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Umbilical Hernia Management — RACP Paediatrics MCQ

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EasyGastroenterologyUmbilical Hernia ManagementRACP Paediatrics

A premature infant at 32 weeks gestation is noted to have a soft, reducible umbilical hernia at discharge. What management is recommended?

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Correct answer: C — Observation – most umbilical hernias in infants close spontaneously by age 3-4 years

Umbilical hernias are common in preterm infants. Most close spontaneously by 3-4 years. Surgical repair is considered if: persists beyond age 4, >2 cm diameter, symptomatic, or complicated (incarceration, which is rare). Taping and trusses are ineffective and not recommended.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Umbilical Hernia