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What is A child of 6 months was presented with following presentation. What is the management protocol? and explain in detail?
Image shown is of an infant with Umbilical hernia - Hernia occurring directly through umbilicus Closes spontaneously in majority of cases by 2 years. Treatment - Indications of surgery If it persists beyond 5yrs age Symptomatic patients Strangulation Size > 2 cm Progressive enlargement of hernia after 1-2 years Maximum time to wait- 5 years - Small defects - Closed primarily - Size of defect >3cm - Prosthetic mesh - MAYO'S REPAIR