Adhesive strapping used in Nonoperative management for umbil
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The aim of this study was to evaluate the efficacy of adhesive strapping (AS) for umbilical hernia (UH) in infants.

A retrospective review of 30 mature infants without any treatment for UH and 87 infants (42 mature and 45 premature) who were treated with AS was conducted. The rate and age of closure of UH were compared between the groups and the complications and limitations of AS were evaluated.

Results:
--In the observation only group, 24 UHs spontaneously closed at a mean age of 13.5 months, but a protruding umbilicus with redundant skin was present in three of 27 infants.

--3 infants had persistent UH, so a total of 6 infants, including the 3 with redundant skin and 3 with persistent UH, underwent surgery at the mean age of 30.0 months.

--In the AS group, 72 UHs were cured at a mean age of 4.3 months, which was significantly earlier than in the observation only group.

--11 infants did not continue AS because of skin irritation or discomfort. 4 infants underwent repair due to persistent UH, but not for redundant skin of the umbilicus.

In conclusion, adhesive strapping is successful in encouraging the early resolution of UH in infants and preventing the formation of redundant skin, which may minimize the need for surgery. Researchers suggest using this strategy until the UH grows wide in order to get better results with AS.

Source: https://onlinelibrary.wiley.com/doi/10.1111/ped.14466?af=R
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