Hopp til innhold
NHI.no
Annonse

Navlebrokk: Behandling

Innhold i artikkelen

De fleste navlebrokk hos småbarn helbredes av seg selv innen tre til fire års alder. Det anbefales derfor ikke operasjon før etter denne alderen dersom brokket ikke gir mye plager. Dersom brokket ikke er tilbakedannet innen fem til seks års alderen, bør man vurdere operasjon - også av kosmetiske grunner. Risiko for tilbakefall etter operasjon er lav, mindre enn én prosent. Resultatene er aller best ved operasjon i aldersperioden 4 til 10 år. 

Annonse

Voksne som får navlebrokk, kan forsøke å presse tilbake utbukningen ved å trykke lett på den. Dersom navlebrokket hos en voksen person utvikler seg til et inneklemt brokk, må det opereres.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Brokk . Referanselisten for dette dokumentet vises nedenfor

  1. Shakil A, Aparicio K, Barta E, Munez K. Inguinal Hernias: Diagnosis and Management. Am Fam Physician. 2020 Oct 15;102(8):487-492. PMID: 33064426 PubMed
  2. Dahlseng MO, Skari H, Næss PA, Knatten CK. Lyskebrokk. I: Norsk Barnelegeforening. Veileder i akutt pediatri. Sist faglig oppdatert 18.08.2022. Lest 15.08.2025. www.helsebiblioteket.no
  3. Perez AJ, Campbell S. Inguinal Hernia Repair in Older Persons. J Am Med Dir Assoc. 2022 Apr;23(4):563-567. doi: 10.1016/j.jamda.2022.02.008. PMID: 35259338 PubMed
  4. de Goede B, Timmermans L, van Kempen BJ, et al. Risk factors for inguinal hernia in middle-aged and elderly men: Results from the Rotterdam Study. Surgery 2015; 157: 540-6. pmid:25596770 PubMed
  5. Mjåland O, Bakken IJ. Lår- og lyskebrokkirurgi i Norge. Kirurgen, 18. mai 2009. kirurgen.no
  6. Kroese LF, Gillion JF, Jeekel J, et al; Hernia-Club Members. Primary and incisional ventral hernias are different in terms of patient characteristics and postoperative complications - A prospective cohort study of 4,565 patients. Int J Surg. 2018; 51: 114-119. pmid:29413874 PubMed
  7. Sanders DL, Kingsnorth AN. The modern management of incisional hernias. BMJ 2012; 344:e2843. PMID: 22573647 PubMed
  8. Yuan S, Wang H, Zhou J. Prevalence and Risk Factors of Hernia in Patients With Rectus Abdominis Diastasis: A 10-Year Multicenter Retrospective Study. Front Surg. 2021 Sep 16;8:730875. PMID: 34604296 PubMed
  9. Deerenberg EB, Henriksen NA, Antoniou GA, Antoniou SA, Bramer WM, Fischer JP, Fortelny RH, Gök H, Harris HW, Hope W, Horne CM, Jensen TK, Köckerling F, Kretschmer A, López-Cano M, Malcher F, Shao JM, Slieker JC, de Smet GHJ, Stabilini C, Torkington J, Muysoms FE. Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg. 2022 Nov 22;109(12):1239-1250. doi: 10.1093/bjs/znac302. Erratum in: Br J Surg. 2023 Jan 10;110(2):287. PMID: 36026550 PubMed
  10. Kaneda H, Furuya T, Sugito K, Goto S, Kawashima H, Inoue M, et al. Preoperative ultrasonographic evaluation of the contralateral patent processus vaginalis at the level of the internal inguinal ring is useful for predicting contralateral inguinal hernias in children: a prospective analysis. Hernia. 2015; 19(4):595-8. PMID: 25367201 PubMed
  11. Shakil A, Aparicio K, Barta E, Munez K. Inguinal Hernias: Diagnosis and Management. Am Fam Physician. 2020 Oct 15;102(8):487-492. PMID: 33064426. PubMed
  12. Miller J, Cho J, Michael MJ, Saouaf R, Towfigh S. Role of imaging in the diagnosis of occult hernias. JAMA Surg. 2014 Oct;149(10):1077-80. doi: 10.1001/jamasurg.2014.484. PMID: 25141884 PubMed
