Is the term 'paraumbilical' hernia redundant ? If a defect is present within the umbilicus, its termed''umbilical' hernia. Any other defect anywhere else on the anterior abdominal wall is called 'ventral' hernia.
Paraumbilical' hernia, present immediately adjacent to umbilical scar, no normal tissue interval present between the defect and the umbilical scar, This hernia distort the shape of umbilical ring.
It represents a wall defect that is adjacent to umbilicus and blooms into the linea alba between a real umbilical site and an epigastric hernia site. Take a moment to view the EHS abdominal wall hernia classification
Paraumbilical hernia is herniation through the linea alba close to the umbilicus (from 3 cm above till 3 cm below the umbilicus)
Risk factors:
- Female
- Pregnancy
- Ascites
- Increased abdominal pressure
- Obesity
Dear Dr. Alawad, Thanks for your response.
Umbilical hernias occur through congenital defects (which are likely caused by weakness due to umbilical cord insertion) in the umbilicus. Are the paraumbilical hernia defects congenital in origin even though they are present 3 cm away from the umbilicus ?
Dear Dr.Vaquez,
Thanks for your input. I looked at the EHS abdominal wall hernia classification, but it does not mention the term 'paraumbilical' hernia anywhere
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