Umbilical cyst surgery in a child: When should it be performed?

The article was consulted professionally by Master, Dr. Le Phuc Lien – Doctor of Urology – General Surgery Department – Share99 Nha Trang International Hospital.

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Children with diseases caused by the existence of umbilical canals are at increased risk for inflammatory diseases, lesions that develop malignanc if not treated early.

1. Pathology exists in the umbilical canal in babies

The umbilical canal is derived from the urogenital sinuses, which is a middle canal structure that extends upwards from the pre-bladder arch to the navel, which is formed during the fetal period. The umbilical canal is usually closed and fibrosis into the pre-birth umbilical cord-bladder ligament. Without post-birth degeneration, the existence of the umbilical canal will cause a number of conditions such as:

umbilical ureter

Umbilical canal extends from the pre-bladder arch up to the navel
  • Open umbilical canal (patent urachus, some otherwise known as "umbilical-bladder examination): accounts for about 50% of cases of the disease that exists in the umbilical canal. The disease occurs when there is a complete or part of the umbilical canal that creates communication between the navel and the bladder. Children have urine coming out of the navel, when they press gently on the hypoxia with their hands, they cry or cough, the urine flows more. When pumping methylene blue solution into the bladder, the solution in the navel will be blue. On the contrary, if the methylene blue solution is pumped into the fistula in the navel, the young urine is blue. Perform fluid tests in the navel that show the essence of the fluid is urine.
  • Umbilical follicle (urachal cyst): Occurs because the umbilical canal is sealed on both sides, the fluid is stagnant in the middle segment and forms the cyst. Umbilical cysts account for 30% of cases of pathology that exist umbilical canals. The cyst usually does not have a clear mechanical manifestation, when palpation of the abdomen can detect a cystic, stretched, soft, located just below the navel. However, regular examinations cannot distinguish the umbilical cord cyst from a subvelal intestinal cyst.
  • Umbilical-urachal sinus: The umbilical canal exists partly towards the abdominal wall, which is associated with the navel. Umbilical canal sinuses account for 15% of cases of umbilical canal pathology.
  • Umbilical bladder diverticulum diverticulum (vesica urachal diverticulum, 5%): occurs when the umbilical cord is sealed under the navel but still clears on the bladder side. Children with the disease often have no clinical symptoms, a small number of children may become infected by urine stagnation. In the past when imaging techniques were ret yet to develop, umbilical bladder bladder disease was rarely detected.

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Instructions for cleaning the navel for babies

2. Umbilical cyst surgery in babies: when should it be performed?

In the conditions in which the umbilical canal exists in a child, only open umbilical canal disease (umbilical-bladder retency) is that there is urine discharge in the navel and is detected in the newborn stage. The remaining pathology has unclear clinical symptoms, the diagnosis must rely on imaging techniques. Asymptotic conditions are often detected in adulthood, when these conditions have a bacterial infection that spreads along the middle line around the lower abdomen, a subframe infection,… causes symptoms of abdominal pain under the navel, high fever, chills,… Patients will be diagnosed with definitive diagnosis after performing imaging techniques such as ultrasound, CT,…

resym resonance imaging

Identification of diseases in newborns by imaging techniques

Diseases that exist umbilical canals in children without early treatment pose a great risk to health. Children are susceptible to bacterial infections, bacterial sugars can be blood sugar, lymphatic or bladder. If not treated for long periods of time, the lesions are at risk of degenerating into melanoma as adults. In addition to those diagnosed with open umbilical canal disease at birth. Other children who regularly have abnormal symptoms of the umbilical cord and under the navel, parents should take the child to medical facilities with sufficient technical means for thorough examination, perform subclinical techniques to diagnose the disease, treat it in a timely manner.

Umbilical cysts in newborns and other conditions due to the existence of umbilical canals after a definitive diagnosis require early surgery. Early treatment at an early age is usually simple, highly effective, limiting the risk of inflammation. However, the conditions that exist in the umbilical canal are not a disease that requires emergency surgery, therefore, when the newborn is too young, too weak or suffering from another chronic pathology, the operation may be delayed. Delayed surgery for a short period of time will not affect the child's health much. In open umbilical canal disease, the navel frequently has a urine leak, parents must regularly wipe the umbilical cord for the child to avoid inflammation.

Umbilical cyst surgery in a child is performed as follows:

  • Before surgery the child should be treated with antibiotics if there is an umbilical infection.
  • Surgery is performed under anesthesia.
  • The doctor conducts an incision of the skin of the arc under the navel, dissects the skin and organizes to reveal the urinary-umbilical canal, removes the lesions of the umbilical canal, stitches the bottom of the bladder.
  • Heal, close incisions, bandage incisions.

Health Hubization period is usually from 1-3 days. During the hospitalization, the child will be closely monitored for early detection and timely treatment of complications such as bleeding, incision infections, post-surgery intestinal obstruction,…

Resident doctor Le Phuc Lien has more than 12 years of experience in the field of urology and intensive urology, successfully implementing many high techniques such as urological endoscopy, female urology, urogenital, nervous bladder. Currently, he is a Doctor of Urology at General Surgery Department, Share99 Nha Trang International Health Hub.

To register for examination and treatment at Share99 International Health Hub, you can contact Share99 Health System nationwide, or register for an online examination HERE.

SEE MORE:

  • Slow umbilical cord cutting or harm to the child?
  • Fetal failure caused by knotted umbilical cord – What should you do to save the fetus?
  • What is a slow umbilical clip for?
SEE MORE:

  • Learn about fistula surgery, umbilical canal cyst, umbilical cord
  • Infant umbilical cord bleeding: Why?
  • One-artery umbilical cord: Causes and notes in pregnancy

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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