  13. Khan FA, Jancelewicz T, Kieran K, Islam S; COMMITTEE ON FETUS AND NEWBORN; SECTION ON SURGERY; SECTION ON UROLOGY. Assessment and Management of Inguinal Hernias in Children. Pediatrics. 2023 Jul 1;152(1):e2023062510. PMID: 37357733 PubMed
  14. Halleran DR, Minneci PC, Cooper JN. Association between Age and Umbilical Hernia Repair Outcomes in Children: A Multistate Population-Based Cohort Study. J Pediatr 2019. pmid:31711762 PubMed
  15. HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018 Feb;22(1):1-165. Epub 2018 Jan 12. PMID: 29330835 PubMed
  16. Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men. JAMA 2006; 295: 285-92. PubMed
  17. de Goede B, Wijsmuller AR, van Ramshorst GH, van Kempen BJ, Hop WCJ, Klitsie PJ, Scheltinga MR, de Haan J, Mastboom WJB, van der Harst E, Simons MP, Kleinrensink GJ, Jeekel J, Lange JF; INCA Trialists’ Collaboration. Watchful Waiting Versus Surgery of Mildly Symptomatic or Asymptomatic Inguinal Hernia in Men Aged 50 Years and Older: A Randomized Controlled Trial. Ann Surg. 2018 Jan;267(1):42-49. PMID: 28350567 PubMed
  18. Liang MK, Holihan JL, Itani K, Alawadi ZM, Gonzalez JR, Askenasy EP, Ballecer C, Chong HS, Goldblatt MI, Greenberg JA, Harvin JA, Keith JN, Martindale RG, Orenstein S, Richmond B, Roth JS, Szotek P, Towfigh S, Tsuda S, Vaziri K, Berger DH. Ventral Hernia Management: Expert Consensus Guided by Systematic Review. Ann Surg. 2017 Jan;265(1):80-89. PMID: 28009730 PubMed
  19. Liu G, Zhang W, Zhou J, Sun B, Jiang B, Wang H. Laparoscopic versus open herniorrhaphy for children with inguinal hernia: A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2020 Aug 14;99(33):e21557. PMID: 32872005 PubMed
  20. Holleran TJ, Napolitano MA, Sparks AD, et al. Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the veterans affairs system. Hernia 2022; 26: 889-899. pmid:33909151 PubMed
  21. Tolver MA, Strandfelt P, Forsberg G, et al. Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair. Surgery. 2012;151(4):556–563. PMID: 22014375 PubMed
  22. Gallegos NC, Dawson J, Jarvis M, Hobsley M. Risk of strangulation in groin hernias. Br J Surg 1991;78: 1771-3. PubMed
  23. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006 May 13;367(9522):1618-25. PMID: 16698416 PubMed
  24. Bay-Nielsen M, Perkins FM, Kehlet H; Danish Hernia Database. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg. 2001 Jan;233(1):1-7. PMID: 11141218 PubMed
  25. Reinpold WM, Nehls J, Eggert A. Nerve management and chronic pain after open inguinal hernia repair: a prospective two phase study. Ann Surg. 2011 Jul;254(1):163-8. PMID: 21562403 PubMed
  26. Taylor K, Sonderman KA, Wolf LL, Jiang W, Armstrong LB, Koehlmoos TP, Weil BR, Ricca RL Jr, Weldon CB, Haider AH, Rice-Townsend SE. Hernia recurrence following inguinal hernia repair in children. J Pediatr Surg. 2018 Nov;53(11):2214-2218. PMID: 29685492 PubMed
  27. Shalaby R, Ismail M, Gouda S, Yehya AA, Gamaan I, Ibrahim R, Hassan S, Alazab A. Laparoscopic management of recurrent inguinal hernia in childhood. J Pediatr Surg. 2015 Nov;50(11):1903-8. PMID: 26472657 PubMed
  28. Ehlers AP, Lai YL, Hu HM, Howard R, Davidson GH, Waljee JF, Dimick JB, Telem DA. Five year trends in surgical technique and outcomes of groin hernia repair in the United States. Surg Endosc. 2023 Jun;37(6):4818-4823. PMID: 36127568 PubMed
Annonse
Annonse