• On observation, the research team found that the hernia did not relapse on maneuvers increasing abdominal pressure such as crying. A clinical examination too confirmed the resolution of hernia, as the defect was no longer palpable.

Statistics show that umbilical hernias are common, occurring in 10 percent to 20 percent of all children. It is believed that infants with low birth weight are more likely to be vulnerable to have an umbilical hernia. One cannot determine which gender it mostly affects as both boys and girls are equally affected.

It does become a definite cause of concern for parents and caregivers until the defect disappears, which might sometimes take as long as 6 years. Earlier researches have suggested trusses and abdominal binders but they have provided inconsistent results. They have their shortcomings. They are not readily available in particular infant size and they are also found to be quite an expensive costing anywhere between 50 and 150 USD. The research team does not promote taping either as it could have a high incidence of skin breakdown. There are other traditional methods such as adhesive strapping to hasten resolution, which have tried before. Some incidents have shown success, “but at the cost of significant skin complications occurring in up to 26% of the treated cases”.

After studying the practical application of the aforementioned methods, the research team suggests a novel, simple and reproducible technique. According to them, this technique will provide a speedy resolution of the umbilical hernia in an infant. The technique is known as the “Ammannaya’s technique”, of “conservative management of infantile umbilical hernia”. This technique was reported for the first time in medical literature by Dr. Ganesh Kumar K Ammannaya. Findings suggest that it proved to be a highly successful technique as it achieved complete resolution of a 2.5 x 2.5 cm infantile umbilical hernia with a fascial defect of 1 x 1 cm with 8 weeks of regular treatment.

The research team suggests that it was a highly cost-effective technique, which can be performed in merely 2 USD. In addition to this, the technique is found to be more appealing as there is an absence of skin breakdown or other skin complications. Also, it makes it highly preferable to adhesive strapping. Hence, this can be a boon especially in developing countries where millions of people suffer from poverty and bad health care.

Dr. Ganesh’s paper is a brilliant study and is a must-read for the medical and research community. It is a well-researched study and the solution provided is an easy, affordable and non-complex one.

Dr. Ganesh Kumar K Ammannaya is a European Board Certified Cardiothoracic surgeon. He completed his training in Cardiovascular and Thoracic surgery from Sion Hospital, Mumbai with the first rank. He has authored several international papers including the winning of the best paper award in Eurovalve 2017, in Barcelona Spain. He is currently undergoing advanced Master Training Fellowship in Minimally invasive cardiac surgery in Italy, Austria, and Germany. Only 8 cardiac surgeons worldwide have been selected for this prestigious course, which is affiliated to Sant’Anna University, Pisa, Italy.


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