BACKGROUND: Most @entity14147 spontaneously close by 3-5 years of age; therefore, surgical repair is only considered in @entity1 whose hernias have not closed by this point. At present, adhesive strapping is not the preferred treatment for @entity14147 because of the lack of supporting evidence regarding its efficacy and its association with @entity9665 . This study aimed to examine umbilical @entity547 closure using ultrasonography, and to reassess the merits of adhesive strapping. METHOD: Between January 2013 and December 2014, 89 @entity1 underwent adhesive strapping for @entity14147 . The strapping was changed once a week. The diameter of the @entity547 orifice was measured with ultrasonography every 2 weeks until closure. The @entity2747 ( @entity2747 ) of the @entity547 orifice was compared between the @entity1 treated with adhesive strapping those subjected to observation alone. The associations between @entity2747 and birth weight, gestational age, the diameter of the @entity547 orifice, and the timing of treatment (before 12 weeks of age vs. between 12 and 26 weeks of age) were also analyzed. RESULTS: Closure was achieved after 2-13 weeks of strapping in 81 @entity1 (91%), and the likelihood of closure was not affected by the diameter of the @entity547 orifice, gestational age, or the timing of treatment. The mean @entity2747 of the @entity1 treated with adhesive strapping was significantly faster than that of the @entity1 subjected to observation alone (2.59 vs. 0.37 mm/week, P<0.05). Adhesive strapping was discontinued in 5 of the 89 cases (5.6%) due to severe @entity9665 . CONCLUSION: Adhesive strapping promoted early spontaneous umbilical @entity547 closure compared with observation alone, regardless of the diameter of the @entity547 orifice. Adhesive strapping is an effective alternative to surgery and observation. This article is protected by copyright. All rights reserved.

Reappraisal of adhesive strapping as a treatment for XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'infants'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity14147 :: ('MESH:D006554', 'Disease') :: ['umbilical hernias'] @entity2747 :: ('MESH:D015812', 'Disease') :: ['CS', 'closure speed'] @entity9665 :: ('MESH:D017445', 'Disease') :: ['skin complications']
@entity14147 :: (MESH:D006554,Disease) :: ['infantile umbilical hernias']
