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Key Features

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  • More common in full-term, black infants than in white infants

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Clinical Findings

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  • Small bowel may incarcerate in small-diameter umbilical hernias

  • Most umbilical hernias regress spontaneously if the fascial defect has a diameter < 1 cm

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Diagnosis

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  • Clinical

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Treatment

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  • Hernias persisting after age 4 years should be treated surgically

  • Reducing the hernia and strapping the skin over the abdominal wall defect does not accelerate healing

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