Abdominal wall defects

  1. Epigastric Hernia: Reducible swelling on abdomen any where in midline above umbilicus. It will gradually increase in size. Though it is not problematic initially, it will be pain full and will be problematic with time.

Treatment: Surgical.

  1. Umbilical hernia: Congenital hernia (reducible swelling) through umbilicus.  It becomes more prominent when the child cries. Most of the umbilical hernia do not need any treatment; they are cured naturally within 5-6 years of life. If they persist or become problematic, they must be treated by surgery.
  2. Para umbilical hernia: Hernia (reducible swelling) around the umbilicus.  Usually it appears when the child cries. Treatment is surgery.
  3. Inguinal Hernia: Hernia (reducible swelling) at inguinal region.  Usually it appears when the child cries. Treatment is emergency surgery, otherwise it may become life threatening at any time.
  4. Exomphalous: Congenital defects in umbilicus. Some may need emergency surgery.
  5. Gastroschrisis: Congenital defect in umbilicus, through which abdominal organs come out. This is a life threatening condition. Child may not survive. Treatment is emergency surgery.
  6. Bladder exstrophy-Epispadias complex:

Congenital defect of urinary bladder and lower abdomen, with or without genital defect. Anterior wall of urinary bladder and lower abdominal wall was not formed. As a result urinary bladder exposed and urine always comes out. There may be associated external genital problems. These patients are socially unacceptable for their foul smell of urine. Their conjugal life will be hampered also. Preferable treatment is surgical correction within 48 hours of life.