About this trial
Umbilical hernias in infants are very common and in most cases disappear on their own by school age. If this does not happen, surgery may be necessary. Until then, the umbilical hernia is usually only observed and not treated. This approach is currently considered the medical standard. With this study, the investigators want to find out whether taping the umbilical hernia causes it to disappear more quickly. The investigators also want to know whether taping leads to less frequent protruding belly buttons (fewer "outies") and whether taping can cause a change in the quality of life of the parents. The investigatorsare therefore planning a study in which they will randomly divide patients into groups (observation versus taping) and examine the infants at 6 and 12 months of age. In addition to our physical examinations, the parents will each fill out a questionnaire about any stress they may be experiencing due to the umbilical hernia.
Eligibility criteria
Qualifiers
Infants with protruding umbilical hernias with a visible protrusion above the level of the abdominal wall
Infants over 1 month of age and under 3 months of age
If the patient is born prematurely (<37 0/7 weeks) it has to also be at least 4 weeks old AND over 32 weeks postmenstrual age (see below) and younger than 52 weeks postmenstrual age (i.e. 3 months of corrected age)
Legal custodian gives consent to participation in study
Disqualifiers
Umbilical abnormalities, such as stump still in place, continuing wet umbilicus or umbilical granuloma
Premature infants younger than 32 weeks of postmenstrual age
Patients with known underlying skin diseases in whom taping may cause extensive skin damage, such as Epidermolysis bullosa
Patients after suture-less closure of gastroschisis
Trial design
Treatments tested in this trial
- Taping of the umbilical hernia