ER, Kent AJ
Surg Endosc 2020 Oct;34(10):4562-4573. Epub 2019 Nov 18 doi: 10.1007/s00464-019-07245-4. PMID: 31741158Free PMC Article
Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results.
Pandey H, Thakur DS, Somashekar U, Kothari R, Agarwal P, Sharma D
Hernia 2018 Dec;22(6):1045-1050. Epub 2018 Aug 25 doi: 10.1007/s10029-018-1811-3. PMID: 30145621
Incarcerated umbilical hernia in children.
Chirdan LB, Uba AF, Kidmas AT
Eur J Pediatr Surg 2006 Feb;16(1):45-8. doi: 10.1055/s-2006-923792. PMID: 16544226

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