{"id":2826,"date":"2018-08-01T09:11:00","date_gmt":"2018-08-01T09:11:00","guid":{"rendered":"https:\/\/riberasalud.com\/povisa\/2018\/08\/01\/causas-tipos-y-cirugia-de-hernias-umbilicales\/"},"modified":"2018-08-01T09:11:00","modified_gmt":"2018-08-01T09:11:00","slug":"causas-tipos-y-cirugia-de-hernias-umbilicales","status":"publish","type":"post","link":"https:\/\/riberasalud.com\/povisa\/causas-tipos-y-cirugia-de-hernias-umbilicales\/","title":{"rendered":"Causas, tipos y cirug\u00eda de hernias umbilicales","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

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\u00abLa hernia umbilical<\/b> es relativamente frecuente tanto en la infancia como en la edad adulta, constituyendo aproximadamente un 10 % de todas las hernias\u201d, comenta Antonio Climent, jefe de Cirug\u00eda General de Povisa, quien explica en este art\u00edculo los datos fundamentales sobre las hernias umbilicales.<\/div>\n

Para quien lo desconozca, \u00bfqu\u00e9 son las hernias umbilicales? \u00bfCu\u00e1les son las causas que la producen?<\/span><\/h3>\n
Por definici\u00f3n, la hernia es la protrusi\u00f3n de un \u00f3rgano a trav\u00e9s de una abertura de la pared de la cavidad que lo contiene. En la pared abdominal uno de los puntos d\u00e9biles es la zona umbilical, donde las capas mas profundas de la pared abdominal, aponeurosis y fascias, no est\u00e1n apoyadas en m\u00fasculo, por lo que la presi\u00f3n intraabdominal no encuentra resistencia y se forman las hernias umbilicales <\/b>(hernia en el ombligo).<\/div>\n

Tipos de hernias umbilicales:<\/span><\/h3>\n
Podr\u00edamos diferenciar dos tipos: las hernias cong\u00e9nitas<\/b>, desde el nacimiento, ya que al nacer el ombligo aparece como una perdida de sustancia de la l\u00ednea media del abdomen que se cierra por la cicatrizaci\u00f3n debido a la trombosis de los vasos umbilicales. El cierre depende del tama\u00f1o del anillo umbilical y dura hasta varios a\u00f1os. Los anillos inferiores a 1,5 cms quedan cerrados antes de los cuatro a\u00f1os; y las hernias del adulto<\/b>, en las que el ombligo es una cicatriz expuesta al aumento de presi\u00f3n intraabdominal, tracci\u00f3n de los m\u00fasculos abdominales y al propio deterioro del tejido conjuntivo inherente a la edad. Son relativamente frecuentes, tanto en la infancia como en la edad adulta, constituyendo aproximadamente un 10 % de todas las hernias.<\/div>\n

\u00bfEn qu\u00e9 casos deben operarse las hernias umbilicales?<\/span><\/h3>\n
En general todas las hernias umbilicales en los adultos deben ser operadas por el potencial riesgo de incarceraci\u00f3n y estrangulaci\u00f3n, especialmente indicado en personas obesas con anillo herniario estrecho, cirr\u00f3ticos y personas sometidas a di\u00e1lisis peritoneal. Si bien aquellas hernias umbilicales asintom\u00e1ticas<\/b> de peque\u00f1o tama\u00f1o apenas reconocibles a la exploraci\u00f3n no deben operarse.<\/div>\n
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Las de la infancia deben considerarse, en principio, como un proceso pasajero, ya que la mayor\u00eda se cierran antes de los 4 a\u00f1os.<\/div>\n

\u00bfCu\u00e1l es el proceso quir\u00fargico para tratarla?<\/span><\/h3>\n
Aunque existen numerosas t\u00e9cnicas de reparaci\u00f3n herniario y con controvertidos resultados podemos asegurar que las hernias con anillo herniario inferior a 2-3 cms se puede cerrar primariamente, con sutura, de forma transversal, en caso de mayor tama\u00f1o deben emplearse mallas<\/b>para evitar la tensi\u00f3n que originaria cerrarla de forma primaria.<\/div>\n

\u00bfCu\u00e1l es el uso de la malla quir\u00fargica para hernia umbilical? \u00bfSe revisan peri\u00f3dicamente?<\/span><\/h3>\n
El fundamento del uso de la malla es evitar la tensi\u00f3n que se origina cuando se cierra de forma primaria un defecto demasiado grande en la pared abdominal, adem\u00e1s de que las mallas son el andamiaje perfecto para que el tejido de cicatrizaci\u00f3n crezca a trav\u00e9s de ellas formando una pared resistente.<\/span><\/div>\n
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Tras la intervenci\u00f3n quir\u00fargica, salvo que se est\u00e9 realizando alg\u00fan estudio sobre determinada t\u00e9cnica quir\u00fargica, se suelen revisar al cabo de un mes<\/b> aproximadamente d\u00e1ndose recomendaciones para la incorporaci\u00f3n a la vida normal de cada paciente.<\/div>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

\u00abLa hernia umbilical es relativamente frecuente tanto en la infancia como en la edad adulta, constituyendo aproximadamente un 10 % de todas las hernias\u201d, comenta Antonio Climent, jefe de Cirug\u00eda General de Povisa, quien explica en este art\u00edculo los datos fundamentales sobre las hernias umbilicales. Para quien lo desconozca, \u00bfqu\u00e9 son las hernias umbilicales? \u00bfCu\u00e1les … Leer m\u00e1s<\/a><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[233,245],"tags":[],"class_list":["post-2826","post","type-post","status-publish","format-standard","hentry","category-cirugia-general","category-operacion-de-hernia"],"yoast_head":"\n\u25b7 Causas, tipos y cirug\u00eda de hernias umbilicales | Hospital Ribera Povisa<\/title>\n<meta name=\"description\" content=\"lll\u1405 Normal 0 false 21 false false false ES-TRAD JA 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