| Background: Umbilical hernias are congenital defects that usually close spontaneously. Umbilical hernias are also can occurs in adults .. In children and small defect, umbilical hernia was treated with Mayo technique. In large defects that may cause tension (greater than 3 to 4 em) should be closed using prosthetic mesh. The aim of this study was to determine distribution of treatment of umbilical hernias of Departement of Digestive Surgery Hasan Sadikin Hospital within January 2009 - December 2009 Methods: Restrocpective study was conducted in departement of digestive surgery, Hasan Sadikin hospital, Bandung from January 2009 to December 2009. There were 19patient of umbilical hernias admitted surgical ward Results: About 12 cases .from 19 patients with umbilical hernias were developed in adult (63,2%). Female and male ratio in adult are 9:3 (75%:25%). 1 case (8,3%) with the range of age 15 to 30, 2 cases (16,7%) with the range of age 31 to 45, 4 cases (33,3%) with the range of age 46 to 60, and 5 cases (41,7%) with the range of age 61 to 75.The risk factors which were likely to have been responsible for umbilical hernias in adult were pregnancy 1 cases (8,3%), obesity were 10 cases( 83,3%), ascites and ovarial malignancy were 2 cases (16,7%), pulmonary disorder were 2 cases (16,7%). Defect larger than 3cm occured in 5 cases (41,7%).5 cases with defect larger than 3cm (varies from 4 to 6cm) (41,7%) were treated using prosthetic mesh, and 7 cases (varies from 2 to 3cm) (58,3%) were treated with Mayo technique. Conclutions: Umbilical hernias developed in adult were 63,2%, dominant infemale 75%. The incidence was increased by age. The were multifactorial which were likely responsible for umbilical hernia, most were obesity 83,3%. From 12 cases in adult, 41,7% cases had defect larger than 3 cm. About 58,3% were treated with Mayo technique and 41,7% were treated using prosthetic mesh. |